000060392 001__ 60392
000060392 005__ 20230921135428.0
000060392 0247_ $$2doi$$a10.1186/s12939-016-0498-2
000060392 0248_ $$2sideral$$a97824
000060392 037__ $$aART-2017-97824
000060392 041__ $$aeng
000060392 100__ $$aAlmazán-Isla, J.
000060392 245__ $$aDisability, support and long-term social care of an elderly Spanish population, 2008-2009: An epidemiologic analysis
000060392 260__ $$c2017
000060392 5060_ $$aAccess copy available to the general public$$fUnrestricted
000060392 5203_ $$aBackground: 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.
000060392 536__ $$9info:eu-repo/grantAgreement/ES/FIS/PI06-1098$$9info:eu-repo/grantAgreement/ES/FIS/PI07-90206
000060392 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000060392 590__ $$a1.71$$b2017
000060392 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b72 / 156 = 0.462$$c2017$$dQ2$$eT2
000060392 592__ $$a1.04$$b2017
000060392 593__ $$aPublic Health, Environmental and Occupational Health$$c2017$$dQ1
000060392 593__ $$aHealth Policy$$c2017$$dQ1
000060392 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000060392 700__ $$0(orcid)0000-0002-2392-2310$$aComín-Comín, M.$$uUniversidad de Zaragoza
000060392 700__ $$aAlcalde-Cabero, E.
000060392 700__ $$aRuiz, C.
000060392 700__ $$aFranco, E.
000060392 700__ $$0(orcid)0000-0002-5494-6550$$aMagallón, R.$$uUniversidad de Zaragoza
000060392 700__ $$aDamián, J.
000060392 700__ $$aDe Pedro-Cuesta, J.
000060392 700__ $$aLarrosa-Montañes, L.A.
000060392 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000060392 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000060392 773__ $$g16, 1 (2017), [14 pp.]$$pINTERNATIONAL JOURNAL FOR EQUITY IN HEALTH$$tINTERNATIONAL JOURNAL FOR EQUITY IN HEALTH$$x1475-9276
000060392 8564_ $$s724266$$uhttps://zaguan.unizar.es/record/60392/files/texto_completo.pdf$$yVersión publicada
000060392 8564_ $$s86173$$uhttps://zaguan.unizar.es/record/60392/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000060392 909CO $$ooai:zaguan.unizar.es:60392$$particulos$$pdriver
000060392 951__ $$a2023-09-21-13:29:37
000060392 980__ $$aARTICLE