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

Virués Ortega, Javier; Pedro Cuesta, Jesús de; Barrio, José Luis del; Almazan Isla, Javier; Bergareche, Alberto; Bermejo Pareja, Félix; Fernández-Mayoralas, Gloria; García, Francisco José; Garre Olmo, Josep; Gascón Bayarri, Jordi; Mahillo, Ignacio; Martínez Martín, Pablo; Mateos, Raimundo; Rodríguez, Fernanda; Rojo Pérez, Fermina; Avellanal, Fuencisla; Saz, Pedro; Seijo, Manuel

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

Este artículo está sujeto a una licencia CC BY-NC-ND 4.0

Detalles Bibliográficos
Autores:	Virués Ortega, Javier, Pedro Cuesta, Jesús de, Barrio, José Luis del, Almazan Isla, Javier, Bergareche, Alberto, Bermejo Pareja, Félix, Fernández-Mayoralas, Gloria, García, Francisco José, Garre Olmo, Josep, Gascón Bayarri, Jordi, Mahillo, Ignacio, Martínez Martín, Pablo, Mateos, Raimundo, Rodríguez, Fernanda, Rojo Pérez, Fermina, Avellanal, Fuencisla, Saz, Pedro, Seijo, Manuel
Tipo de recurso:	artículo
Estado:	Versión publicada
Fecha de publicación:	2011
País:	España
Institución:	Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:	DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:	oai:digital.csic.es:10261/334499
Acceso en línea:	http://hdl.handle.net/10261/334499
Access Level:	acceso abierto
Palabra clave:	Chronic diseases Dementia Disability evaluation Prevalence Aged Spain International Classification of Functioning, Disability and Health Enfermedades crónicas Demencia Evaluación de la discapacidad Prevalencia Ancianos España Clasificación Internacional del Funcionamiento, la Discapacidad y la Salud

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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 FunctioningVirués Ortega, JavierPedro Cuesta, Jesús deBarrio, José Luis delAlmazan Isla, JavierBergareche, AlbertoBermejo Pareja, FélixFernández-Mayoralas, GloriaGarcía, Francisco JoséGarre Olmo, JosepGascón Bayarri, JordiMahillo, IgnacioMartínez Martín, PabloMateos, RaimundoRodríguez, FernandaRojo Pérez, FerminaAvellanal, FuencislaSaz, PedroSeijo, ManuelChronic diseasesDementiaDisability evaluationPrevalenceAgedSpainInternational Classification of Functioning, Disability and HealthEnfermedades crónicasDemenciaEvaluación de la discapacidadPrevalenciaAncianosEspañaClasificación Internacional del Funcionamiento, la Discapacidad y la SaludEste artículo está sujeto a una licencia CC BY-NC-ND 4.0Objectives 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.Methods 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, 2nd 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.Results 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).Conclusions 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.This project, led by J. de Pedro-Cuesta, was supported by the Pfizer Foundation and by the RECSP C03-09, CIEN C03-06 and CIBERNED and CIBERSAM research networksPeer reviewedSociedad Española de Salud Pública y Administración SanitariaPfizerCentro de Investigación Biomédica en Red Epidemiología y Salud Pública (España)Fundación Centro de Investigación de Enfermedades NeurológicasCentro Investigación Biomédica en Red Enfermedades Neurodegenerativas (España)Centro de Investigación Biomédica en Red Salud Mental (España)Fernández-Mayoralas, Gloria [0000-0002-1075-0812]Rojo Pérez, Fermina [0000-0001-9935-2548]Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202320232011info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10261/334499reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Ingléshttps://doi.org/10.1016/j.gaceta.2011.07.021Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/3344992026-05-22T06:33:51Z
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
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 Virués Ortega, Javier Chronic diseases Dementia Disability evaluation Prevalence Aged Spain International Classification of Functioning, Disability and Health Enfermedades crónicas Demencia Evaluación de la discapacidad Prevalencia Ancianos España Clasificación Internacional del Funcionamiento, la Discapacidad y la Salud
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	Virués Ortega, Javier Pedro Cuesta, Jesús de Barrio, José Luis del Almazan Isla, Javier Bergareche, Alberto Bermejo Pareja, Félix Fernández-Mayoralas, Gloria García, Francisco José Garre Olmo, Josep Gascón Bayarri, Jordi Mahillo, Ignacio Martínez Martín, Pablo Mateos, Raimundo Rodríguez, Fernanda Rojo Pérez, Fermina Avellanal, Fuencisla Saz, Pedro Seijo, Manuel
author	Virués Ortega, Javier
author_facet	Virués Ortega, Javier Pedro Cuesta, Jesús de Barrio, José Luis del Almazan Isla, Javier Bergareche, Alberto Bermejo Pareja, Félix Fernández-Mayoralas, Gloria García, Francisco José Garre Olmo, Josep Gascón Bayarri, Jordi Mahillo, Ignacio Martínez Martín, Pablo Mateos, Raimundo Rodríguez, Fernanda Rojo Pérez, Fermina Avellanal, Fuencisla Saz, Pedro Seijo, Manuel
author_role	author
author2	Pedro Cuesta, Jesús de Barrio, José Luis del Almazan Isla, Javier Bergareche, Alberto Bermejo Pareja, Félix Fernández-Mayoralas, Gloria García, Francisco José Garre Olmo, Josep Gascón Bayarri, Jordi Mahillo, Ignacio Martínez Martín, Pablo Mateos, Raimundo Rodríguez, Fernanda Rojo Pérez, Fermina Avellanal, Fuencisla Saz, Pedro Seijo, 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	Pfizer Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (España) Fundación Centro de Investigación de Enfermedades Neurológicas Centro Investigación Biomédica en Red Enfermedades Neurodegenerativas (España) Centro de Investigación Biomédica en Red Salud Mental (España) Fernández-Mayoralas, Gloria [0000-0002-1075-0812] Rojo Pérez, Fermina [0000-0001-9935-2548] Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
dc.subject.none.fl_str_mv	Chronic diseases Dementia Disability evaluation Prevalence Aged Spain International Classification of Functioning, Disability and Health Enfermedades crónicas Demencia Evaluación de la discapacidad Prevalencia Ancianos España Clasificación Internacional del Funcionamiento, la Discapacidad y la Salud
topic	Chronic diseases Dementia Disability evaluation Prevalence Aged Spain International Classification of Functioning, Disability and Health Enfermedades crónicas Demencia Evaluación de la discapacidad Prevalencia Ancianos España Clasificación Internacional del Funcionamiento, la Discapacidad y la Salud
description	Este artículo está sujeto a una licencia CC BY-NC-ND 4.0
publishDate	2011
dc.date.none.fl_str_mv	2011 2023 2023
dc.type.none.fl_str_mv	info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 Publisher's version info:eu-repo/semantics/publishedVersion
format	article
status_str	publishedVersion
dc.identifier.none.fl_str_mv	http://hdl.handle.net/10261/334499
url	http://hdl.handle.net/10261/334499
dc.language.none.fl_str_mv	Inglés
language_invalid_str_mv	Inglés
dc.relation.none.fl_str_mv	https://doi.org/10.1016/j.gaceta.2011.07.021 Sí
dc.rights.none.fl_str_mv	info:eu-repo/semantics/openAccess
eu_rights_str_mv	openAccess
dc.publisher.none.fl_str_mv	Sociedad Española de Salud Pública y Administración Sanitaria
publisher.none.fl_str_mv	Sociedad Española de Salud Pública y Administración Sanitaria
dc.source.none.fl_str_mv	reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str	Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str	DIGITAL.CSIC. Repositorio Institucional del CSIC
collection	DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning

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