title: Contribution of chronic conditions to gender disparities in disability in the older population in Brazil, 2013.
abstract: OBJECTIVE
  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.
authors.affiliation: Department of Public Health and Surveillance, Scientific Institute of Public Health, Rue Juliette Wytsmanstraat 14, 1050, Brussels, Belgium. Renata.yokota@wiv-isp.be.|Department of Sociology, Interface Demography, Vrije Universiteit Brussel, Brussels, Belgium. Renata.yokota@wiv-isp.be.
authors.forename: Renata Tiene de Carvalho
authors.initials: RT
authors.lastname: Yokota
authors.affiliation: Unit for Health Risks, Noncommunicable Diseases and Mental Health, Pan-American Health Organization, Brasília, Brazil.
authors.forename: Lenildo
authors.initials: L
authors.lastname: de Moura
authors.affiliation: Department of Noncommunicable Diseases Surveillance and Health Promotion, Brazilian Ministry of Health, Brasília, Brazil.
authors.forename: Silvânia Suely Caribé de Araújo
authors.initials: SS
authors.lastname: Andrade
authors.affiliation: Institute of Health Sciences, School of Nutrition, Federal University of Pará, Belém, Brazil.
authors.forename: Naíza Nayla Bandeira
authors.initials: NN
authors.lastname: de Sá
authors.affiliation: Department of Public Health, Erasmus MC, Rotterdam, The Netherlands.
authors.forename: Wilma Johanna
authors.initials: WJ
authors.lastname: Nusselder
authors.affiliation: Department of Public Health and Surveillance, Scientific Institute of Public Health, Rue Juliette Wytsmanstraat 14, 1050, Brussels, Belgium.|Department of Public Health, Ghent University, Ghent, Belgium.
authors.forename: Herman
authors.initials: H
authors.lastname: Van Oyen
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000453:epidemiology; D001416:Back Pain / Q000453:epidemiology; D001938:Brazil / Q000453:epidemiology; D002318:Cardiovascular Diseases / Q000453:epidemiology; D002908:Chronic Disease / Q000453:epidemiology*; D003920:Diabetes Mellitus / Q000453:epidemiology; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D054624:Health Status Disparities; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D017678:Sex Distribution; D012959:Socioeconomic Factors
keywords: ADL; Brazil; Chronic conditions; Disability; IADL; Older population