Avaliação do programa “PROETI Saúde” do Município de Uberaba, MG: condições de saúde de idosas usuárias e não usuárias

Abstract

This study aimed to identify: a) sociodemographic and health characteristics of users and non-users of the program PROETI Saúde, b) level of habitual physical activity of participants and non-participants of the program activities, c) assessing the impact, provision , utilization and coverage of the program PROETI Saúde. Characterized as observational, case- control study, with 1:1 matching , using methods exploratory surveys. The sample , selected by convenience consisted of 220 females aged ≥ 60 years living in the urban area of the municipality of Uberaba , MG , 110 subjects were enrolled in the 13 centers PROETI Saúde program , often at least 12 months in the activities offered representing the case group and 110 nonusers representing the control group . Data collection was performed by a questionnaire in an individual interview with sociodemographic information (age, marital status, family arrangement, education, and socioeconomic status), health (perceived health, diseases referred, quality of sleep, use of medications, cognitive decline, depressive symptoms, functional capacity) , and behavioral ( self-esteem , physical activity in leisure, sitting time , self-efficacy in walking and physical activity in moderate to vigorous. The plausibility of performance indicators (process) PROETI Health program were the provision, utilization and coverage. For data analysis procedures were used descriptive statistics (frequency, mean and standard deviation) and inferential statistics (Mann-Whitney U, Chi-square and Binary Logistic Regression). The elderly users PROETI Saúde program showed better perceived health, lower consumption of drugs, and reduced rates of cognitive decline and depressive symptoms compared to non-users. Identified an increased prevalence of disability to perform the IADL and lower self-efficacy and self-esteem among non-users of the program. The program participants PROETI Saúde showed higher ranks for physical activity in the areas of work, displacement and leisure. It was identified that the program offer PROETI Saúde is superior to other programs in the country, covering 50 % of the units in the presence of Family Health Strategy. The utilization had an average of 73.6 % of the elderly frequent observation for 3 weeks, and the coverage range of 4.6% of the target population. Multivariate analysis was a higher prevalence of depressive symptoms, physical inactivity and low self-efficacy (AF moderate/ vigorous) for the condition that do not use the program. The findings of this investigation indicate that the program PROETI Health Saúde positive impact in relation to subjective health perception, sleep quality, cognitive impairment, depressive symptoms, physical activity in leisure and self-efficacy (AF moderate / vigorous), with satisfactory provision and utilization in relation to other programs offered in the country.