Banca de DEFESA: JANIELE JOAQUIM DA SILVA

FUNCTIONING PROFILE OF ADULTS AND ELDERLY PEOPLE IN SANTA CRUZ -RN: MDS-BRASIL STUDY

International Classification of Functioning, Disability and Health. Functionality. Incapacity. Health survey. Disability assessment.

Introduction: The Model Disability Survey (MDS) instrument was developed by the WHO and the World Bank (WB) based on the ICF framework. The MDS represents a revolution in the concept of measuring disability and the instrument was designed to be applied to people over 18 years of age with or without disability. The MDS allows mapping the functionality and disability profile through the application of the questionnaire in a population survey format, with the main objective of generating valuable data that may interfere with the improvement of the quality of life of people with different health conditions and levels of disability. Pilot studies and regional and national population surveys using the MDS were instituted in several countries around the world. The MDS was translated and cross-culturally adapted for use in Brazil (MDS-Brasil) in 2021. Objective: To assess the functionality profile, describe the sociodemographic profile, mobility, use of hands and arms, self-care, vision, hearing, pain, energy and drive, breathing, emotions, interpersonal relationships, dealing with stress, communication, cognition, household chores, participation in the community and citizenship, ability to care for others and work/studies, describe the distribution of disability levels related to mobility aspects, activities and participation and to associate the disability levels of the aspects mobility, activities and participation and body functions with age group, gender, marital status and color/race of the adult and elderly population of Santa Cruz -RN Methods: The research was carried out in the municipality from Santa Cruz-RN, with adults over 18 years old with and without disability. The MDS-Brasil questionnaire, manual and presentation cards were used. Data were collected between October and November 2022, at the homes of 504 participants from different census tracts in the municipality. Participants were contacted in person and informed about the research project. The interview was conducted in a private room in the home, using tablets for data collection. The average interview time was 48 minutes. The responses of modules 1000 and 4000 of the MDS-Brasil were analyzed and descriptive and inferential analyzes were used (Rasch analysis and chi-square test) with a significance level of 5%. Results: 76.4% of the sample was female, 55.6% were between 25 and 59 years old and 31.7% were 60 years old or older. Most declared to be married or in a stable union, to have between 9 and 12 years of education and to be brown. Activities such as getting where you want to go, standing for long periods of time, playing sports and walking a kilometer presented visual and auditory limitations such as seeing from afar and hearing another person in a noisy place, feeling tired, without energy, worry, nervousness, sadness, discouragement, depression, anxiety, pain in everyday life, cutting toenails, having forgetfulness, doing household chores and participating in local political organizations were the activities that obtained large percentages that indicate disabilities. Conclusions: The functioning profile of the santacruzense population is marked by moderate and severe disabilities related to human mobility, activities and participation and body functions, especially affecting women and the elderly. The most relevant disabilities were: mobility, vision, hearing, pain, energy and drive, emotions, dealing with stress, cognition and participation in the community and citizenship.