Ellen Rosemary Torres da Silveira

Pós-doutorado

Formação complementar

Idiomas

Áreas de atuação

Organização de eventos

Participação em eventos

Produções bibliográficas

• PAULINO, N. ; MACHADO, G. ; SILVEIRA, E. . Scientific Evidences to Pharmacological Anticancer Actions of Baccharis dracunculifolia (Brazilian Propolis).. Revista de Pesquisa e Inovação Farmacêutica , v. 1, p. 15-26, 2009.

• SILVEIRA, E. R. T. ; TAFT, C. ; SUNDH, V. ; WAERN, M. ; PALSSON, S. ; STEEN, B. . Performance of the SF-36 Health Survey in screening for psychiatric disorders in an elderly Swedish population. Quality of Life Research , v. 14, p. 1263-1264, 2005.

• SILVEIRA, E. R. T. ; SKOOG, I. ; SUNDH, V. ; Allebeck P ; STEEN, B. . Health and well-being among 70-year-old migrants living in Sweden - results from the H 70 Gerontological and Geriatric Population Studies in Goteborg.. Social Psychiatry and Psychiatric Epidemiology (Print) , v. 37, p. 13-22, 2002.

• SILVEIRA, E. R. T. ; Allebeck P . Migration, ageing and mental health ? an ethnographic study on perceptions of life satisfaction, anxiety and depression in older Somali men in east London. International Journal of Social Welfare , v. 10, p. 309-320, 2001.

• SILVEIRA, E. R. T. ; EBRAHIM, S. . Social determinants of psychiatric morbidity and well-being in immigrant elders and whites in east London.. International Journal of Geriatric Psychiatry , v. 13, p. 801-812, 1998.

• SILVEIRA, E. R. T. ; EBRAHIM, S. . A Comparison of Mental Health among Minority Ethnic Elders and Whites in East and North London. Age and Ageing , v. 27, p. 375-383, 1998.

• SILVEIRA, E. R. T. ; EBRAHIM, S. . Mental health and health status of elderly Bengalis and Somalis in London. Age and Ageing , v. 24, p. 474-480, 1995.

• NUNES, M. I. ; SILVEIRA, E. R. T. ; BULPITT, C. J. . Anti-Hypertensive Treatment Trials: Quality of Life. In: Battegay, E; Lip GYH; Bakris GL (eds).. (Org.). HYPERTENSION: PRINCIPLES AND PRACTICE. Andover: Taylor Francis, 2005, v. , p. 343-356.

• SILVEIRA, E. R. T. ; BECKETT, N. ; PETERS, R. ; BANYA, W. ; NUNES, M. I. ; GIL-EXTREMERA, B. ; NACHEV, C. ; CHODOROUSKI, Z ; FLETCHER, A. ; BULPITT, C. J. . Anti-hypertensive treatment does not lead to an increase in postural hypotension in most very elderly patients ? results from the HYVET (Hypertension in the Very Elderly Trial) Pilot Study. In: 20th Scientific Meeting of the International Society of Hypertension, 2004, Sao Paulo. J. HYPERTENSION, 2004. v. 22. p. S93-S93.

• SILVEIRA, E. R. T. ; TAFT, C. ; SUNDH, V. ; SKOOG, I. ; PALSSON, S. ; WAERN, M. ; STEEN, B. . Performance of the SF-36 in screening for depression. In: 9th Annual Conference of the International Society for Quality of Life Research (ISOQOL), 2002, Orlando. Quality of Life Research (An international Journal of the Society for Quality of Life Research), 2002. v. 11. p. 652-652.

• SILVEIRA, E. R. T. ; SKOOG, I. ; SUNDH, V. ; Allebeck P ; STEEN, B. . Health and well-being among 70-year-old migrants living in Sweden ? results from the H 70 Gerontological and Geriatric Population Studies in Göteborg. In: 17th World Congress of Gerontology, 2001, Vancouver. Gerontology - International Journal of Experimental, Clinical and Behavioral Gerontology. Basel: Karger Publishers, 2001. v. 47.

• SILVEIRA, E. R. T. ; SKOOG, I. ; SUNDH, V. ; TAFT, C. ; PALSSON, S. ; WAERN, M. ; STEEN, B. . Validating the SF-36 among older women with psychiatric diseases in Sweden ? results from two population studies in Göteborg. In: 17th World Congress of Gerontology, 2001, Vancouver. Gerontology - International Journal of Experimental, Clinical and Behavioral Gerontology. Basel: Karger Publishers, 2001. v. 47.

• SILVEIRA, E. R. T. ; SKOOG, I. ; SUNDH, V. ; Allebeck P ; STEEN, B. . Inequalities in health in migrant elders in Sweden: results from the Gerontological and Geriatric Population H 70 Studies in Göteborg employing the SF-36. In: European Public Health Association Congress 2000, 2000, Paris. ?Reducing Health Inequalities in Europe?..

• SILVEIRA, E. R. T. ; SKOOG, I. ; SUNDH, V. ; Allebeck P ; STEEN, B. . Inequalities in health in migrant elders in Sweden ? results from the Gerontological and Geriatric population H 70 studies in Göteborg employing the SF-36. In: Annual Congress of the Swedish Medical Association, 2000, Goteborg. Annual Congress of the Swedish Medical Association, 2000.

• SILVEIRA, E. R. T. ; EBRAHIM, S. . Researching concepts of mental health cross-culturally: an ethnographic study of older Somali immigrants in east London. In: IVth European Congress of Gerontology, 1999, Berlin. Z GERONTOL GERIATR, 1999. v. 32. p. 286-286.

• SILVEIRA, E. R. T. ; EBRAHIM, S. . Ageing and well-being in people from immigrant groups and whites in London. In: IVth European Congress of Gerontology, 1999, Berlin. Z GERONTOL GERIATR, 1999. v. 32. p. 212-212.

• SILVEIRA, E. R. T. ; EBRAHIM, S. . Social determinants of mental health and well-being in immigrant elders and whites in east London. In: British Society of Gerontology Annual Conference, 1998, Sheffield. ?Ageing ? All Our Tomorrows?, 1998.

• SILVEIRA, E. R. T. ; EBRAHIM, S. . Disability and its relation to mental health among elderly Somalis, Bengalis and Gujaratis compared with "White British" from East and North London. In: British Congress of Gerontology, 1996, Manchester. ?Living longer, Living better?, 1996.

• EBRAHIM, S. ; SILVEIRA, E. R. T. . Minority Ageing in Europe. In: International Workshop on Borderland between Normal and Pathological Mental Aging., 1994, Amsterdam. International Psychiatry Association, p., 1994. p. 8-8.

• SILVEIRA, E. R. T. ; EBRAHIM, S. . Mental health and psychological well-being among Bengali and Somali elderly people in Britain. In: British Society of Gerontology Annual Conference, 1994, Londres. ?Ageing in Contemporary Societies", 1994.

• MACHADO, G. ; SILVEIRA, E. . 'Issues towards scalable and reproducible integrated global infrared imaging services'. 11th European Congress of Thermology. Mannheim, Germany. 15th May. 2009. (Apresentação de Trabalho/Congresso).

• SILVEIRA, E. . 'Termografia e câncer de mama'. Imaginologia em Mastologia: Diagnóstico Precoce - Aplicações Práticas. Sociedade Brasileira de Mastologia. Seção MG, BH.. 2005. (Apresentação de Trabalho/Simpósio).

• SILVEIRA, E. R. T. . Migration, health and psychological well-being in older migrants in London and Göteborg.. Inst.of Community Medicine, Dept. Geriatric Med., GU. LIBRIS-ID:8239630; National Library of Sweden, 2001 (Doctoral thesis, 92pgs).

Outras produções

Projetos de pesquisa

• 2016 - Atual

  ESTUDO EPIDEMIOLÓGICO LONGITUDINAL COMPARATIVO DE DECRÉSCIMO DE FUNÇÃO COGNITIVA E FATORES PREDITIVOS DE DEMÊNCIA E MORTALIDADE EM IDOSOS RESIDENTES NA COMUNIDADE EM SÃO PAULO E GOTEMBURGO, Descrição: O Mini Exame do Estado Mental (MEEM) é uma das ferramentas mais utilizadas para a avaliação e triagem de comprometimento cognitivo, apesar de dúvidas quanto à sensibilidade de alguns subtestes, face o impacto negativo de idade e analfabetismo, entre outros fatores. Dado o rápido envelhecimento populacional e o consequente aumento do risco de demência em pessoas idosas no Brasil, análises de dados normativos de testes cognitivos provenientes de estudos que permitam separar os efeitos específicos devidos ao aumento da idade e o envelhecimento, de fatores educacionais e de saúde, sobre a rápida deterioração cognitiva nesses individuos, são necessárias. A pesquisa visa avaliar a relação entre pontuações e mudanças nos escores do MEEM, durante um intervalo de 10 anos, em idosos (65+ anos) residentes em São Paulo (em área predominantemente de classe média), comparativamente a pessoas da mesma idade (e nivel sócio-educacional similar) residentes em Gotemburgo (Suécia). Dados são originários de entrevistas face-a-face, conduzidas no domicílio, entre 1991 e 2000, no âmbito do estudo longitudinal de base populacional EPIDOSO, na cidade de SP (UNIFESP), e dos estudos longitudinais de Geriatria e Gerontologia H-70 e de Mulheres/SUV, (ambos coorte sequenciais, de base populacional), em Gotemburgo (Univ. GU), com vistas a análises comparativas de marcadores de vulnerabilidade e fatores preditivos de declínio cognitivo e mortalidade. Análises de sensibilidade e especificidade dos valores de referência no MEEM para o diagnóstico de demência objetivam uma seleção mais adequada dos pontos de coorte. Variáveis a serem examinadas compreendem escores totais no MEEM, idade, escolaridade, estado civil, etnicidade, doenças crônicas (10 condicões como AVC, diabetes, etc), incapacidade funcional (15 ADLs), BMI, sintomas de depressão (screening contendo 15 itens), bem estar psicológico, auto-avaliação do estado de saúde, renda familiar, e bem estar social (qualidade da acomodação e suporte social). Modelos lineares serão utilizados para a avaliação dos fatores preditivos de progressão de demência, e modelos de risco proportional de Cox, para a avaliação de fatores preditivos de sobrevivência (longevidade). (Obs: pós doutorado a ser realizado sob orientação de Ingmar Skoog, Chairman H-70 & Neuropsychiatric Epidemiology Research Group/EPINEP & Center for Aging and Health/AGECAP, FMed-Univ de Gotemburgo. Colaborador: Luiz R Ramos, Chairman EPIDOSO & Centro de Estudos do Envelhecimento, EPM-UNIFESP. Início previsto: 2nd sem. de 2016).. , Situação: Em andamento; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Ingmar Skoog - Coordenador / Luiz Roberto Ramos - Integrante.

• 2010 - Atual

  TERMOGRAFIA INFRAVERMELHA DIGITAL DE MAMA. ESTUDO DO MÉTODO NA AVALIAÇÃO DA SAÚDE DA MAMA E COMO ADJUNTIVO NO DIAGNÓSTICO DO CÂNCER DE MAMA., Descrição: A termografia infravermelha digital (TID) de mama é um procedimento clínico de diagnóstico adjuntivo que utiliza câmeras de infravermelho (CIV) altamente sofisticadas para medir o calor que irradia a partir da superfície do corpo, nesse caso, as mamas. São utilizadas técnicas dinâmicas, sem dor ou emissão de radiação, e sem contato com a área a ser examinada. A termografia é um exame da fisiologia da mama. Portanto, tumores em fase inicial, ou mesmo áreas de densidade mamária aumentada, frequentemente encontradas em mulheres jovens ou em pós menopausa, podem ser melhor estudados pela TI. A termografia foi aprovada como uma ferramenta auxiliar no rastreamento do câncer de mama pela FDA (USA), em 1982, e pode ser utilizada em mulheres grávidas, com implantes mamários, ou pacientes do sexo masculino. Resultados mais confiáveis e reprodutíveis tem sido alcançados nos últimos anos com o advento da computadorização da imagem térmica, feita por CIV capazes de detectar diferenças de temperatura de 0.10C. Soma-se a isso, a padronização de protocolos clínicos de avaliação e o desenvolvimento de programas de software de análise. Entre os parâmetros térmicos sugestivos de anormalidades da fisiologia das mamas encontram-se a presença de hot spots e o aumento paradoxal de temperatura após o resfriamento do corpo, além de deformidades vasculares e de contorno da mama, especialmente se essas áreas se mostram paradoxalmente quentes após o resfriamento. A pesquisa visa avaliar a sensibilidade e especificidade da TID em estudos clínicos recentes, de forma a corroborar o uso do exame na prática clínica como auxiliar no rastreamento do câncer de mama e na prevenção de biópsias desnecessárias. Investigações em centros de excelência no exterior indicam uma alta sensibilidade da TID no diagnóstico adjuntivo do câncer, variando de 87% a 98%, e que um termograma anormal é o marcador mais importante do alto risco de desenvolvimento de câncer de mama, com um valor preditivo de 94%.. , Situação: Em andamento; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Coordenador / Reinhold Berz - Integrante / Helmut Sauer - Integrante.

• 2006 - 2007

  SCIENTIFIC EVIDENCES TO PHARMACOLOGICAL ANTICANCER ACTIONS OF Baccharis dracunculifolia (BRAZILIAN PROPOLIS). Study of inter and intracellular pathways of modulation of cellular targets as an anti-tumoral, immune-modulator and anti-inflammatory agent, etc, Descrição: Propolis is a traditional nutritional supplement produced by bees and widely used as a folk remedy. Its chemical composition and biological activities vary depending on the geographical location, botanical origin, season and the type of bees. In Brazil, the most popular and researched grade is green propolis (GP), largely produced from the plant Baccharis dracunculifolia (Bd), in the State of MG. This specific grade of propolis when properly processed shows remarkable activities as an anti-tumoral, immune-modulator and anti-inflammatory agent, as well as an analgesic, antioxidant, antimicrobial and healing agent. It has been safely used either by doctors or as a folk remedy in Brazil, Japan and various other countries as supportive nutrition alongside orthodox cancer treatments or supporting biological therapy of cancer. We review the pharmacological inter and intracellular pathways of Bd propolis shown in clinical and pharmacokinetics trials carried out in animals and humans, so as to demonstrate that GP can modulate many cellular targets in different cancer cells such as nuclear transcription factor (NF.B); post translational prenylation in Ras-GTPase signalling; p38-MAPK, PI3K/Akt/PKB pathway; COX-2 and prostaglandin E2 pathway; and iNOS or e-NOS expression and respective nitric oxide production. Also, GP can modulate the occurrence of DNA fragmentation induced by cytochrome-C pathway; p53-protein signalling; releasing of pro-apoptotic proteins Bax and Bak; inhibition of neoangiogenesis by modulation of matrix metalloproteinases (MMPs) and vascular endothelial growth factor (VEGF) expression; control of cell differentiation by modulating p21(Waf1/Cip1) protein in association with CDK2 and cyclin E. Bd propolis has been used in associative therapy to improve the efficacy of chemotherapy (in combination with paclitaxel, resveratrol and vinorelbine) and radiotherapy, while shortening treatment time and reducing its side effects.. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Niraldo Paulino - Coordenador / Gerson Machado - Integrante / Sheila Rago Lemos de Abreu - Integrante.

• 2004 - 2004

  QUALITY OF LIFE IN HYPERTENSION TREATMENT TRIALS. Results of the effectiveness of antihypertensive treatments on health related quality of life (RLQoL) in short and long-term clinical trials., Descrição: Hypertension is a preventable disease, and there is overwhelming evidence from CTs which indicates that treatment is beneficial due to a reduction of cardiovascular (CV) mortality and morbidity at least up to the age of 79 years. Interest in QoL has increased sharply. It has become common practice to integrate QoL as part of outcome measures of CTs in the drug evaluation process. The effectiveness of anti-hypertensive treatments (AHTs) depends on the need to minimize or avoid symptomatic side effects & to exert positive effects on QoL. Low-dose diuretics (LdDs), b-blockers (BBs) (other than propranolol), angiotensin-converting enzyme inhibitors (ACE-Is), & angiotensin-receptor blockers (ARBs) have many trials supporting their short-term benefits on QoL. The same may be true for some calcium-channel blockers (CCBs) such as verapamil & amlodipine. We review assessment & monitoring of QoL in long-term CTs of AHTs, & the effects on QoL in short-term CTs of diuretics, adrenergic neurone blockers, CCBs, ACE-Is & ARBs. There is a lack of a conceptualization of HRQoL, which contributes to the inconsistency in selecting the dimensions to be measured. However, this may be attributed to the fact that each treatment has different side effects and mechanisms of action, resulting in the need to assess different dimensions, which will have an influence on the choice of instruments used. The term concordance may better depict what is required for treatment acceptance. In practice, is not easy to assess patients? concordance with treatment. Short-term CTs have relatively low statistical power to test for differences between treatments. From the evidence accrued from long-term CTs, there is no AH medication that decisively improves QoL but, apart from in the Syst-Eur trial, they do not cause any deterioration in QoL, regardless of the various health status indicators/other covariates that predict mortality. ARBs, ACE-Is, newer BBs & LdDs have few, if any, adverse effects on HRQoL.. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Maria Ines Nunes - Integrante / Chris J Bulpitt - Coordenador.

• 2003 - 2004

  PREVALENCE OF POSTURAL HYPOTENSION IN VERY ELDERLY PATIENTS USING ANTI-HYPERTENSIVE TREATMENT. RESULTS FROM THE HYPERTENSION IN THE VERY ELDERLY TRIAL (HYVET) PILOT., Descrição: Prevalence of orthostatic hypotension (PofOH) [systolic drop ≥20mmHg and/or diastolic drop ≥10mmHg] seems to increase with age, but there are little data on Pof OH in very elderly people using antihypertensive (AH) medication. Studies in the young elderly suggest improvement of postural BP regulation with AH treatment. The HYVET pilot was a Prospective Randomised Open Blinded End-Points design and recruited 1283 patients aged ≥80 years. The aim is to examine the PofOH in patients in the HYVET pilot so as to quantify the postural drop in systolic (SBP) and diastolic blood pressure (DBP). After a two month no-treatment run-in phase, patients were required to have a SBP of 160-219mmHg and a DBP of 90-109mmHg. The entry criteria excluded those who had a standing baseline SBP ≥140mmHg at the end of the run-in phase. Participants were randomised into three groups: low dose diuretic (LDD), ACE inhibitor (ACE-I), and placebo (P). Comparisons were made between the two active treatment groups separately and combined (diuretic + ACE-I) and no treatment. Since results showed no significant differences for diastolic drop between the three treatment groups, the number having a substantial drop in SBP (i.e. fall in SBP ≥10.5% calculated as the mean change in SBP between sitting and standing /mean SBP x 100%) is reported for 1243 patients at 6 months. Of these, 149 had OH at baseline, and 45 at 6 months. The overall PofOH decreased with a corresponding reduction in BP with use of either a LDD or ACE-I after a 6-month follow-up period. There was a non-significant trend for a higher PofOH with ACE-I compared with other groups. However, a significantly higher proportion of patients had a substantial fall in BP in the ACE-I and all active treatment groups against no treatment. These results may be due to a "healthy elderly" effect and/or that blood pressure control leads to better BP regulation or the fall on standing was less as the sitting BP was lower.. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Maria Ines Nunes - Integrante / Chris J Bulpitt - Coordenador / Nigel Beckett - Integrante / Ruth Peters - Integrante / Winston Banya - Integrante / B Gil-Extremera - Integrante / C Nachev - Integrante / Z Chodorouski - Integrante / Astrid Fletcher - Integrante.

• 2003 - 2004

  TREATMENT OF HYPERTENSION IN PATIENTS 80 YEARS OF AGE OR OLDER: RESULTS FROM THE HVVET TRIAL., Descrição: A number of CTs have demonstrated clear benefits of blood pressure (BP) reduction in patients < 80 years with regard to the reduction in stroke and cardiovascular (CV) events. However, most intervention trials (ITs) have either excluded or not recruited sufficient patients ≥80 ys to determine whether there is a significant benefit from treatment in this age group. A meta-analysis of ITs that recruited patients aged ≥80ys suggested a benefit in stroke reduction but also raised the possibility of an increase in death. The HYVET randomly assigned 3845 patients in Europe, China, Australasia, and Tunisia aged ≥80 ys who had a sustained systolic BP ≥ 160 mmHg to receive either the diuretic Indapamide (sustained release, 1.5 mg) or matching placebo. The angiotensin-converting?enzyme inhibitor Perindopril (2 or 4 mg), or matching placebo, was added if necessary to achieve the target BP of 150/80 mmHg. The primary end-point was stroke events. Other outcomes included total /CV/cardiac and stroke mortality, and skeletal fracture. The active-treatment group (1933 patients) and the placebo group (1912 patients) were well matched (mean age=83.6 ys; mean BP while sitting, 173.0/90.8 mm Hg); 11.8% had a history of CV disease. Median follow-up was 1.8 ys. At 2 ys, the mean BP while sitting was 15.0/6.1 mmHg lower in the active-treatment group than in the placebo group. In an intention-to-treat analysis, active treatment was associated with a 30% reduction in the rate of fatal or nonfatal stroke (95%CI −1 to 51; P=0.06), a 39% reduction in the rate of death from stroke (95%CI, 1 to 62; P=0.05), a 21% reduction in the rate of death from any cause (95%CI, 4 to 35; P=0.02), a 23% reduction in the rate of death from CV causes (95%CI, −1 to 40; P=0.06), and a 64% reduction in the rate of heart failure (95%CI, 42 to 78; P<0.001). Fewer serious adverse events were reported in the active-treatment group (358, vs. 448 in the placebo group; P=0.001).. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Chris J Bulpitt - Coordenador / Nigel Beckett - Integrante / Ruth Peters - Integrante / Winston Banya - Integrante / Astrid Fletcher - Integrante / Jan A. Staessen - Integrante / Dan Dumitrascu - Integrante / Riitta L. Antikainen - Integrante / Yuri Nikitin - Integrante / Craig Anderson - Integrante / Françoise Forette - Integrante / Chakravarthi Rajkumar - Integrante / Lutgarde Thijs - Integrante / Lisheng Liu - Integrante / Alli Belhani - Integrante.

• 2001 - 2002

  PERFORMANCE OF THE SF-36 HEALTH SURVEY IN SCREENING FOR DEPRESSION AND ANXIETY DISORDERS IN AN ELDERLY FEMALE SWEDISH POPULATION. RESULTS FROM THE H-70 GERONTOLOGICAL AND GERIATRIC POPULATION STUDIES IN GOTEBORG., Descrição: A large number of specific instruments of screening of depression (D) in the elderly are available, although simpler methods have been advocated to improve detection, in particular in older women. The generic SF-36 Mental Health (MH) and Mental Component Summary (MCS) measures seem to perform well in screening for D, and to correlate significantly with GDS and HAM-D scores in the elderly. We examined the overall performance of MH and MCS scales and cut-offs (52 and 42) in detecting D and anxiety (A) in a population sample of 586 randomly selected (non-demented) Swedish females aged 70-84 ys, in Göteborg, 555 of whom underwent psychiatric interviews and medical examinations, and completed the SF-36 and MADRS (based on CPRS). The MADRS is a sensitive diagnostic tool for assessing physically ill people, since it focuses on psychic rather than psychomotor symptoms. It has been validated in Swedish/American samples. Based on DSM-III-R (1987) and CPRS, 69 women were diagnosed with D and 49 with generalised A and panic disorders (ADs). Comparisons between MADRS and MH/MCS were made by estimating Pearson PM correlations between scores. ROCs were performed to assess the true positive (sensitivity) and false positive rates (1-specificity) of the full range of MH and MCS scores and cut-offs in detecting D. The area under the ROC curve (the degree of prediction the scales provide over their entire score range) and positive predictive values (PPV) (the probability of being a case at a particular cut-off) were calculated. Sensitivity and specificity values showed that the MH and MCS performed adequately in detecting D but not ADs. Sensitivities and false positive rates for the MCS cut-off compared favourably with those by Ware et al (USA). However, corresponding MH values were obtained at MH<=56 rather than <=52. Based on our derived PPVs, we suggest score intervals labelled probable (MH<=40; MCS<=32), possible (MH=41-64; MCS=33-43) and unlikely depression (MH>64; MCS>43).. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Valter Sundh - Integrante / Bertil Steen - Integrante / Charles Taft - Coordenador / Margda Waern - Integrante / Sigurdur Palsson - Integrante.

• 1998 - 2001

  MIGRATION, HEALTH AND PSYCHOLOGICAL WELL-BEING IN OLDER MIGRANTS IN LONDON AND GÖTEBORG., Descrição: International comparisons of morbidity/mortality in migrant elders living under different SE circumstances might facilitate understanding of unique and similar influences on well-being, and help disentangle the effects of ethnicity and social inequalities on psychological status. The aims are: 1-to assess differences in mental health (MH)(A&D), well-being (LS), physical health and SE status between first-generation migrants (aged 60+ys) and natives in London and Göteborg; 2-to examine the extent to which SE factors rather than ethnicity/migration may account for variation in MH, and if similar stressors may be related to increased psychiatric morbidity in migrants. Samples: 75 Bengalis, 72 Somalis (east London); 41 Gujaratis (north London); 151 non-Swedish born people (from various areas in Göt); 127, 63 and 613 natives (in east/north Lon. and Göt; used as controls), selected from GPs age-sex registers (Lon.) and civil registers (Göt.), and interviewed from 1992-94 (Lon.) and 1991-92 (Göt). Main outcome measures were SAD and LSI (Lon.), and comparable symptoms of A&D in the SF-36, ranked scales of satisfaction in several life domains, and diagnosis in psychiatric interviews (Göt.). There was a marked variation in LS and A&D between migrants and natives in east Lon and Göt, but not in north Lon. Disability was high among Bengalis, Somalis and Gujaratis, but similar in Swedish migrants. Mortality (1992-1999) and in-patient care were similar in Swedish migrants and natives. Ethnicity was a strong predictor of poor MH & subjective health in most settings. The marked variation in MH observed in migrants in east Lon. and, to a lesser extent, in Göt., might be a reflection of SE and health differentials acting concomitantly and adversely, despite a healthy migrant effect on survival.. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Ingmar Skoog - Integrante / Bertil Steen - Coordenador / Peter Allebeck - Integrante.

• 1998 - 2000

  HEALTH AND WELL-BEING IN 70-YEAR-OLD MIGRANTS LIVING IN SWEDEN--RESULTS FROM THE H-70 GERONTOLOGICAL AND GERIATRIC POPULATION STUDIES IN GÖTEBORG., Descrição: Comparative epidemiological studies in Swedish migrants have shown increased psychosocial morbidity in young adults, but there is paucity of information on older migrants. Aims: 1-to compare prevalence of mental (MH), physical and social health problems, rates of hospital admission and mortality in Swedish/non-Swedish born people aged ≥70 years and examine associations between social factors, physical health, mood and life satisfaction in the ethnic groups; 2-to test if differences in MH between migrants/natives are explained by social disadvantages rather than ethnicity. Sample: 84 migrants (47 women; 37 men) randomly selected with the help of interpreters, and 409 Swedes (183 males; 226 females) used as "controls" (1991/92; H-70 cohort 5). Complementary health and social data (Census/Statistics Sweden, National Board of Health and Welfare/ hospital admissions, etc) on the total sample (N = 764, including non-participants in overall medical interviews) were used in comparative analyses of in-patient care and mortality, and to check for the possibility of sampling bias. Main outcome was the SF-36 5-item MH scale. Analyses involved comparisons of health and social factors between migrants and controls after adjusting for the effects of gender on MH. Non-Nordic migrants (mainly from Estonia, Poland, Yugoslavia, Germany, Italy & Nordic countries other than Sweden) reported significantly lower levels of MH and satisfaction with family/social interaction, time spent in leisure pursuits, income and physical health (p≤0.05) than natives. ADL disability was similar in both groups. Low social interaction and perceived poorer physical health were the strongest factors related to poor MH in migrants. The results seem to indicate poorer subjective health in non-Nordic migrants compared with indigenous elders in Göteborg.. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Ingmar Skoog - Integrante / Valter Sundh - Integrante / Bertil Steen - Coordenador / Peter Allebeck - Integrante.

• 1996 - 1998

  MIGRATION, AGEING AND MENTAL HEALTH: AN ETHNOGRAPHIC STUDY ON PERCEPTIONS OF LIFE SATISFACTION AND ANXIETY AND DEPRESSION IN OLDER SOMALI MEN IN EAST LONDON., Descrição: This ethnographic study was carried out in the aftermath of an epidemiological investigation, the first of its kind, on the health and social status of Somalis aged 60+ years living in Tower Hamlets (TH), east London. The main aims are to explore views on mental health (MH) and well-being, and identify sources of stress and support so as to gain greater understanding of background factors of life satisfaction (LS) and depression (D) in first-generation older Somali migrants in TH (seafarers). Face-to-face interviews were conducted by ES among 28 men in Somali with the help of a bilingual interpreter (Somali doctor) from the same age, sex and cultural background of participants. Several factors were perceived to decrease LS and increase vulnerability to D in male Somali elders, in particular low family support in the face of increasing physical disability, loneliness, inadequate access to community services and inability to return home. Social isolation, low level of control over one's life, helplessness and social degradation ? ageism, perceived racial/religious discrimination and, to a lesser extent, racial harassment ? were common themes identified in people who said to be depressed. Family support was the main buffer against D; other coping resources were represented by religious practices and reliance on Somali peers. Avoidance coping seemed to encompass denial of D in participants who had low mood. The study revealed multiple reasons for ill-being, in particular in people who had high expectations about medical and social care. Low levels of distress were found in Somalis who felt supported by their families. There is a need for social workers/other health professionals to advance discussions of MH issues in the community and for service providers to promote greater access to culturally relevant medical and social services for Somali elders in TH and strengthen their informal support networks.. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Coordenador / Shah Ebrahim - Integrante / Peter Allebeck - Integrante / Sheila Hillier - Integrante.

• 1996 - 1997

  SOCIAL DETERMINANTS OF PSYCHIATRIC MORBIDITY AND WELL-BEING IN IMMIGRANT ELDERS AND WHITES IN EAST LONDON, Descrição: The social conditions under which migrants to the UK live may be more significant than the experience of migration itself in leading to increased risk of mental illness. The aims are to compare prevalence of mental (MH), physical (PH) and social health (SH) problems in Somali (S), Bengali (B) and white British elders (WB) living in a deprived inner London area (TH), and examine associations between environmental circumstances, social support, PH, mood and life satisfaction (LS) in these groups. In addition, to test for the hypothesis that differences in MH between immigrants and whites are explained by social disadvantages rather than ethnicity. Samples: cross-sectional survey of 72 S and 75 B immigrants, and 127 WB living in TH (274 people 60+ years). Field work was carried out by S and B social workers/doctors and ES, respectively. Main outcome measures were SAD and LSI. High SAD scores indicate more anxiety and depression symptoms; high LSI scores indicate greater life satisfaction. Highest SAD scores were found among Bs; lowest LSI scores among Bs and Ss. Prevalences of depression (SAD score 6+) were 25% in Ss, 77% in Bs and 25% in WBs. PH status and SAD scores were associated in Ss (r=+0 31, p≤0 01), Bs (r=+0 47, p≤0 001) and WBs (r=+0 27, p≤0 01). PH related to lower LSI scores in Ss (r=−0 24, p≤0 05) and WBs (r=−0 24, p≤0 01). Social factors were strongly associated with SAD scores in Ss (r=+0 5, p≤0 001) and Bs (r=+0 33, p≤0 01). Ethnicity became a statistically non-significant risk factor for high SAD scores after adjusting for the effects of age, weekly income, PH and social problems (OR=0.71, 95% CI=0.5-1.1, p=0?09). A residual, but much attenuated effect for ethnicity on LSI scores persisted in the estimated model after controlling for the same set of independent risk factors (OR=0.7, 95% CI=0.4-1, p=0?05). Results seem to support a multiple jeopardy theory of ageing in ethnic minorities in TH.. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Shah Ebrahim - Coordenador.

• 1995 - 1996

  A COMPARISON OF MENTAL HEALTH AMONG MINORITY ETHNIC ELDERS AND WHITES IN EAST AND NORTH LONDON., Descrição: Minority ethnic elders reported more limiting long-term illness than the white population in the 1991 UK Census. We compared the levels of & examined associations between disability (D), chronic medical diagnoses, mood & life satisfaction (LS) in Bengali (B), Somali (S), Gujarati (G) & white (W) elders living in North & East London. Design: cross-sectional survey with participants drawn from age-sex registers of GPs, augmented by other sources (snowballing). Subjects: 378, aged 60+: 72 Ss, 75 Bs, 127 Ws from ELon; 41 Gs & 63 Ws from NLon. Main outcomes: Symptoms of Anxiety and Depression scale (SAD) & Life Satisfaction Index (LSI). Results showed highest SAD scores in Bs; lowest LSI scores in Bs & Ss. The prevalences of depression (SAD score 6+) were variable: Ss, 25%; Bs, 77%; ELon Ws, 25%; Gs, 2%; NLon Ws, 5%. Chronic health problems (CHPs) & SAD scores were associated in Ss (r=0.31, P=0.01), Bs (r=0.38, P=0.001) & ELon Ws (r=0.24, P=0.007). CHPs also related to lower LSI scores in Ss (r= -0.25, P= 0.04) & ELon Ws (r=- 0.22, P=0.016). D was a strong correlate of SAD scores in Bs (r=0.39, P=0.001), LSI scores in Gs (r= -0.4, P=0.01) & Bs ( r= -0.29, P = 0.01), and to a lesser extent, SAD & LSI scores in ELon Ws (r = 0.18, P=0.043 & r= - 0.18, P = 0.046, respectively). Adjustment for the effects of health, age & income (I) led to only small changes in the differences in SAD & LSI scores observed between ethnic groups. The marked variation in mental health (MH) between different ethnic groups may be a reflection of differences in perception of symptoms, expectations & motivations for taking part in surveys. Physical health (PH) was related to MH but in inconsistent ways between ethnic groups. I and PH did not explain variation in mood & LS, although it is possible that the large differences between N & E London reflect SE differentials. Cross-cultural application of standardized assessment scales is not straightforward & further work is needed to examine such methods. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Shah Ebrahim - Coordenador.

• 1993 - 1995

  MENTAL HEALTH AND HEALTH STATUS OF ELDERLY BENGALIS AND SOMALIS IN LONDON., Descrição: Migration is a stressful process. Minority ethnic groups, particularly elderly people, may report substantially higher levels of physical disability, social isolation, economic hardships & psychological distress, even after many years living in Britain. This is the first analytical study on determinants of health inequalities in Somali and Bengali elders living in a deprived inner-London area that attempted to bring together multidisciplinary aspects of research on ageing in these migrant groups, & fill the information gap on predictors of well-being in older people in these communities. A semi-structured questionnaire on mental and physical health including a Life Satisfaction Index (LSI) and a scale of Symptoms of Anxiety and Depression (SAD) was administered in appropriate languages to 75 Bengalis (Bs) & 72 Somalis (Ss) aged 60+ yrs living in Tower Hamlets. Data on prevalence of health problems & ADL disability were sought to explore the relationships between health & socio-demographic determinants of AD & LS. Prevalence of chronic health problems (CHPs) was correlated with SAD scores in Ss (r = +0.31, p = 0.01) & Bs (r = +0.38, p = 0.001) and LSI scores in Ss (r = −0.25, p = 0.04) but not Bs (r = −0.05). Disability correlated with LSI (r = −0.29, p = 0.01) and SAD scores (r = +0.39, p = 0.001) in Bs but not Ss (r = −0.11 and +0.08 respectively). Age and CHPs were predictors of SAD scores in Somalis, and health problems predicted LSI scores in Somalis. Among Bengalis, age and disability were strong predictors of SAD scores whilst disability only predicted LSI scores. The findings emphasize the importance of aspects of physical health as determinants of psychological well-being among elderly people in different cultures. Differences between groups may reflect their concepts of disease, disability and well-being. A qualitative study is under way among Somalis and will allow further insights into the significance of these constructs.. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Shah Ebrahim - Coordenador.

• 1992 - 1992

  LATIN AMERICAN ELDERLY PEOPLE IN BRITAIN: RESULTS FROM A QUALITATIVE STUDY IN LONDON., Descrição: First-generation LA migrant elders who may be living without their extended families are at greater risk of language/cultural barriers in access to community services in Britain. The aims are: 1-to examine the needs of LA elders living in London, with particular reference to the language difficulties they may face in obtaining health and social services; 2- to explore their experience of living in exile, and expectations and adaptive behaviour to the cultural characteristics of the country. A variety of strategies which older LA people may use are examined such as: denial of a need for services; reliance on Local Authority Centres and relatives to interpret; and/or Spanish speaking service providers; interest/efforts in learning English; reliance on other providers of services from their own community; and/or use of non-verbal communication; etc. The sampling frame comprised LA elders attending two day centres in south London, run by the Latin American Elderly Project and the Ebury Bridge Community Project. The study method of choice was group interviews (focus groups of 5 people each) using a semi-structured questionnaire to collect information on use of services and linguistic abilities/other relevant issues during the meeting days (at day centres). 22 interviews were conducted by ES with the help of a Spanish speaking interpreter (July 1992). Tapes were transcribed and texts from conversations analysed by ES. Most participants were from Colombia (14), Chile (6) and Bolivia (2). Mean age was 64.7 ys (55 to 80ys). Migrants had settled in the UK mainly due to family reunification or fear of persecution. Most LA elders had difficulty to access health and social services and had to rely on children/grandchildren for any relationship that they may have established. The results highlight the importance of provision of language and community services such as day centres to meet the specific cultural and social needs of LA elders in the UK.. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Ellen Rosemary Torres da Silveira - Integrante / Janet Askham - Coordenador / Emily Grundy - Integrante.

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