title: [Dynamics of institutionalization of older adults in Belo Horizonte, Brazil].
abstract: BACKGROUND
  Epidemiological and social changes related to population aging in Brazil will probably increase the need for nursing homes (NH). The study analyses the dynamics of institutionalization in Belo Horizonte, a 3 million inhabitant city of whom 8.0% are aged 60 or more.
  
  
  METHODS
  Age and length of stay of 1,128 NH residents (92.5% of the estimated population) was registered and occupancy and institutionalization rates were determined.
  
  
  RESULTS
  Among women aged 65+ in Belo Horizonte, 0.88% were living in NH; among men, 0.26%. Occupancy rates were 92%. Women (81%) were older than men (76.4 x 70.4 years; two-tailed t test = 6. 4; p=0.00) and lived there for a longer period (5.6 x 4.5 years; two-tailed t test = 2.6; p=0.01). Almost 1/3 of the men were aged < 65.
  
  
  CONCLUSIONS
  High occupancy rates, long waiting lists and hard criteria for admission (half reject demented or dependent individuals) insinuates that these low institutionalization rates are related to scarcity of beds. The preponderance of women reflects the proportion of those widowed or separated in the community (66% of those aged 65-+, versus 76% of married man). The high frequency of institutionalized men aged <65 suggests lower capacity of maintaining themselves after widowhood. High death rates (24% during a 20 month follow-up of a 263 random sample) determines the small median length of stay (3 years). These data unveil the anachronism of a system which is not directed towards the maintenance of the Brazilian older people among their families and homes.
authors.affiliation: Departamento de Clínica Médica da Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. flavioch@inet.com.br
authors.forename: F
authors.initials: F
authors.lastname: Chaimowicz
authors.forename: D B
authors.initials: DB
authors.lastname: Greco
mesh_terms: D000368:Aged; D001938:Brazil; D005260:Female; D006801:Humans; D007326:Institutionalization / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged
vernacular_title: Dinâmica da institucionalização de idosos em Belo Horizonte, Brasil.