Banca de QUALIFICAÇÃO: ANA PEDRINA FREITAS MASCARENHAS

PREVALENCE OF HEALTH CONDITIONS AND ASSOCIATION WITH FUNCTIONALITY IN THE MUNICIPALITY OF SANTA CRUZ, RIO GRANDE DO NORTE: MDS-BRASIL STUDY

International classification of functioning, disability and health. Health. Health status. Surveys and Questionnaires.

Introduction: The International Classification of Functioning, Disability and Health considers functionality to be influenced by the complex interaction between existing diseases and environmental and social factors based on the biopsychosocial model of care. Thus, the Model Disability Survey (MDS) is a tool created by the World Health Organization (WHO) in order to assess the functionality and disability profile of a population. It was translated, adapted and validated in Brazil in 2021, also indicated for epidemiological use, standing out for having a more detailed analysis proposal. Objective: To describe the prevalence of health conditions and their association with sociodemographic characteristics and functionality in the adult and elderly population of Santa Cruz, Rio Grande do Norte. Methods: This is an observational and cross-sectional study with data collected through a population survey. The survey was carried out in the municipality of Santa Cruz between October 12th and November 1st, 2022 with a total of 504 respondents adults over 18 years old in different households with an average duration of 48 minutes using tablets. automatically in the search system, thus reducing the possibility of problems. Adults and elderly people aged 18 years or over, of both genders, residing in the municipality and excluded, participants who chose not to complete the interview and those unable to understand and/or respond were included. Results: Statistical analysis was performed using SPSS Statistics 22.0. The results were presented in 2 different ways: inferential analysis and descriptive analysis of the modules 1000-Sociodemographic data, 4000-Functionality and 5000-Health Conditions of MDS Brazil. The Chi-square Test was used to analyze the association between the variables gender, color/race and marital status with the items in the Health Conditions module of the MDS-Brasil. The level of statistical significance adopted was 5%. Among the 504 people who participated in the study, it was found that 98.6% declared themselves to be Brazilian, 76.4% female, 44.6% self-declared brown, 38.3% married and 17.6% were between 4 -8 years of study. Among the three aspects of the Functionality module, the highest prevalence for severe disability was Activities and Participation, comprising 28.2% of the population. Pain was reported by 36.6% of people with moderate or severe disability. The most prevalent health condition in use of medication and other treatments was systemic arterial hypertension with 35,3% prevalence. If associated with sociodemographic conditions, women diagnosed with arthritis/arthrosis were the most prevalent finding, representing 98.4% of those diagnosed. The condition was more prevalent among married people (37.5%) and self-declared white (42.2%). Moderate disability, in terms of Body Functions, was predominant for the diagnosis of arthritis/arthrosis with a prevalence of 50.8%, as well as for the Mobility aspect, this condition represented 43.8% among those with severe disability . In the classification for the Activity and Participation aspect, back pain was the most incapacitating, as it severely disables 53.2% of respondentes.