Disability related to road traffic crashes among adults in Spain.
Gac Sanit
; 29 Suppl 1: 43-8, 2015 Sep.
Article
en En
| MEDLINE
| ID: mdl-26342420
ABSTRACT
BACKGROUND:
Road traffic accidents cause substantial morbidity and disease burden; few studies have examined their impact on disability.OBJECTIVE:
To estimate the magnitude and distribution of disability due to road traffic accidents according to socio-demographic variables, and its main socioeconomic and health determinants.METHODS:
A cross-sectional study was conducted in community-dwelling participants in the "2008 Spanish National Disability Survey", a representative sample of 91,846 households with 20,425 disabled persons older than 15 years; 443 had disability due to road traffic accidents.RESULTS:
The prevalence was 2.1 per 1000 inhabitants (95% CI1.8-2.3), with no differences by sex. Risk was highest among persons aged 31 to 64 years, and onset of disability showed a sharp inflection point at age 16 years in both sexes. Odds ratios (ORs) were higher (OR=1.3; 95% CI1.1- 1.7) for participants with secondary education than for those with the lowest educational levels and were lower (OR 0.5; 95% CI0.3-0.8) for participants with the highest household income levels than for those with lowest. Only 24% of disabled participants were gainfully employed. As compared to other sources of disability, traffic crashes caused greater disability in terms of mobility (OR=3.1;p<0.001), a greater need for health/social services (OR=1.5;p=0.003), and more problems with private transportation (OR=1.6;p<0.001), moving around outside the home (OR=1.6;p<0.001) and changes in economic activity (OR=2.4;p<0.001).CONCLUSIONS:
The prevalence of disability due to road traffic accidents in Spain is lower than in other developed countries, with middle-aged and socio-economically underprivileged persons being the most affected. Disability due to road traffic accidents is related to a greater demand for social/health care support, problems of accessibility/commuting, and major changes in economic activity.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Accidentes de Tránsito
/
Personas con Discapacidad
Tipo de estudio:
Observational_studies
/
Prevalence_studies
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Risk_factors_studies
Límite:
Adolescent
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Adult
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Aged
/
Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Gac Sanit
Asunto de la revista:
SAUDE PUBLICA
Año:
2015
Tipo del documento:
Article