J Almazán-Isla1, M Comín-Comín2, J Damián1, E Alcalde-Cabero1, C Ruiz2, E Franco2, G Martín2, L A Larrosa-Montañés3, J de Pedro-Cuesta4. 1. National Center for Epidemiology, Carlos III Institute of Health, Madrid, Spain; Consortium for Biomedical Research in Neurodegenerative Diseases (Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas - CIBERNED), Ministry of Science and Innovation, Madrid, Spain. 2. School of Health Sciences, University of Zaragoza, Zaragoza, Spain. 3. Department of Social Services and Family, Aragon Regional Authority, Zaragoza, Spain. 4. National Center for Epidemiology, Carlos III Institute of Health, Madrid, Spain; Consortium for Biomedical Research in Neurodegenerative Diseases (Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas - CIBERNED), Ministry of Science and Innovation, Madrid, Spain. Electronic address: jpedro@isciii.es.
Abstract
BACKGROUND: The prevalence of disability, as defined by the International Classification of Functioning, Disability and Health (ICF), among the middle-aged and elderly population is poorly known. OBJECTIVE: To determine disability prevalence in a resident population sample aged ≥50 years, in the Cinco Villas district, Spain, from June 2008 through June 2009. METHODS: We used the WHODAS 2.0 36-item questionnaire to quantify the prevalence of disability, globally and by domain, together with a 13-item combined measure of three domains, Getting around, Self-care and Life activities, claimed to reflect the need of integrated services. In addition, we performed exploratory analyses of the relationship between disability and different variables using ordinal logistic regression. RESULTS: Disability was detected by global WHODAS score in 604 of a total of 1214 persons, i.e., a prevalence of 49.8% 95% CI (46.9-52.5), with the corresponding figures for mild, moderate, severe, and extreme disability being 26.8%, 16.0%, 7.6% and 0.1%, respectively. Disability increased with age, was higher among women, and for specific domains. Prevalence of severe/extreme disability among women vs. men was as follows: Getting around, 26.8% vs. 12.1%; Life activities, 25.2% vs. 6.8%; and Self-care, 9.5% vs. 6.0%. Disability was more frequent among subjects diagnosed with dementia, chronic liver disease, severe mental disease, and stroke. The abovementioned 13-item measure yielded prevalence figures for disability levels quite similar to those obtained using 36-item scores. CONCLUSIONS: For the first time, this study furnishes detailed disability prevalence figures and data on associated variables in a middle-aged and elderly Western population.
BACKGROUND: The prevalence of disability, as defined by the International Classification of Functioning, Disability and Health (ICF), among the middle-aged and elderly population is poorly known. OBJECTIVE: To determine disability prevalence in a resident population sample aged ≥50 years, in the Cinco Villas district, Spain, from June 2008 through June 2009. METHODS: We used the WHODAS 2.0 36-item questionnaire to quantify the prevalence of disability, globally and by domain, together with a 13-item combined measure of three domains, Getting around, Self-care and Life activities, claimed to reflect the need of integrated services. In addition, we performed exploratory analyses of the relationship between disability and different variables using ordinal logistic regression. RESULTS: Disability was detected by global WHODAS score in 604 of a total of 1214 persons, i.e., a prevalence of 49.8% 95% CI (46.9-52.5), with the corresponding figures for mild, moderate, severe, and extreme disability being 26.8%, 16.0%, 7.6% and 0.1%, respectively. Disability increased with age, was higher among women, and for specific domains. Prevalence of severe/extreme disability among women vs. men was as follows: Getting around, 26.8% vs. 12.1%; Life activities, 25.2% vs. 6.8%; and Self-care, 9.5% vs. 6.0%. Disability was more frequent among subjects diagnosed with dementia, chronic liver disease, severe mental disease, and stroke. The abovementioned 13-item measure yielded prevalence figures for disability levels quite similar to those obtained using 36-item scores. CONCLUSIONS: For the first time, this study furnishes detailed disability prevalence figures and data on associated variables in a middle-aged and elderly Western population.
Authors: Carmen Rodríguez-Blázquez; Javier Damián; María José Andrés-Prado; Javier Almazán-Isla; Enrique Alcalde-Cabero; Maria João Forjaz; Juan Manuel Castellote; Jesús González-Enríquez; Pablo Martínez-Martín; Magdalena Comín; Jesús de Pedro-Cuesta Journal: BMJ Open Date: 2016-06-14 Impact factor: 2.692
Authors: Laureano Negrón-Blanco; Jesús de Pedro-Cuesta; Javier Almazán; Carmen Rodríguez-Blázquez; Esther Franco; Javier Damián Journal: BMC Public Health Date: 2016-07-15 Impact factor: 3.295
Authors: J Almazán-Isla; M Comín-Comín; E Alcalde-Cabero; C Ruiz; E Franco; R Magallón; J Damián; J de Pedro-Cuesta; L A Larrosa-Montañes Journal: Int J Equity Health Date: 2017-01-09
Authors: Alexandre Caron; Alba Ayala; Javier Damián; Carmen Rodriguez-Blazquez; Javier Almazán; Juan Manuel Castellote; Madgalena Comin; Maria João Forjaz; Jesús de Pedro Journal: BMC Geriatr Date: 2017-07-18 Impact factor: 3.921
Authors: Agnieszka Ćwirlej-Sozańska; Bernard Sozański; Agnieszka Wiśniowska-Szurlej; Anna Wilmowska-Pietruszyńska; Jolanta Kujawa Journal: Biomed Res Int Date: 2018-06-19 Impact factor: 3.411