Factors associated to the condition of bedridden in Brazilian old people, results from the National Health Survey, 2013

Abstract Objective to identify the factors associated to bedridden condition among Brazilian old people, analyzing socioeconomic and health conditions and the use of health services. Method cross-sectional study, with secondary data from National Health Survey (2013). It counted on the population of individuals ≥60 aged (n=11.177). The bedridden condition was considered a dependent variable and the sociodemographic characteristics, health conditions and use of medical services as independent. Crude and adjusted logistic regression analyses were performed and reported crude and Adjusted Odds Ratio (ORadjusted), with 95% confidence interval (95%CI). Results It was found that 4.9% of the old people were bedridden. This condition was shown to be associated to male gender (ORadjusted=1.45; 95%CI= 1.13-1.84), illiteracy (ORadjusted=1.37 95%CI= 1.11-1.70) and number of chronic diseases, old people who had five chronic diseases were 4.96 (95%CI=2.78-8.85) times more likely than those without disease. The diseases associated to bedridden condition were stroke episode (ORadjusted=3.03; 95%CI=1.29-8.43), diagnosis of systemic arterial hypertension (ORadjusted=1.71; 95%CI=1.31-2.24), changes in cholesterol levels (ORadjusted=2.08; CI95%= 1.37-3.17) and depression (ORadjusted=5.64; 95%CI=2.42-13.14). Still, old people who needed care related to their own health (OR=16.94; 95%CI=7.15-40.16), hospitalization (ORadjusted=8.10; 95%CI=4.20-15.54) and emergency home care in the last 12 months (ORadjusted=1.78; 95%CI=1.25-2.55) and who considered the condition of poor general health (ORadjusted=2.68; 95%CI=2.05-3.51) were more likely to be bedridden. Conclusion This study allowed the identification of important factors associated with the bedridden condition of Brazilian old people, with emphasis on gender and education, the clinical variables of chronic diseases, and the more frequent use of health services.