Disability related to road traffic crashes among adults in Spain
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 socioecono...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2015-09-01
|
Series: | Gaceta Sanitaria |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S0213911115000138 |
id |
doaj-73fe6ed6f8334051a5dee672d9ccadbd |
---|---|
record_format |
Article |
spelling |
doaj-73fe6ed6f8334051a5dee672d9ccadbd2020-11-24T22:45:48ZengElsevierGaceta Sanitaria0213-91112015-09-0129S1434810.1016/j.gaceta.2015.01.009Disability related to road traffic crashes among adults in SpainRocío Palmera-Suárez0Teresa López-Cuadrado1Javier Almazán-Isla2Rafael Fernández-Cuenca3Enrique Alcalde-Cabero4Iñaki Galán5Area of epidemiological analysis and health situation, National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, SpainArea of epidemiological analysis and health situation, National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, SpainArea of applied epidemiology, National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, SpainArea of epidemiological analysis and health situation, National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, SpainArea of applied epidemiology, National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, SpainArea of applied epidemiology, National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, SpainBackground: 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% CI:1.8-2.3), 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% CI:1.1- 1.7) for participants with secondary education than for those with the lowest educational levels and were lower (OR: 0.5; 95% CI:0.3-0.8) 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.http://www.sciencedirect.com/science/article/pii/S0213911115000138Disability evaluationTraffic AccidentsInjuriesInequalitiesSocioeconomic factors |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rocío Palmera-Suárez Teresa López-Cuadrado Javier Almazán-Isla Rafael Fernández-Cuenca Enrique Alcalde-Cabero Iñaki Galán |
spellingShingle |
Rocío Palmera-Suárez Teresa López-Cuadrado Javier Almazán-Isla Rafael Fernández-Cuenca Enrique Alcalde-Cabero Iñaki Galán Disability related to road traffic crashes among adults in Spain Gaceta Sanitaria Disability evaluation Traffic Accidents Injuries Inequalities Socioeconomic factors |
author_facet |
Rocío Palmera-Suárez Teresa López-Cuadrado Javier Almazán-Isla Rafael Fernández-Cuenca Enrique Alcalde-Cabero Iñaki Galán |
author_sort |
Rocío Palmera-Suárez |
title |
Disability related to road traffic crashes among adults in Spain |
title_short |
Disability related to road traffic crashes among adults in Spain |
title_full |
Disability related to road traffic crashes among adults in Spain |
title_fullStr |
Disability related to road traffic crashes among adults in Spain |
title_full_unstemmed |
Disability related to road traffic crashes among adults in Spain |
title_sort |
disability related to road traffic crashes among adults in spain |
publisher |
Elsevier |
series |
Gaceta Sanitaria |
issn |
0213-9111 |
publishDate |
2015-09-01 |
description |
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% CI:1.8-2.3), 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% CI:1.1- 1.7) for participants with secondary education than for those with the lowest educational levels and were lower (OR: 0.5; 95% CI:0.3-0.8) 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. |
topic |
Disability evaluation Traffic Accidents Injuries Inequalities Socioeconomic factors |
url |
http://www.sciencedirect.com/science/article/pii/S0213911115000138 |
work_keys_str_mv |
AT rociopalmerasuarez disabilityrelatedtoroadtrafficcrashesamongadultsinspain AT teresalopezcuadrado disabilityrelatedtoroadtrafficcrashesamongadultsinspain AT javieralmazanisla disabilityrelatedtoroadtrafficcrashesamongadultsinspain AT rafaelfernandezcuenca disabilityrelatedtoroadtrafficcrashesamongadultsinspain AT enriquealcaldecabero disabilityrelatedtoroadtrafficcrashesamongadultsinspain AT inakigalan disabilityrelatedtoroadtrafficcrashesamongadultsinspain |
_version_ |
1725687421900685312 |