Quality of Life in Older Adults in Brazil and Portugal: A Comparative Analysis

Authors

DOI:

https://doi.org/10.15649/cuidarte.1230

Keywords:

Quality of Life, Health of the Elderly, Healthy Aging, Cross-cultural Comparison

Abstract

Introduction: Longevity is one of the greatest achievements in the last half of the 20th century. Objective: To compare the quality of life in older adults in Brazil and Portugal receiving primary health care. Materials and Methods: A comparative cross-sectional quantitative study was conducted with a probability sample of 294 older adults, who had been assisted with the Family Health strategy, being divided into two groups: 130 older adults living in Benevides, Brazil and 164 in Coimbra, Portugal during 2015 and 2017. The sociodemographic characterization and the quality of life assessment were determined through the WHO Quality of Life-BREF (WHOQOL-BREF), which consists of 26 questions assessing four domains: physical health, psychological health, social relationships and environment. The Mann-Whitney U test was applied for comparative statistical analysis. Results: There was a prevalence of married, retired women with a lower level of education (1 to 4 years) in the groups. The average age was 70 years in Brazil and 76 years in Portugal. In terms of quality of life, Brazilian older adults got better scores in the psychological health domain (79.1%) while Portuguese older adults scored best in the environmental domain (65.6%). The lowest scores were found in the environmental domain in Benevides (56.3%) and in the physical health domain in Coimbra (60.7%). Discussion: Quality of life in aging is a major predictor for the preservation of autonomy in older adults. Conclusion: These results help to broaden the importance of comprehensive care in the aging process to provide a better quality of life, which contributes to meeting the specific needs of older population.

How to cite this article: Sousa, Fabianne de Jesus Dias de;  Oliveira, Catarina Resende de; Pinto, Anabela Mota; Rodrigues, Victor; Gonçalves, Lucia Hisako Takase; Gamba, Mônica Antar.  Qualidade de vida de idosos brasileiros e portugueses: uma análise comparativa.  Revista Cuidarte. 2021;12(1):e1230. http://dx.doi.org/10.15649/cuidarte.1230     

Author Biographies

Fabianne De Jesus De Sousa, Universidade Federal de São Paulo

Enfermeira. Professora de Enfermagem. Mestre em Enfermagem. Doutoranda em Enfermagem com período sanduíche na Faculdade de Medicina da Universidade de Coimbra

Catarina Resende De Oliveira, Coimbra University

Full professor at the Faculty of Medicine, University of Coimbra, Portugal.

Anabela Mota Pinto, Coimbra University

Full professor and director of the Laboratory of General Pathology, Faculty of Medicine, University of Coimbra.

Victor Rodrigues, Coimbra University

Professor at the Faculty of Medicine of the University of Coimbra

Lucia Hisako Takase Gonçalves, Federal University of Pará

Senior Visiting Professor of the Master's Degree in Nursing at the Faculty of Nursing of the Federal University of Pará

Mônica Antar Gamba, Federal University of São Paulo

Nursing Professor at Escola Paulista de Enfermagem, Universidade Federal de São Paulo

References

Tombini F, Castanha AC, Padoan ER, Lutinski J e Silva MR. Quality of life in the elderly with and without chronic pain. Br J Pain. 2018;1(2):111-5. https://doi.org/10.5935/25950118.20180022

Jing W, Willis R, Feng Z. Factors influencing quality of life of elderly people with dementia and care implications: A systematic review. Arch Gerontol Geriatr. 2016;66:23-41. http://dx.doi.org/10.1016/j.archger.2016.04.009

Campos ACV, Gonçalves LHT. Aging demographic profile in municipalities in the state of Pará, Brazil. Rev Bras Enferm. 2018;71(Suppl 1):591-8. http://dx.doi.org/10.1590/0034-71672017-0070

Instituto Brasileiro de Geografia e Estatística (IBGE). Projeção da população do Brasil por sexo e idade para o período de 2000/2060: Projeção da população das unidades da federação por sexo e idade para o período de 2000/2030. Rio de Janeiro (RJ): IBGE; 2013.

Instituto Brasileiro de Geografia e Estatística (IBGE). Estimativas populacionais para os municípios e para as unidades da federação. Rio de Janeiro (RJ): IBGE; 2016.

Instituto Nacional de Estatística (INE). Estatísticas demográficas 2015. Lisboa (PT): Instituto Nacional de Estatística; 2015.

Monteiro BR, Pisco AMSA, Candoso F, Bastos S, Reis M. Primary healthcare in Portugal: 10 years of contractualization of health services in the region of Lisbon. Ciência & Saúde Coletiva, 2017;22 (3):725-36. http://dx.doi.org/10.1590/1413-81232017223.33462016

Escoval A, Santos ATL, Barbosa P. Contribution to the understanding of the health financingin Portugal: The case of primary healthcare, hospitals and long-term care. Tempus, actas de saúde colet. 2016;10(1): 17-27. https://doi.org/10.18569/tempus.v10i1.1858

Araújo GBF, de Miranda LO, Nolêto IRSG, de Aguiar WJL, Moreira AM, de Freitas DRJ. Comparation between the brazilian health system and the portuguese health system: general analysis. Sanare. 2017;16 (2):14-21. https://doi.org/10.20396/bjos.v16i0.8651056

Monteiro BR, Candoso F, Bastos S, Reis M. Analysis of the performance of contractualization primary health care indicators in the period 2009-2015 in Lisbon and Tagus Valley. Ciência & Saúde coletiva. 2017;22(3):807-18. http://dx.doi.org/10.1590/1413-81232017223.33242016

Manso MEG, Maresti LTP, Oliveira HSB de. Analysis of quality of life and associated factors in a group of elderly persons with supplemental health plans in the city of São Paulo, Brazil. Rev. bras. geriatr. gerontol. 2019;22(4):e190013. https://doi.org/10.1590/1981-22562019022.190013.

World Health Organization (WHO). WHOQOL-Bref: introduction, administration, scoring and generic version of the assessment.Geneva: WHO,1996.http: //www.who.int/mental_health/media/en/76.pdf

Polit DF. Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática da enfermagem. 7ed. Porto Alegre: Artmed, 2011.

Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Demográfico censo sinopse 2010. Rio de Janeiro (RJ): IBGE; 2010. http://www.sidra.ibge.gov.br

Sistema Nacional de Saúde (SNE). Relatório anual sobre o acesso a cuidados de saúde nos estabelecimentos de SNS e entidades convencionadas. Portugal (PT). SNE; 2015. https://www.sns.gov.pt/wp-content/uploads/2016/11/Relatório-Anual-sobre-o-Acesso-a-Cuidados-Saúde-no-SNS-2015-MS.pdf

Maleta CHM. Epidemiologia e Saúde pública. Belo Horizonte: COOPMED;2017.

Fleck MPA, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, Pinzon V. Aplicação da versão em português do instrumento abreviado de avaliação de qualidade de vida –WHOQOL-Bref. Rev. Saúde Pública. 2000;34(2):178-83. https://doi.org/10.1590/S0034-89102000000200012

Serra A, Canavarro M, Simões M, Pereira M, Gameiro F, Quartilho M. Estudos psicométricos do instrumento de avaliação da Qualidade de Vida da Organização Mundial de Saúde (WHOQOL-Bref) para português de Portugal. Psiquiatria Clínica. 2006;27(1):31-40.

Bombardelli C, da Rosa LHT, Keller KD, Klahr PS, da Rosa PV, Peres A. Quality of life of elderly people living in a municipality with rural characteristics in the countryside of Rio Grande do Sul, Brazil. Rev. Bras. Geriatr. Gerontol. 2017;20(1):85-90. https://doi.org/10.1590/1981-22562017020.160082

Barbosa KTF, Costa KNFM, Pontes MLF, Batista PSS, Oliveira FMRL de, Fernandes MGM. Envelhecimento e vulnerabilidade individual: um panorama dos idosos vinculados à estratégia saúde da família. Texto contexto & enferm. 2017;26(2):e2700015. http://dx.doi.org/10.1590/0104-07072017002700015

Castañeda-Flores T, Guerrero-Castañeda RF. Espiritualidad en adultos mayores hospitalizados: Aproximación cuantitativa. Rev Cuid. 2019;10(3):e724. http://dx.doi.org/10.15649/cuidarte.v10i3.724

Rodrigues RMC, Azeredo ZAS, Mendes IMMMD, Crespo SSS, Silva CFR da. Os muito idosos do concelho de Coimbra: avaliação da funcionalidade na área de saúde física. Rev port saúde pública. 2016;34(2):163–72. http://dx.doi.org/10.1016/j.rpsp.2016.05.002

Nespollo AM, Marcon SR, Lima NVP, Dias TL, Martínez Espinosa M. Health Conditions and Memory Performance: a study with older adult women. Rev Bras Enferm. 2017; 70(3):640-6. http://dx.doi.org/10.1590/0034-7167-2016-0529

Miranda LCV, Soares SM, Silva PAB. Quality of life and associated factors in elderly people at a Reference Center. Ciência & Saúde Coletiva, 2016;21(11):3533-44. http://dx.doi.org/10.1590/1413-812320152111.21352015

Garbaccio JL, Tonaco LAB, Estêvão WG, Barcelos BJ. Aging and quality of life of elderly people in rural areas. Rev Bras Enferm 2018;71(suppl 2):724-32. http://dx.doi.org/10.1590/0034-7167-2017-0149

Leite MT, Castioni D, Kirchner RM, Hildebrandt LM. Capacidad funcional y nivel cognitivo de adultos mayores residentes en una comunidade em el sur de Brasil. Enferm. Glob. 2015;14(37):1-11. https://doi.org/10.6018/eglobal.14.1.196461

Guedes MBOG, Lima KC, Caldas CP, Veras RP. Social support and integral care to the health of the elderly. Physis. 2017;27(4):1185-1204. http://dx.doi.org/10.1590/S0103-73312017000400017

Almeida-Brasil CC, Silveira MR, Silva KR, Lima MG, Faria CDCM, Cardoso CL, Menzel HJK, Ceccato MGB. Quality of life and associated characteristics: application of WHOQOL-BREF in the context of Primary Health Care. Ciência & Saúde Coletiva. 2017;22(5):1705-1716. http://dx.doi.org/10.1590/1413-81232017225.20362015

Gross CB, Kolankiewicz AC, Schmidt CR, Berlezi EM. Níveis de fragilidade de idosos e sua associação com as características sociodemográficas. Acta paul Enferm. 2018;31(2):209-16. http://dx.doi.org/10.1590/1982- 0194201800030

Santos RMF, Santos PMF, Santos LDB. Duarte JC. Quality of life in older people: the case of Cova da Beira. Revista de Enfermagem Referência. 2013;III(11):37-48. http://dx.doi.org/10.12707/RIII1210

Scolari GAS, Rissardo LK, Baldissera VDA, Carreira L. Emergency care units and dimensions of accessibility to health care for the elderly. Rev Bras Enferm. 2018;71(suppl 2):811-17. http://dx.doi.org/10.1590/0034-7167-2017-0440

Duarte A, Natércia J, Lapa F, Nunes C. Qualidade de vida e suporte social dos utentes da rede cuidados domiciliários. Psic., Saúde & Doenças. 2014;15(3):623-34. http://dx.doi.org/10.15309/14psd150306

Published

2021-03-12

How to Cite

1.
De Sousa FDJ, De Oliveira CR, Pinto AM, Rodrigues V, Gonçalves LHT, Gamba MA. Quality of Life in Older Adults in Brazil and Portugal: A Comparative Analysis. Revista Cuidarte [Internet]. 2021 Mar. 12 [cited 2024 Sep. 1];12(1). Available from: https://revistas.udes.edu.co/cuidarte/article/view/1230

Issue

Section

Investigation Article

Categories

Altmetrics

Downloads

Download data is not yet available.

Most read articles by the same author(s)