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dc.contributor.authorDamian, Javier 
dc.contributor.authorPadron-Monedero, Alicia 
dc.contributor.authorAlmazan-Isla, Javier 
dc.contributor.authorGarcia Lopez, Fernando Jose 
dc.contributor.authorPedro-Cuesta, Jesus de 
dc.contributor.authorPastor-Barriuso, Roberto 
dc.date.accessioned2021-12-20T07:19:54Z
dc.date.available2021-12-20T07:19:54Z
dc.date.issued2021-11-19
dc.identifier.citationJ Epidemiol Community Health. 2021 Nov 19:jech-2021-217421.es_ES
dc.identifier.issn0143-005Xes_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/13498
dc.descriptionLa versión preprint de este artículo está disponible en: http://hdl.handle.net/20.500.12105/13241es_ES
dc.description.abstractBackground: There are scant studies focused on measuring the association between disability and all-cause mortality based on large representative national samples of the community-dwelling adult population; moreover, the number of such studies which also include cause-specific mortality is yet lower. Methods: Longitudinal cohort study that used baseline data from 162 381 adults who participated in a countrywide disability survey (2008). A nationally representative sample was selected and interviewed in their homes. We present data on people ≥18 years. Disability was considered as any substantial limitation found on a list of 44 life activities that have lasted or are expected to last more than 1 year and originate from an impairment. Cause-specific mortality data were obtained from the Spanish Statistical Office. Subjects contributed follow-up time from baseline interview until death or the censoring date (31 December 2017). We computed standardised rate ratios (SRRs), with age, sex, living with a partner and education level distribution of the total group as standard population. Results: Adults with disability (11%) had an adjusted mortality rate more than twice as high as adults without disability (SRR 2.37, 95% CI 2.24 to 2.50). The increased mortality risk remained over the 10-year follow-up period. Mortality due to diseases of the nervous system (SRR 4.86, 95% CI 3.93 to 6.01), diseases of the musculoskeletal system (SRR 3.45, 95% CI 2.18 to 5.47), infectious diseases (SRR 3.38, 95% CI 2.27 to 5.01) and diabetes mellitus (SRR 3.56, 95% CI 2.71 to 4.68) was particularly high in those with disability. Conclusions: All-cause mortality rates are markedly higher among adults with disability. Preventive measures and health promotion initiatives are needed to reduce mortality risk in this population. Special attention should be paid to disabled people with certain specific diseases.es_ES
dc.description.sponsorshipThis work was supported by grant PI20CIII00045 from the Institute of Health "Carlos III"es_ES
dc.language.isoenges_ES
dc.publisherBMJ Publishing Group es_ES
dc.relationhttp://hdl.handle.net/20.500.12105/13241
dc.relation.isversionofPublisher's versiones_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectDisabilityes_ES
dc.subjectMortalityes_ES
dc.subjectCause of deathes_ES
dc.subjectDeathes_ES
dc.subjectDisabled personses_ES
dc.subjectEpidemiologyes_ES
dc.titleAssociation of disability with mortality in the Spanish adult non-institutionalised populationes_ES
dc.typeArtículoes_ES
dc.rights.licenseAtribución-NoComercial 4.0 Internacional*
dc.identifier.pubmedID34799407es_ES
dc.format.number217421es_ES
dc.format.page1-5es_ES
dc.identifier.doi10.1136/jech-2021-217421es_ES
dc.contributor.funderInstituto de Salud Carlos III es_ES
dc.description.peerreviewedes_ES
dc.identifier.e-issn1470-2738es_ES
dc.relation.publisherversionhttp://dx.doi.org/10.1136/jech-2021-217421es_ES
dc.identifier.journalJournal of Epidemiology and Community Healthes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES
dc.relation.projectFISinfo:eu-repo/grantAgreement/ES/PI20CIII00045es_ES


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