Influence of social determinants on the quality of life of the elderly in Manzanillo
Keywords:
Social determinants, quality of life, older adultAbstract
Introduction: The current approach to health in an aging country requires solid knowledge of the social and individual determinants of health.
Objective: To identify the pattern of the factors that lead to a higher predisposition to classify older adults in Manzanillo with a medium or low quality of life.
Methodological Design: A cross-sectional analytical study was conducted from October 2015 to December 2016. 108 seniors selected by randomized simple sampling were interviewed in residents of health areas 3 and 4 of Manzanillo Polyclinic No. 1. To assess the quality of life the MGH Scale was used.
Results: With high perceived quality of life there are only 28 adults for a 25.9%. There are 3 determinants that provide the highest percentages in the adults studied: 63% with low income, 66.7% with an active social life and 85.2% with an unbalanced diet. In the classification tree it is observed that there are 2 critical routes that all those who have it are classified in quality of average or low life, these are: Acceptable conditions in the house + Not low income + Passive social life = 12 people, and Conditions Acceptable in housing + Low income = 28 people, both values represent 100% of those who have this combination of factors.
Conclusions: Income and objective housing conditions do not determine the quality of life perceived by the elderly in Manzanillo.
Downloads
References
1. Rojas Ochoa F. Determinantes sociales de la salud y la acción política. Humanida. Méd [Internet]. 2013 [citado 03 May 2018]; 13(2): [aprox. 13p.]. Disponible en: http://www.humanidadesmedicas.sld.cu/index.php/hm/article/view/446
2. Wilkinson R, Marmot R, editores. Los hechos probados: los determinantes sociales de la salud [Internet]. Madrid: Ministerio de Sanidad y Consumo; 2006 [citado 10 sep 2016]. [aprox. 32p.]. Disponible en: http://www.mspsi.es/profesionales/saludPublica/prevPromocion/promocion/desigualdadSalud/docs/hechosProbados.pdf
3. Thielmann K, Illnait Ferrer J, Clark Arxer I. Determinantes individuales y sociales de la salud. Rev Cubana Salud Pública [Internet]. 2013 Jun [citado 26 Abr 2017]; 39(2): [aprox. 9p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662013000200011&lng=es.
4. Naranjo Hernández Ydalsys. El envejecimiento de la población en Cuba: un reto. GacMédEspirit [Internet]. 2015 Dic [citado 24 Mayo 2018]; 17(3): [aprox. 3p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1608-89212015000300003&lng=es.
5. Anuario Estadístico de Salud 2015. Ministerio De Salud Pública. Dirección Nacional de Registros Médicos y Estadísticas de Salud. Disponible en: http://files.sld.cu/dne/files/2014/05/anuario-2015-esp-e.pdf [Consulta 12 Oct 2016].
6. Silva Correa Yenia. ¿Por qué Cuba es un país envejecido? Periódico Granma [Internet]. 8 Jun 2017; Secc. Cuba. Disponible en: http://www.granma.cu/cuba/2017-06-03/por-que-cuba-es-un-pais-envejecido-03-06-2017-13-06-20
7. Lorenzo Pérez O. Estudio de caso sobre condiciones de trabajo en adultos mayores de la comunidad el Mallorquín, municipio de Alquízar, provincia de Artemisa. Revista Novedades en población [Internet]. 2011 [citado 13 May 2017]; 7(14): [aprox. 7p.]. Disponible en: http://www.novpob.uh.cu/index.php/NovPob/article/viewFile/172/205
8. Organización Panamericana de la Salud. Envejecimiento y cambiosdemográficos [Internet].Washington: Regional Office for the Americas of the World Health Organization; 2017 [citado 9 Dic 2017]. Disponible en: https://www.paho.org/salud-en-las-americas-2017/?post_type=post_t_es&p=314&lang=es
9. Álvarez Pérez MS. Construcción de un instrumento para medir calidad de vida en la tercera edad [tesis]. La Habana: Facultad de Salud Pública; 1996.
10. Palomino Moral P, Grande Gascón M, Linares Abad M. La salud y sus determinantes sociales. Desigualdades y exclusión en la sociedad del siglo XXI. Revista Internacional de Sociología (RIS) [Internet]. 2014 Jun [citado? 27 Sep? 2017];? 72(extra 1): [aprox. 20p.]. Disponible en: http://apsredes.org/wp-content/uploads/2014/08/laSaludYSusDeterminantes.pdf.
11. Naranjo Hernández Y, Figueroa Linares M, Cañizares Marín R. Envejecimiento poblacional en Cuba. GacMédEspirit? [Internet]. 2015? Dic [citado? ? 27 Sep 2017];? 17(3): [aprox. 10p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1608-89212015000300025&lng=es.
12. World Health Organization. Equity, social determinants and public health programmes [Internet]. Geneva: WHO; 2010 [citado 5 Feb 2017]. Disponible en: http://apps.who.int/iris/bitstream/10665/44289/1/9789241563970_eng.pdf.
13. Martín González I, Plasencia Concepción D, González Pérez T. Manual de dietoterapia. La Habana: Editorial Ciencias Médicas, 2001.
14. Bayarre Vea H, Pérez Piñero J, Menéndez Jiménez J. Las transiciones demográfica y epidemiológica y la calidad de vida objetiva en la tercera edad. Geroinfo [Internet]. 2006 [citado 1 Sep 2016]; 1(3): [aprox. 6p.]. Disponible en: http://www.sld.cu/galerias/pdf/sitios/gericuba/las_transiciones_demografica_y_epidemiologica_y_la_calidad_de_vida_objetiva_en_la_tercera_edad.pdf.
15. Benítez Pérez, ME. Envejecer en Cuba: mucho más que un indicador demográfico. Rev Nov Pob [Internet]. 2015 [citado 26 abr 2017]; 11(22): [aprox. 8p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-40782015000200002&lng=es&nrm=iso
16. Organización Mundial de la Salud. Acción multisectorial para un envejecimiento sano basado en el ciclo de vida: proyecto de estrategia y plan de acción mundiales sobre el envejecimiento y la salud [Internet]. Ginebra: 69.ª Asamblea Mundial de la Salud; 2016 Abr [citado 25 Feb 2017]. Disponible en: http://apps.who.int/gb/ebwha/pdf_files/WHA69/A69_17-sp.pdf.
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: authors retain their copyright and grant the journal the right of first publication of their work, which is simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License that allows third parties to share the work as long as the author and first publication in this journal are indicated, for non-commercial use. Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional telematic archive or publishing it in a monographic volume) as long as the initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work via the Internet (e.g., in institutional telematic archives, in their web page or in Pre-print servers) before and during the submission process, which can lead to interesting exchanges and increase citations of the published work. (See The Open Access Effect).
