PMID- 37194797
OWN - NLM
STAT- MEDLINE
DCOM- 20230518
LR  - 20230522
IS  - 1518-8787 (Electronic)
IS  - 0034-8910 (Print)
IS  - 0034-8910 (Linking)
VI  - 57
DP  - 2023
TI  - Association among race/color, gender, and intrinsic capacity: results from the 
      ELSI-Brazil study.
PG  - 29
LID - S0034-89102023000100221 [pii]
LID - 10.11606/s1518-8787.2023057004548 [doi]
LID - 29
AB  - OBJECTIVE: To investigate associations among race/color, gender, and intrinsic 
      capacity (IC) (total and by domains) in middle-aged and older adults from a 
      Brazilian cohort. As a secondary objective, we investigate these associations 
      across Brazilian regions. METHODS: This is a cross-sectional study conducted with 
      baseline data from the 2015-2016 Brazilian Longitudinal Study of Aging 
      (ELSI-Brazil). IC was investigated via cognitive (verbal fluency), physical (gait 
      velocity/handgrip), and psychosocial (Center for Epidemiological Studies 
      Depression) domains. Moreover, IC sensory domain was evaluated via self-reported 
      sensory disease diagnoses (vision and/or hearing impairment) and race/color was 
      identified via self-reported criteria. RESULTS: We evaluated a total of 9,070 
      participants (aged >/= 50 years). Black and Brown participants were 80% and 41% 
      more likely to show a worse IC cognitive domain than white controls, respectively 
      (OR = 1.80, 95%CI: 1.42-2.28, p < 0.001 and OR = 1.41, 95%CI: 1.21-1.65, p < 
      0.001). Moreover, Black and Brown women had almost a threefold greater chance of 
      showing a worse IC than white men (OR = 2.91, 95%CI: 1.89-4.47, p < 0.001 and OR 
      = 2.51, 95%CI: 2.09 - 3.02, p < 0.001) and a 62% (OR = 1.62, 95%CI: 1.02-2.57) 
      and 32% (OR = 1.32, 95%CI: 1.10-1.57) greater risk of falling below our IC score 
      cutoff point than white women. We found the greatest differences in the Brazilian 
      South, whereas its North showed the lowest associations among race/color, gender, 
      and IC. CONCLUSION: IC racial and gender disparities reinforce the need for 
      public health policies to guarantee equality during aging. Promoting greater 
      access to good health care requires understanding how racism and sexism can 
      contribute to health inequities and their consequences in different Brazilian 
      regions.
FAU - Placido, Jessica
AU  - Placido J
AUID- ORCID: 0000-0003-1921-6672
AD  - Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, 
      RJ, Brasil.
FAU - Marinho, Valeska
AU  - Marinho V
AUID- ORCID: 0000-0003-4665-9655
AD  - Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, 
      RJ, Brasil.
FAU - Ferreira, Jose Vinicius
AU  - Ferreira JV
AUID- ORCID: 0000-0002-5025-7483
AD  - Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, 
      RJ, Brasil.
FAU - Teixeira, Ivan Abdalla
AU  - Teixeira IA
AUID- ORCID: 0000-0003-0011-0034
AD  - Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, 
      RJ, Brasil.
FAU - Costa, Erico Castro
AU  - Costa EC
AUID- ORCID: 0000-0003-0792-5439
AD  - Fundacao Oswaldo Cruz. Instituto Rene Rachou. Nucleo de Estudos em Saude Publica 
      e Envelhecimento. Belo Horizonte, MG, Brasil.
FAU - Deslandes, Andrea Camaz
AU  - Deslandes AC
AUID- ORCID: 0000-0001-5941-9111
AD  - Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, 
      RJ, Brasil.
LA  - eng
PT  - Journal Article
DEP - 20230512
PL  - Brazil
TA  - Rev Saude Publica
JT  - Revista de saude publica
JID - 0135043
SB  - IM
MH  - Male
MH  - Middle Aged
MH  - Humans
MH  - Female
MH  - Aged
MH  - Brazil/epidemiology
MH  - Longitudinal Studies
MH  - Cross-Sectional Studies
MH  - *Hand Strength
MH  - *Aging
PMC - PMC10159553
COIS- Conflict of Interest: The authors declare no conflict of interest.
EDAT- 2023/05/17 13:09
MHDA- 2023/05/18 06:42
PMCR- 2023/04/27
CRDT- 2023/05/17 07:23
PHST- 2022/01/19 00:00 [received]
PHST- 2022/05/11 00:00 [accepted]
PHST- 2023/05/18 06:42 [medline]
PHST- 2023/05/17 13:09 [pubmed]
PHST- 2023/05/17 07:23 [entrez]
PHST- 2023/04/27 00:00 [pmc-release]
AID - S0034-89102023000100221 [pii]
AID - 10.11606/s1518-8787.2023057004548 [doi]
PST - epublish
SO  - Rev Saude Publica. 2023 May 12;57:29. doi: 10.11606/s1518-8787.2023057004548. 
      eCollection 2023.