Time trends in health inequalities due to care in the context of the Spanish Dependency Law

Objective: In Spain, responsibility for care of old people and those in situations of dependency is assumed by families, and has an unequal social distribution according to gender and socioeconomic level. This responsibility has negative health effects on the carer. In 2006, the Dependency Law recog...

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Detalles Bibliográficos
Autores: Salvador-Piedrafita, M, Malmusi, D, Borrell, C
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p6811
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=6811
Access Level:acceso abierto
Palabra clave:Carer
Health inequalities
Gender
Mental health
Public policy
Self-rated health
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spelling Time trends in health inequalities due to care in the context of the Spanish Dependency LawSalvador-Piedrafita, MMalmusi, DBorrell, CCarerHealth inequalitiesGenderMental healthPublic policySelf-rated healthObjective: In Spain, responsibility for care of old people and those in situations of dependency is assumed by families, and has an unequal social distribution according to gender and socioeconomic level. This responsibility has negative health effects on the carer. In 2006, the Dependency Law recognised the obligation of the State to provide support. This study analyses time trends in health inequalities attributable to caregiving under this new law. Methods: Study of trends using two cross-sectional samples from the 2006 and 2012 editions of the Spanish National Health Survey (27,922 and 19,995 people, respectively). We compared fair/poor self rated health, poor mental health (GHQ-12 >2), back pain, and the use of psychotropic drugs between non-carers, carers sharing care with other persons, and those providing care alone. We obtain prevalence ratios by fitting robust Poisson regression models. Results: We observed no change in the social profile of carers according to gender or social class. Among women, the difference in all health indicators between carers and non-carers tended to decrease among those sharing care but not among lone carers. Inequalities tend to decrease slightly in both groups of men carers. Conclusions: Between 2006 and 2012, trends in health inequalities attributable to informal care show different trends according to gender and share of responsibility. It is necessary to redesign and implement policies to reduce inequalities that take into account the most affected groups, such as women lone carers. Policies that strengthen the fair social distribution of care should also be adopted. (C) 2016 SESPAS. Published by Elsevier Espana, S.L.U.ELSEVIER2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=6811Gaceta SanitariaISSN: 02139111ISSNe: 15781283reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Españolinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p68112026-06-14T12:41:47Z
dc.title.none.fl_str_mv Time trends in health inequalities due to care in the context of the Spanish Dependency Law
title Time trends in health inequalities due to care in the context of the Spanish Dependency Law
spellingShingle Time trends in health inequalities due to care in the context of the Spanish Dependency Law
Salvador-Piedrafita, M
Carer
Health inequalities
Gender
Mental health
Public policy
Self-rated health
title_short Time trends in health inequalities due to care in the context of the Spanish Dependency Law
title_full Time trends in health inequalities due to care in the context of the Spanish Dependency Law
title_fullStr Time trends in health inequalities due to care in the context of the Spanish Dependency Law
title_full_unstemmed Time trends in health inequalities due to care in the context of the Spanish Dependency Law
title_sort Time trends in health inequalities due to care in the context of the Spanish Dependency Law
dc.creator.none.fl_str_mv Salvador-Piedrafita, M
Malmusi, D
Borrell, C
author Salvador-Piedrafita, M
author_facet Salvador-Piedrafita, M
Malmusi, D
Borrell, C
author_role author
author2 Malmusi, D
Borrell, C
author2_role author
author
dc.subject.none.fl_str_mv Carer
Health inequalities
Gender
Mental health
Public policy
Self-rated health
topic Carer
Health inequalities
Gender
Mental health
Public policy
Self-rated health
description Objective: In Spain, responsibility for care of old people and those in situations of dependency is assumed by families, and has an unequal social distribution according to gender and socioeconomic level. This responsibility has negative health effects on the carer. In 2006, the Dependency Law recognised the obligation of the State to provide support. This study analyses time trends in health inequalities attributable to caregiving under this new law. Methods: Study of trends using two cross-sectional samples from the 2006 and 2012 editions of the Spanish National Health Survey (27,922 and 19,995 people, respectively). We compared fair/poor self rated health, poor mental health (GHQ-12 >2), back pain, and the use of psychotropic drugs between non-carers, carers sharing care with other persons, and those providing care alone. We obtain prevalence ratios by fitting robust Poisson regression models. Results: We observed no change in the social profile of carers according to gender or social class. Among women, the difference in all health indicators between carers and non-carers tended to decrease among those sharing care but not among lone carers. Inequalities tend to decrease slightly in both groups of men carers. Conclusions: Between 2006 and 2012, trends in health inequalities attributable to informal care show different trends according to gender and share of responsibility. It is necessary to redesign and implement policies to reduce inequalities that take into account the most affected groups, such as women lone carers. Policies that strengthen the fair social distribution of care should also be adopted. (C) 2016 SESPAS. Published by Elsevier Espana, S.L.U.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=6811
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=6811
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv Gaceta Sanitaria
ISSN: 02139111
ISSNe: 15781283
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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