Social Determinants of Health and Clinical-Functional Vulnerability in the elderly in a community in Vitória-ES

Abstract

Objective: To verify the association between Social Determinants of Health (SDH) and Clinical-Functional Vulnerability Index (CFVI) in the elderly at a Family Health Unit (FHU) in Vitória-ES. It is a cross-sectional observational study with 241 elderly people. Materials and Method: The SDH were evaluated in three layers, in the first, individual characteristics (age, sex, ethnicity), in the second, behavioral characteristics (smoking and drinking habits, physical and leisure activity, health self-assessment and marital status); in the third, social characteristics (living alone, number of residents, multigenerational residence, education and activity at the FHU). The CFVI -20 assessed vulnerability, according to a score: 0-6, low risk; 7-14, moderate; and ≥ 15, high. Descriptive analysis with tables of absolute and relative frequencies and inferential analysis using chi-square test. Results: Of the 241 elderly, 37% had a low degree of vulnerability, 36% moderate and 27% high. Most of them were female, between 60-69 years old, self-declared black and brown, married and with low education. In addition, there was an association between vulnerability and age group, drinking habits, physical activity and self-rated health. Conclusions: There was an association of SDH with the vulnerability. Therefore, it is necessary to implement public policies for the elderly of different age groups that act directly in the SDH.

DOI:https://doi.org/10.56238/uniknowindevolp-042