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Income inequality and elderly self-rated health in Sao Paulo, Brazil

Porto Chiavegatto Filho, Alexandre Dias; Lebrao, Maria Lucia; Kawachi, Ichiro Universidade De São Paulo

ANNALS OF EPIDEMIOLOGY, NEW YORK, v. 22, n. 12, supl. 1, Part 2, pp. 863-867, DEC, 2012

ELSEVIER SCIENCE INC; NEW YORK 2012

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Título:
Income inequality and elderly self-rated health in Sao Paulo, Brazil
Autor: Porto Chiavegatto Filho, Alexandre Dias; Lebrao, Maria Lucia; Kawachi, Ichiro
Universidade De São Paulo
Assuntos: Aged; Socioeconomic Factors; Brazil; Multilevel Analysis; Exercise; Violence; Epidemiologic Factors; Social Environment; Social Conditions; Physical-Activity; Older-Adults; Neighborhood Safety; Population Health; Public-Health; Bambui Cohort; United-States; Violent Crime; Mortality; Multilevel; Public; Environmental & Occupational Health
É parte de: ANNALS OF EPIDEMIOLOGY, NEW YORK, v. 22, n. 12, supl. 1, Part 2, pp. 863-867, DEC, 2012
Descrição: Purpose: To test the association between income inequality and elderly self-rated health and to propose a pathway to explain the relationship. Methods: We analyzed a sample of 2143 older individuals (60 years of age and over) from 49 distritos of the Municipality of Sao Paulo, Brazil. Bayesian multilevel logistic models were performed with poor self-rated health as the outcome variable. Results: Income inequality (measured by the Gini coefficient) was found to be associated with poor self-rated health after controlling for age, sex, income and education (odds ratio, 1.19; 95% credible interval, 1.01-1.38). When the practice of physical exercise and homicide rate were added to the model, the Gini coefficient lost its statistical significance (P>.05). We fitted a structural equation model in which income inequality affects elderly health by a pathway mediated by violence and practice of physical exercise. Conclusions: The health of older individuals may be highly susceptible to the socioeconomic environment of residence, specifically to the local distribution of income. We propose that this association may be mediated by fear of violence and lack of physical activity. (C) 2012 Elsevier Inc. All rights reserved.
DOI: 10.1016/j.annepidem.2012.09.009
Títulos relacionados: ANNALS OF EPIDEMIOLOGY
Editor: ELSEVIER SCIENCE INC; NEW YORK
Data de publicação: 2012
Idioma: Inglês

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Income inequality and elderly self-rated health in Sao Paulo, Brazil

Porto Chiavegatto Filho, Alexandre Dias; Lebrao, Maria Lucia; Kawachi, Ichiro Universidade De São Paulo

ELSEVIER SCIENCE INC; NEW YORK 2012

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