2026-07-21T17:02:22Zhttps://repisalud.isciii.es/rest/oai/requestoai: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
Repisalud
author
Palmera-Suarez, Rocio
author
Lopez-Cuadrado, Teresa
author
Almazan-Isla, Javier
author
Fernandez-Cuenca, Rafael
author
Alcalde-Cabero, Enrique
author
Galan, Iñaki
funder
Fundación Mutua Madrileña
2020-10-14T13:50:20Z
2020-10-14T13:50:20Z
2015-09
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
[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.
eng
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.
research article
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URL
https://repisalud.isciii.es/bitstreams/2fa104b3-1d50-49e6-88ee-425bf8e7fb6d/download
File
MD5
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application/pdf
DisabilityRelatedToRoad_2015.pdf
URL
https://repisalud.isciii.es/bitstreams/03f66835-43f4-446f-9eed-36aafc35cf79/download
File
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text/plain
DisabilityRelatedToRoad_2015.pdf.txt