Journal of Urban Health

, Volume 87, Issue 1, pp 54–66 | Cite as

Aging and Urbanization: The Neighborhood Perception and Functional Performance of Elderly Persons in Belo Horizonte Metropolitan Area—Brazil

  • Fabiane Ribeiro FerreiraEmail author
  • Cibele Comini César
  • Vitor Passos Camargos
  • Maria Fernanda Lima-Costa
  • Fernando Augusto Proietti


Currently, half of the world population resides in cities. The percentage of world population that is elderly is expected to double from 11% to 22% by 2050 and will be concentrated in urban areas of developing countries. The purpose of this study was to evaluate the functional status of elderly who live in the Belo Horizonte Metropolitan Area, Minas Gerais State, Brazil. The International Classification of Functioning, Disability and Health (ICF) was employed as the theoretical model. Probabilistic sampling was used to select 1,611 elderly persons (defined as ≥60 years) for the study. The response variable “functional performance” was developed by counting the number of basic and instrumental activities of daily living (ADL) that subjects found difficult to carry out. A zero-inflated negative binomial (ZINB) regression model was fitted to the data. The prevalence of disability was 47.1%. Neighborhood self-perception revealed that 84.0% of the elderly were satisfied with their neighborhood, although only 18.4% trusted people around them. Concerns about walking around the neighborhood were: fear of being robbed (78.0%) and fear of falling due to sidewalk defects (48.2%), which caused a 62% increase in the number of ADL carried out with difficulty. It is well known that there is a continuous tendency for functional results to improve as the frequency of walking increases. Thus, urban infrastructure interventions, such as improving public sidewalks, might influence the frequency of elderlies walking in their neighborhoods. Making walking possible—or even pleasant—could increase their social participation and use of services.


Health of the elderly Urban health Functional performance International classification of functioning, disability and health Zero-inflated negative binominal model 



The authors would like to acknowledge Prof. Rosana Ferreira Sampaio for the useful suggestions while reviewing an earlier version of the manuscript.


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Copyright information

© The New York Academy of Medicine 2009

Authors and Affiliations

  • Fabiane Ribeiro Ferreira
    • 1
    • 2
    • 6
    Email author
  • Cibele Comini César
    • 3
  • Vitor Passos Camargos
    • 2
  • Maria Fernanda Lima-Costa
    • 1
    • 4
    • 5
  • Fernando Augusto Proietti
    • 1
    • 2
  1. 1.Programa de Pós-graduação em Saúde Pública. Departamento de Medicina Preventiva e SocialUniversidade Federal de Minas Gerais (UFMG)Belo HorizonteBrazil
  2. 2.Observatório de Saúde Urbana de Belo Horizonte—UFMGBelo HorizonteBrazil
  3. 3.Departamento de Estatística—UFMGBelo HorizonteBrazil
  4. 4.Núcleo de Estudos em Saúde Pública e EnvelhecimentoFundação Oswaldo CruzRio de JaneiroBrazil
  5. 5.Coordenação do Inquérito de Saúde em Adultos da Região Metropolitana de Belo Horizonte em 2003Belo HorizonteBrazil
  6. 6.Belo HorizonteBrazil

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