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dc.contributor.authorAlmazan-Isla, Javier 
dc.contributor.authorComín-Comín, M.
dc.contributor.authorAlcalde-Cabero, Enrique 
dc.contributor.authorRuiz, C.
dc.contributor.authorFranco, E.
dc.contributor.authorMagallón, R.
dc.contributor.authorDamian, Javier 
dc.contributor.authorPedro-Cuesta, Jesus de 
dc.contributor.authorLarrosa Montañés, A
dc.identifier.citationInt J Equity Health. 2017; 16: 4
dc.descriptionAfter publication of this article [1], it was noticed that Table 2 contained misalignment of figures. The corrected Table 2, below, contains the same figures as the original, with the numbers shown at bottom right properly aligned. The original article has also been updated to reflect this. Se incluye pdf correción
dc.description.abstractBackground Though poorly known, relationships between disability, need of help (dependency) and use of social services are crucial aspects of public health. The objective of this study was to describe the links between disability, officially assessed dependency, and social service use by an industrial population, and identify areas of inequity. Methods We took advantage of a door-to-door survey conducted in the Cinco Villas district, Spain, in 2008–2009, which provided data on disability, morbidity, and service use among 1216 residents aged ≥50 years, and officially assessed dependency under the 2006 Dependency Act (OAD). Using logistic regression, we combined data collected at homes/residences on 625 disability screened-positive participants, and administrative information on degree of OAD and benefits at date of visit. Results Based on 163 disabled persons, the prevalence of residential/community-care users was 13.4% overall, with 6.0% being market-provided, 2.5% supported by the 2006 Act, and 4.9% supported by other public funds. Of 111 OAD applicants, 30 had been assigned an OAD degree; in 29 cases this was the highest OAD degree, with 12 receiving direct support for residential care and 17 receiving home care. Compared to unassessed dependency, the highest OAD degree was linked to residential care (OR and 95% CI) 12.13 (3.86–38.16), declared non-professional care 10.99 (1.28–94.53), and publicly-funded, non-professional care 26.30 (3.36–205.88). In contrast, 43 persons, 58% of the severely/extremely disabled, community-dwelling sample population, 81% of whom were homebound, including 10 persons with OAD but no implemented service plan, made no use of any service, and of these, 40% lacked a non-professional carer. Conclusions Formal service use in the Cinco Villas district attained ratios observed for established welfare systems but the publicly-funded proportion was lower. The 2006 Act had a modest, albeit significant, impact on support for non-professional carers and residential care, coexisting with a high prevalence of non-use of social services by severely disabled persons.
dc.description.sponsorshipFinancial support came from the Carlos III Institute of Health (EPI projects 1637/06 and 1530/07; Health Research Fund grants FIS PI06/1098 and PI07/90206), Consortium for Biomedical Research in Neurodegenerative Diseases (CIBERNED), Zaragoza Regional Authority, and Farasdués Foundation.
dc.publisherBioMed Central
dc.relation.isversionofPublisher's version
dc.subjectFunctional dependence
dc.subjectWHODAS 2.0
dc.subjectSocial services
dc.subjectPublic health services
dc.titleDisability, support and long-term social care of an elderly Spanish population, 2008-2009: an epidemiologic analysis
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderCentro de Investigación Biomédica en Red - CIBERNED (Enfermedades Neurodegenerativas)
dc.contributor.funderGobierno de Aragón (España)
dc.contributor.funderInstituto de Salud Carlos III 
dc.contributor.funderFarasdués Foundation
dc.contributor.funderCentro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas
dc.identifier.journalInternational Journal for Equity in Health
dc.repisalud.centroISCIII::Centro Nacional de Epidemología

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