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oai:repisalud.isciii.es:20.500.12105/111682025-06-06T09:19:27Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19608col_20.500.12105_16963

00925njm 22002777a 4500 dc Palmera-Suarez, Rocio author Lopez-Cuadrado, Teresa author Almazan-Isla, Javier author Fernandez-Cuenca, Rafael author Alcalde-Cabero, Enrique author Galan, Iñaki author 2015-09 [EN] Background: Road traffic accidents cause substantial morbidity and disease burden; few studies have examined their impact on disability. Objective: To estimate the magnitude and distribution of disability due to road traffic accidents according to socio-demographic variables, and its main socioeconomic and health determinants. Methods: A cross-sectional study was conducted in community-dwelling participants in the “2008 Spanish National Disability Survey”, a representative sample of 91,846 households with 20,425 disabled persons older than 15 years; 443 had disability due to road traffic accidents. Results: The prevalence was 2.1 per 1000 inhabitants (95% CI:1.8-2.3), with no differences by sex. Risk was highest among persons aged 31 to 64 years, and onset of disability showed a sharp inflection point at age 16 years in both sexes. Odds ratios (ORs) were higher (OR = 1.3; 95% CI:1.1- 1.7) for participants with secondary education than for those with the lowest educational levels and were lower (OR: 0.5; 95% CI:0.3-0.8) for participants with the highest household income levels than for those with lowest. Only 24% of disabled participants were gainfully employed. As compared to other sources of disability, traffic crashes caused greater disability in terms of mobility (OR = 3.1;p < 0.001), a greater need for health/social services (OR = 1.5;p = 0.003), and more problems with private transportation (OR = 1.6;p < 0.001), moving around outside the home (OR = 1.6;p < 0.001) and changes in economic activity (OR = 2.4;p < 0.001). Conclusions: The prevalence of disability due to road traffic accidents in Spain is lower than in other developed countries, with middle-aged and socio-economically underprivileged persons being the most affected. Disability due to road traffic accidents is related to a greater demand for social/health care support, problems of accessibility/commuting, and major changes in economic activity. [ES] Antecedentes: Los accidentes de tráfico causan importante morbilidad y carga de enfermedad; su impacto sobre la discapacidad ha sido poco estudiado. Objetivo: Estimar la magnitud y distribución de la discapacidad por accidentes de tráfico según variables socio-demográficas, y sus principales condicionantes socio-sanitarios y económicos. Métodos: Estudio transversal en participantes de la Encuesta Nacional de Discapacidad, Autonomía Personal y Situaciones de Dependencia 2008; muestra representativa de 91.846 hogares con 20,425 discapacitados mayores de 15 años, 443 causados por accidentes de tráfico. Resultados: La prevalencia fue de 2,1 por 1000 (IC 95%: 1,8-2,3), sin diferencias por sexo y mayor riesgo entre 31-64 años. La discapacidad tuvo inicio abrupto a los 16 años (ambos sexos). Aquellos con educación secundaria tuvieron un mayor odds ratio OR (OR = 1,3; IC 95%: 1,1- 1,7) que aquellos con menor nivel educativo; los discapacitados con mayores ingresos tuvieron menor OR (OR = 0,5; IC 95%: 0,3-0,8) que aquellos con ingresos más bajos. Sólo un 24% tenían empleo remunerado. Comparado con otras causas de discapacidad, los accidente de tráfico generaron mayor discapacidad en movilidad (OR = 3,1;p < 0,001) y necesidad de asistencia socio-sanitaria (OR = 1,5;p = 0,003); mayores problemas con el transporte privado (OR = 1,6;p < 0,001), los desplazamientos fuera de casa (OR = 1,6;p < 0,001) y cambios en la actividad económica (OR = 2,4;p < 0,001). Conclusiones: La prevalencia en España es baja comparada con otros países desarrollados. La población de mediana edad y con desventajas socio-económicas fue la más afectada. La discapacidad por tráfico se relaciona con mayor demanda de servicios socio-sanitarios, problemas de accesibilidad y movilidad e importantes cambios en la actividad económica. Gac Sanit. 2015 Sep:29 Suppl 1:43-8. 10.1016/j.gaceta.2015.01.009 1578-1283 Gaceta sanitaria 26342420 http://hdl.handle.net/20.500.12105/11168 Evaluación de la Discapacidad Accidentes de tráfico Lesiones externas Inequidades Factores socioeconómicos Disability evaluation Traffic Accidents Injuries Inequalities Socioeconomic factors Disability related to road traffic crashes among adults in Spain.