Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning

The International Classification of Functioning, Disability and Health (ICF) advocates a multifactorial and multifaceted conceptualization of disability. The objective of this study was to ascertain major medical, environmental and personal determinants of severe/extreme disability among the elderly...

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Autores: Virues-Ortega, Javier, Pedro-Cuesta, Jesus de, Del Barrio, Jose Luis, Almazan-Isla, Javier, Bergareche, Alberto, Bermejo-Pareja, Félix, Fernández-Mayoralas, Gloria, García, Francisco Jose, Garre-Olmo, Josep, Gascon-Bayarri, Jordi, Mahillo-Fernandez, Ignacio, Martínez-Martín, Pablo, Mateos, Raimundo, Rodríguez, Fernanda, Rojo-Perez, Fermina, Avellanal, Fuencisla, Saz, Pedro, Seijo-Martínez, Manuel
Tipo de recurso: artículo
Fecha de publicación:2011
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/12768
Acceso en línea:http://hdl.handle.net/20.500.12105/12768
Access Level:acceso abierto
Palabra clave:Disability Evaluation
Social Environment
Aged
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spelling Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of FunctioningActores médicos, ambientales y personales de discapacidad en las personas mayores en España: un estudio de detección basado en la Clasificación Internacional del FuncionamientoVirues-Ortega, JavierPedro-Cuesta, Jesus deDel Barrio, Jose LuisAlmazan-Isla, JavierBergareche, AlbertoBermejo-Pareja, FélixFernández-Mayoralas, GloriaGarcía, Francisco JoseGarre-Olmo, JosepGascon-Bayarri, JordiMahillo-Fernandez, IgnacioMartínez-Martín, PabloMateos, RaimundoRodríguez, FernandaRojo-Perez, FerminaAvellanal, FuencislaSaz, PedroSeijo-Martínez, ManuelDisability EvaluationSocial EnvironmentAgedThe International Classification of Functioning, Disability and Health (ICF) advocates a multifactorial and multifaceted conceptualization of disability. The objective of this study was to ascertain major medical, environmental and personal determinants of severe/extreme disability among the elderly population in Spain. The assessment scheme was consistent with the ICF model of disability. Nine populations contributed probabilistic or geographically-defined samples following a two-phase screening design. The Mini-Mental State Examination and the 12-item version of the World Health Organization-Disability Assessment Schedule, 2(nd) ed. (WHO-DAS II), were used as cognitive and disability screening tools, respectively. Positively screened individuals underwent clinical work-up for dementia and were administered the 36-item version of the WHO-DAS II to estimate ICF disability levels. We used logistic regression for the purposes of data combination, adjusted for age and sex in all analyses. The sample was composed of 503 participants aged ≥ 75 years. Alzheimeŕs disease and depression were highly predictive of severe/extreme disability (OR: 17.40, 3.71). Good access to social services was strongly associated with a low level or absence of disability (OR: 0.05 to 0.18). Very difficult access to services and having dementia or another psychiatric disorder were associated with an increase in disability (OR: 66.06). There was also a significant interaction effect between access to services and neurological disorders (OR: 12.74). Disability is highly prevalent among the Spanish elderly and is influenced by medical, social and personal factors. Disability could potentially be reduced by ensuring access to social services, preventing dementia and stroke, and treating depression.ElsevierFundación PfizerCentro de Investigación Biomédica en Red - CIBERNED (Enfermedades Neurodegenerativas)Centro de Investigación Biomédica en Red - CIBERSAM (Salud Mental)20212021-04-2420112011-12-0120112011-12-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12105/12768reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/127682026-06-12T12:43:37Z
dc.title.none.fl_str_mv Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning
Actores médicos, ambientales y personales de discapacidad en las personas mayores en España: un estudio de detección basado en la Clasificación Internacional del Funcionamiento
title Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning
spellingShingle Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning
Virues-Ortega, Javier
Disability Evaluation
Social Environment
Aged
title_short Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning
title_full Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning
title_fullStr Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning
title_full_unstemmed Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning
title_sort Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning
dc.creator.none.fl_str_mv Virues-Ortega, Javier
Pedro-Cuesta, Jesus de
Del Barrio, Jose Luis
Almazan-Isla, Javier
Bergareche, Alberto
Bermejo-Pareja, Félix
Fernández-Mayoralas, Gloria
García, Francisco Jose
Garre-Olmo, Josep
Gascon-Bayarri, Jordi
Mahillo-Fernandez, Ignacio
Martínez-Martín, Pablo
Mateos, Raimundo
Rodríguez, Fernanda
Rojo-Perez, Fermina
Avellanal, Fuencisla
Saz, Pedro
Seijo-Martínez, Manuel
author Virues-Ortega, Javier
author_facet Virues-Ortega, Javier
Pedro-Cuesta, Jesus de
Del Barrio, Jose Luis
Almazan-Isla, Javier
Bergareche, Alberto
Bermejo-Pareja, Félix
Fernández-Mayoralas, Gloria
García, Francisco Jose
Garre-Olmo, Josep
Gascon-Bayarri, Jordi
Mahillo-Fernandez, Ignacio
Martínez-Martín, Pablo
Mateos, Raimundo
Rodríguez, Fernanda
Rojo-Perez, Fermina
Avellanal, Fuencisla
Saz, Pedro
Seijo-Martínez, Manuel
author_role author
author2 Pedro-Cuesta, Jesus de
Del Barrio, Jose Luis
Almazan-Isla, Javier
Bergareche, Alberto
Bermejo-Pareja, Félix
Fernández-Mayoralas, Gloria
García, Francisco Jose
Garre-Olmo, Josep
Gascon-Bayarri, Jordi
Mahillo-Fernandez, Ignacio
Martínez-Martín, Pablo
Mateos, Raimundo
Rodríguez, Fernanda
Rojo-Perez, Fermina
Avellanal, Fuencisla
Saz, Pedro
Seijo-Martínez, Manuel
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Fundación Pfizer
Centro de Investigación Biomédica en Red - CIBERNED (Enfermedades Neurodegenerativas)
Centro de Investigación Biomédica en Red - CIBERSAM (Salud Mental)
dc.subject.none.fl_str_mv Disability Evaluation
Social Environment
Aged
topic Disability Evaluation
Social Environment
Aged
description The International Classification of Functioning, Disability and Health (ICF) advocates a multifactorial and multifaceted conceptualization of disability. The objective of this study was to ascertain major medical, environmental and personal determinants of severe/extreme disability among the elderly population in Spain. The assessment scheme was consistent with the ICF model of disability. Nine populations contributed probabilistic or geographically-defined samples following a two-phase screening design. The Mini-Mental State Examination and the 12-item version of the World Health Organization-Disability Assessment Schedule, 2(nd) ed. (WHO-DAS II), were used as cognitive and disability screening tools, respectively. Positively screened individuals underwent clinical work-up for dementia and were administered the 36-item version of the WHO-DAS II to estimate ICF disability levels. We used logistic regression for the purposes of data combination, adjusted for age and sex in all analyses. The sample was composed of 503 participants aged ≥ 75 years. Alzheimeŕs disease and depression were highly predictive of severe/extreme disability (OR: 17.40, 3.71). Good access to social services was strongly associated with a low level or absence of disability (OR: 0.05 to 0.18). Very difficult access to services and having dementia or another psychiatric disorder were associated with an increase in disability (OR: 66.06). There was also a significant interaction effect between access to services and neurological disorders (OR: 12.74). Disability is highly prevalent among the Spanish elderly and is influenced by medical, social and personal factors. Disability could potentially be reduced by ensuring access to social services, preventing dementia and stroke, and treating depression.
publishDate 2011
dc.date.none.fl_str_mv 2011
2011-12-01
2011
2011-12-01
2021
2021-04-24
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/12768
url http://hdl.handle.net/20.500.12105/12768
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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