2026-06-14T03:28:57Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/48342024-11-14T21:04:26Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608
Repisalud
author
Almazan-Isla, Javier
author
Comín-Comín, M.
author
Alcalde-Cabero, Enrique
author
Ruiz, C.
author
Franco, E.
author
Magallón, R.
author
Damian, Javier
author
Pedro-Cuesta, Jesus de
author
Larrosa Montañés, A
author
DISCAP-ARAGON Research Group
funder
Centro de Investigación Biomédica en Red - CIBERNED (Enfermedades Neurodegenerativas)
funder
Gobierno de Aragón (España)
funder
Instituto de Salud Carlos III
funder
Fundación Farasdues para el Desarrollo y la Integración
2017-09-04T16:31:54Z
2017-09-04T16:31:54Z
2017-01-09
Int J Equity Health. 2017 Jan 9;16(1):4.
10.1186/s12939-016-0498-2
1475-9276
International Journal for Equity in Health
28068988
http://hdl.handle.net/20.500.12105/4834
Background: 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.
eng
Disability
ICF
Prevalence
Functional dependence
WHODAS 2.0
Social services
Public health services
Disability, support and long-term social care of an elderly Spanish population, 2008-2009: an epidemiologic analysis
research article
URL
https://repisalud.isciii.es/bitstreams/0071bcf6-4531-4b31-be76-4b6fb18a8828/download
File
MD5
8d0546cf4f68235137a08bb9ce7a00d3
724266
application/pdf
DisabilitySupportAndLong_2017.pdf
URL
https://repisalud.isciii.es/bitstreams/cc73a839-3493-4bc7-b442-922f63bdab65/download
File
MD5
4817fec2ce074143034eb006294c7d80
230718
application/pdf
ERRATUMToDisabilitySupport_2017.pdf
URL
https://repisalud.isciii.es/bitstreams/beda29ee-4acd-4366-b2dd-cb57f6d67444/download
File
MD5
47296823659eb2f3e5d02662e8ce408c
62688
text/plain
12939_2016_Article_498.pdf.txt
URL
https://repisalud.isciii.es/bitstreams/c3338256-9336-464c-a300-efade1e6c9e5/download
File
MD5
47296823659eb2f3e5d02662e8ce408c
62688
text/plain
DisabilitySupportAndLong_2017.pdf.txt
URL
https://repisalud.isciii.es/bitstreams/1e6c5ffc-98da-4122-9816-df8bcccc91a2/download
File
MD5
47296823659eb2f3e5d02662e8ce408c
62688
text/plain
DisabilitySupportAndLong_2017.pdf.txt
URL
https://repisalud.isciii.es/bitstreams/8702bb9b-e12d-44b6-a353-a00d42a4a672/download
File
MD5
3f0312817ccbe0fa7a850547f7790f76
4985
text/plain
ERRATUMToDisabilitySupport_2017.pdf.txt