IDEAS home Printed from
   My bibliography  Save this article

Contribution of chronic conditions to gender disparities in disability in the older population in Brazil, 2013


  • Renata Tiene de Carvalho Yokota

    () (Scientific Institute of Public Health
    Vrije Universiteit Brussel)

  • Lenildo Moura

    (Pan-American Health Organization)

  • Silvânia Suely Caribé de Araújo Andrade

    (Brazilian Ministry of Health)

  • Naíza Nayla Bandeira Sá

    (Federal University of Pará)

  • Wilma Johanna Nusselder

    (Erasmus MC)

  • Herman Oyen

    (Scientific Institute of Public Health
    Ghent University)


Abstract Objectives To assess the contribution of chronic conditions to the disability burden in the older men and women in Brazil. Methods Data from 10,290 participants of the Brazilian National Health Survey in 2013 aged 60 years or older were used. Disability was defined based on limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL). Binomial additive hazards models were fitted to assess the contribution of chronic conditions to the disability prevalence. Results Back pain was the most common condition, followed by diabetes and heart diseases in men and arthritis and diabetes in women. Stroke and mental disorders were by far the most disabling conditions in men and women. A higher disability prevalence was observed in women (34.4 %, CI 32.4; 36.2 %) compared to men (28.4 %; CI 25.9; 30.8 %). The most important contributors to the disability prevalence were stroke, back pain, and arthritis among men, and diabetes, heart diseases, and arthritis in women. Conclusions Interventions to reduce disability in the older population in Brazil should take into account the gender gap in the occurrence of chronic conditions, focusing on the main contributors to the disability burden.

Suggested Citation

  • Renata Tiene de Carvalho Yokota & Lenildo Moura & Silvânia Suely Caribé de Araújo Andrade & Naíza Nayla Bandeira Sá & Wilma Johanna Nusselder & Herman Oyen, 2016. "Contribution of chronic conditions to gender disparities in disability in the older population in Brazil, 2013," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(9), pages 1003-1012, December.
  • Handle: RePEc:spr:ijphth:v:61:y:2016:i:9:d:10.1007_s00038-016-0843-7
    DOI: 10.1007/s00038-016-0843-7

    Download full text from publisher

    File URL:
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. Herman Oyen & Wilma Nusselder & Carol Jagger & Petra Kolip & Emmanuelle Cambois & Jean-Marie Robine, 2013. "Gender differences in healthy life years within the EU: an exploration of the “health–survival” paradox," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(1), pages 143-155, February.
    2. repec:aph:ajpbhl:10.2105/ajph.2004.054700_0 is not listed on IDEAS
    3. Wilma Nusselder & Caspar Looman, 2004. "Decomposition of differences in health expectancy by cause," Demography, Springer;Population Association of America (PAA), vol. 41(2), pages 315-334, May.
    Full references (including those not matched with items on IDEAS)


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:ijphth:v:61:y:2016:i:9:d:10.1007_s00038-016-0843-7. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Sonal Shukla) or (Springer Nature Abstracting and Indexing). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.