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Instituto Nacional de Salud Pública

2019, Número 5

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salud publica mex 2019; 61 (5)


Los determinantes de la salud y la fragilidad están asociados con la mortalidad por todas las causas en adultos mayores

González-Bautista E, Manrique-Espinoza B, Ávila-Funes JA, Naidoo N, Kowal P, Chatterji S, Salinas-Rodríguez A

Idioma: Ingles.
Referencias bibliográficas: 40
Paginas: 582-590
Archivo PDF: 311.36 Kb.


RESUMEN

Objetivo. Examinar la asociación longitudinal entre los determinantes sociales en salud (DSS) y la fragilidad con la mortalidad por todas las causas en adultos mayores mexicanos. Material y métodos. Estudio longitudinal con una muestra de adultos mayores de 60 años o más del estudio Envejecimiento Global y Salud de los Adultos (SAGE, por sus siglas en inglés) en México. Se utilizó el modelo riesgos proporcionales de Cox para estimar la asociación entre DSS y la fragilidad en la mortalidad. Resultados. La tasa de mortalidad general fue 16.9%. Tener mayor educación y una mayor frecuencia de contactos interpersonales (HR= 0.96, p‹0.01) reducen el riesgo de morir, después de ajustar por covariables. Mientras tanto, no contar con alguien en quien confiar (HR= 1.59; p‹0.03) y tener una sensación de falta de control sobre las decisiones importantes en la vida aumentan el riesgo de mortalidad. Conclusiones. Dado que la fragilidad y los DSS inciden sobre la salud usando vías independientes, el sistema de salud de México se beneficiaría al incrementar su capacidad para detectar a los adultos mayores frágiles y con aislamiento social, para proveer cuidados a la salud.


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