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

Author

Listed:
  • Larissa Silva Sadovski Torres
  • Adriana Catarina de Souza Oliveira
  • Mayara Priscilla Dantas Araújo
  • Maria Débora Silva de Carvalho
  • Lívia Batista da Silva Fernandes Barbosa
  • Bruno Araújo da Silva Dantas
  • Carmelo Sergio Gómez Martínez
  • Francisco Arnoldo Nunes de Miranda
  • Felismina Rosa Parreira Mendes
  • Gilson de Vasconcelos Torres

Abstract

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.

Suggested Citation

  • Larissa Silva Sadovski Torres & Adriana Catarina de Souza Oliveira & Mayara Priscilla Dantas Araújo & Maria Débora Silva de Carvalho & Lívia Batista da Silva Fernandes Barbosa & Bruno Araújo da Silva , 2023. "Determinants of socioeconomic factors for quality of life and depressive symptoms in community-dwelling older people: A cross-sectional study in Brazil and Portugal," PLOS ONE, Public Library of Science, vol. 18(6), pages 1-14, June.
    • Handle: RePEc:plo:pone00:0287163
    DOI: 10.1371/journal.pone.0287163
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    1. Yuri Sasaki & Yugo Shobugawa & Ikuma Nozaki & Daisuke Takagi & Yuiko Nagamine & Masafumi Funato & Yuki Chihara & Yuki Shirakura & Kay Thi Lwin & Poe Ei Zin & Thae Zarchi Bo & Tomofumi Sone & Hla Hla W, 2021. "Association between depressive symptoms and objective/subjective socioeconomic status among older adults of two regions in Myanmar," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-16, January.
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