Determinants of socioeconomic factors for quality of life and depressive symptoms in community-dwelling older people: A cross-sectional study in Brazil and Portugal.

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Quality of Life* ; Depression*/epidemiology; Female ; Humans ; Aged ; Aged, 80 and over ; Brazil/epidemiology ; Cross-Sectional Studies ; Portugal/epidemiology ; Independent Living ; Socioeconomic Factors

Our aim was to analyze the association between socioeconomic status and quality of life (QoL) among older people with depressive symptoms treated through the Primary Health Care (PHC) system in Brazil and Portugal. This was a comparative cross-sectional study with a nonprobability sample of older people in the PHC in Brazil and Portugal conducted between 2017 and 2018. To evaluate the variables of interest, the socioeconomic data questionnaire, the Geriatric Depression Scale and the Medical Outcomes Short-Form Health Survey were used. Descriptive and multivariate analyses were performed to test the study hypothesis. The sample consisted of n = 150 participants (Brazil n = 100 and Portugal n = 50). There was a predominance of woman (76.0%, p = 0.224) and individuals between 65 and 80 years (88.0%, p = 0.594). The multivariate association analysis showed that in the presence of depressive symptoms, the QoL mental health domain was most associated with the socioeconomic variables. Among the prominent variables, woman group (p = 0.027), age group 65-80 years (p = 0.042), marital status "without a partner" (p = 0.029), education up to 5 years (p = 0.011) and earning up to 1 minimum wage (p = 0.037) exhibited higher scores among brazilian participants. The portuguese participants showed an association between the general health status domain and woman group (p = 0.042) and education up to 5 years (p = 0.045). The physical functioning domain was associated with income of up to 1 minimum wage (p = 0.037). In these domains, the portuguese participants exhibited higher scores than the brazilian participants. We verified the association between socioeconomic profile and QoL in the presence of depressive symptoms, which occurred mainly among woman, participants with low levels of education and low income, with QoL aspects related to mental, physical and social health and self-perceived health. The group from Brazil had higher QoL scores than the group from Portugal.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Torres et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Medicine (Baltimore). 2021 Nov 19;100(46):e27830. (PMID: 34797312)
Rev Panam Salud Publica. 2018 Oct 10;42:e113. (PMID: 31093141)
Int J Environ Res Public Health. 2021 Apr 05;18(7):. (PMID: 33916422)
Cad Saude Publica. 2020 Jan 31;36(2):e00154319. (PMID: 32022176)
PLoS One. 2021 Jan 28;16(1):e0245489. (PMID: 33507963)
Sci Rep. 2018 Jul 25;8(1):11180. (PMID: 30046118)
Int J Qual Health Care. 2019 May 1;31(4):312-318. (PMID: 30020471)
Rev Saude Publica. 2019;53:45. (PMID: 31066823)
Rev Saude Publica. 2005 Dec;39(6):918-23. (PMID: 16341401)
Braz J Psychiatry. 2020 Apr;42(2):201-208. (PMID: 31826082)
Sci Rep. 2018 Mar 1;8(1):3841. (PMID: 29497126)
Medicine (Baltimore). 2020 Jul 17;99(29):e21330. (PMID: 32702929)
Prev Med. 2020 Jun;135:106073. (PMID: 32243939)
J Am Geriatr Soc. 1991 Feb;39(2):149-55. (PMID: 1991947)
Geriatrics (Basel). 2022 Apr 08;7(2):. (PMID: 35447850)
Rev Bras Enferm. 2019 Nov;72(suppl 2):127-133. (PMID: 31826201)
Cien Saude Colet. 2018 Sep;23(9):3077-3084. (PMID: 30281744)
Biomed Res Int. 2018 Nov 25;2018:2370284. (PMID: 30596085)
Geriatrics (Basel). 2022 Sep 13;7(5):. (PMID: 36136805)
PLoS One. 2019 May 23;14(5):e0216858. (PMID: 31120892)
Rev Saude Publica. 2018 Oct 25;52Suppl 2(Suppl 2):16s. (PMID: 30379281)
BMC Psychiatry. 2019 Jan 14;19(1):21. (PMID: 30642326)
Health Qual Life Outcomes. 2019 Nov 8;17(1):169. (PMID: 31703701)
Arq Neuropsiquiatr. 1999 Jun;57(2B):421-6. (PMID: 10450349)
PLoS One. 2020 Oct 20;15(10):e0240024. (PMID: 33079931)
Adv Gerontol. 2003;11:7-18. (PMID: 12820516)
Cad Saude Publica. 2019 Aug 12;35Suppl 2(Suppl 2):e00042418. (PMID: 31411303)
Aging Clin Exp Res. 2020 Nov;32(11):2329-2338. (PMID: 31927709)
Psychol Med. 2020 May;50(7):1129-1138. (PMID: 31044683)
Clin Interv Aging. 2019 Nov 04;14:1901-1910. (PMID: 31806946)

Date Created: 20230613 Date Completed: 20230615 Latest Revision: 20230621

20230622

PMC10263313

10.1371/journal.pone.0287163

37310938