ABSTRACT BACKGROUND: With the increase in the older adult population, it is essential to identify the living and health conditions that can impact the quality of life of these individuals. OBJECTIVES: To identify the domains and factors associated with the quality of life of older adults under the Family Health Strategy program. DESIGN AND SETTING: This was a cross-sectional analytical study was conducted in the municipality of Palmas, Tocantins, Brazil. METHODS: We assessed 449 older adults enrolled in the Family Health Strategy program. Data were collected between April and July, 2018. World Health Organization Quality of Life Assessment (WHOQOL-OLD) was used to assess the quality of life (QoL) and multiple linear regression was used to estimate the factors associated with QoL. RESULTS: The QoL domain with the highest score was death and dying (mean = 70.4), and the lowest score was for sensory functions (mean = 61.0 points). The factors associated with QoL were single marital status (β = -4.55; P = 0.014), level of independence for daily living activities (β = 4.92; P < 0.001), self-assessment of regular health (β = 5.35; P < 0.001), and poor health (β = -8.67; P < 0.001). CONCLUSION: The death and dying domain of QoL presented the highest score. Marital status, impairment in daily activities, and health self-assessment were associated with QoL. BACKGROUND population individuals OBJECTIVES program SETTING crosssectional cross sectional Palmas Tocantins Brazil METHODS 44 July 2018 WHOQOLOLD WHOQOL OLD (WHOQOL-OLD (QoL RESULTS mean 70.4, 704 70.4 , 70 4 70.4) 610 61 0 61. points. points . points) β 4.55 455 55 -4.55 0.014, 0014 0.014 014 0.014) 4.92 492 92 0.001, 0001 0.001 001 0.001) selfassessment self assessment 5.35 535 5 35 8.67 867 8 67 -8.67 0.001. CONCLUSION 201 70. 7 6 4.5 45 -4.5 0.01 01 4.9 49 9 000 0.00 00 5.3 53 3 8.6 86 -8.6 20 4. -4. 0.0 5. 8. -8. 2 -4 0. -8 -

Abstract Objective To determine the association between perceived social support and family functioning in older people during the COVID-19 pandemic. Method A cross-sectional study was carried out of 72 participants aged ≥60 years enrolled at an Open University of the Third Age (U3A) in the interior of Sao Paulo state, Brazil. The variables analyzed were socioeconomic and demographic conditions, social support (Medical Outcomes Study Scale), and family functioning (Family APGAR). The Chi-Square, Mann-Whitney, and Multivariate Poisson Regression tests were used for data analysis, with a significance level of 5%. Results The type of support with the highest mean scores was affectionate (95.1 points) while the lowest was emotional (87.4 points). Family dysfunction rate was 22.2%. For every additional point of affectionate support score, there was a decrease in the probability of presenting family dysfunction (OR=0.96; p=0.001). Conclusion Affectionate support was associated with family functioning. These findings highlight the importance of identifying family structure, dynamics, and relationships in planning comprehensive health care for the older population. COVID19 COVID 19 COVID-1 pandemic crosssectional cross sectional 7 60 ≥6 U3A UA U (U3A state Brazil conditions Medical Scale, Scale , Scale) APGAR. APGAR . APGAR) ChiSquare, ChiSquare Chi Square, Square Chi-Square MannWhitney, MannWhitney Mann Whitney, Whitney Mann-Whitney analysis 5 5% 95.1 951 95 1 (95. points 87.4 874 87 4 (87. points. 222 22 2 22.2% score OR=0.96 OR096 OR 0 96 (OR=0.96 p=0.001. p0001 p p=0.001 001 p=0.001) structure dynamics population COVID1 COVID- 6 ≥ 95. 9 (95 87. 8 (87 22.2 OR=0.9 OR09 (OR=0.9 p000 p=0.00 00 (9 (8 22. OR=0. OR0 (OR=0. p00 p=0.0 ( OR=0 (OR=0 p0 p=0. OR= (OR= p=0 (OR p=

Resumo Objetivo Verificar a associação entre apoio social percebido e funcionalidade familiar em pessoas idosas durante a pandemia de covid-19. Método Trata-se de um estudo transversal, realizado com 72 participantes idosos que estavam matriculados em uma Universidade Aberta para Pessoas Idosas, no interior do estado de São Paulo, Brasil. As variáveis analisadas foram: condições socioeconômicas, demográficas, apoio social (Escala do Medical Outcomes Study) e funcionalidade familiar (Apgar de família). Utilizaram-se os testes: Qui-Quadrado, Mann Whitney e Regressão de Poisson Múltipla para as análises dos dados, com nível de significância de 5%. Resultados O tipo de apoio com maiores escores médios foi o afetivo (95,1 pontos) e o menor, o emocional (87,4 pontos). A disfunção familiar foi de 22,2%. A cada ponto do escore de apoio afetivo havia o decréscimo na probabilidade de apresentar disfunção familiar. (RP=0,96; p=0,001). Conclusão O apoio afetivo associou-se à funcionalidade familiar. Tais achados demonstram a importância de identificar a estrutura, dinâmica e relações familiares para planejar o cuidado integral à saúde da população idosa. covid19. covid19 covid 19. 19 covid-19 Tratase Trata se transversal 7 Idosas Paulo Brasil foram socioeconômicas demográficas Escala Study Apgar família. família . família) Utilizaramse Utilizaram testes QuiQuadrado, QuiQuadrado Qui Quadrado, Quadrado Qui-Quadrado dados 5 5% 95,1 951 95 1 (95, pontos menor 87,4 874 87 4 (87, pontos. 222 22 2 22,2% RP=0,96 RP096 RP 0 96 (RP=0,96 p=0,001. p0001 p p=0,001 001 p=0,001) associouse associou estrutura idosa covid1 covid-1 95, 9 (95 87, 8 (87 22,2 RP=0,9 RP09 (RP=0,9 p000 p=0,00 00 covid- (9 (8 22, RP=0, RP0 (RP=0, p00 p=0,0 ( RP=0 (RP=0 p0 p=0, RP= (RP= p=0 (RP p=