Trends in disability and disability-free life expectancy among elderly people in Spain:: 1986-1999
Trends in disability and disability-free life expectancy among elderly people in Spain:: 1986-1999
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DOI：
10.1093/gerona/60.8.1028
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发表时间：
2005-08-01
影响因子：
5.1
通讯作者：
Rodríguez-Artalejo, F
中科院分区：
文献类型：
--
作者：
Sagardui-Villamor, J;Guallar-Castillón, P;Rodríguez-Artalejo, F
背景本文研究了西班牙65岁及以上人群中残疾患病率和无残疾预期寿命的最新趋势。数据来自1986年和1999年进行的两次全国残疾、缺陷和残疾调查。仅研究了严重残疾，并包括通过使用外部技术辅助工具克服的残疾。在1986-1999年期间，观察到男子总体残疾的相对年下降率为3.7%。在妇女、75岁及以上的参与者和教育水平最低的参与者中，这种下降幅度较小。在男性中，行走和听力残疾的相对年下降率略高于3%，视力和认知残疾的相对年下降率低于1%，自我护理残疾的相对年下降率略有上升。妇女的趋势相似，但自理能力残疾上升了1.78%。在1986-1999年期间，所有年龄组男女的总预期寿命和无残疾预期寿命都有所提高。在65岁的男子中，残疾人的预期寿命比例从1986年的42.1%下降到1999年的21.6%;妇女的可比数字1986年为49.8%，1999年为30.6%。事实上，即使在80岁及以上的人中，也观察到残疾人的预期寿命缩短。从1986年到1999年，西班牙老年人中严重残疾的发生率大幅下降，残疾人的寿命被压缩在较晚发病和死亡之间。然而，在妇女中，自理能力残疾-这种残疾需要最多的社会资源来照顾-急剧上升。
Background. This paper examines recent trends in the prevalence of disability and disability-free life expectancy in the population aged 65 years and older in Spain.Methods. Data were drawn from two National Disability, Impairment and Handicap Surveys conducted in 1986 and 1999. Only severe disability was studied, and disabilities overcome through use of external technical aids were included.Results. In the period 1986-1999, a relative annual decline of 3.7% in overall disability was observed for men. The decline was somewhat less marked in women, participants aged 75 years and older, and those with the lowest educational level. In men, there was a relative annual decline of just over 3% in walking and hearing disabilities, of under 1% in seeing and cognitive disabilities, and a slight rise in self-care disability. Trends among women were similar, though self-care disability rose by 1.78%. In the period 1986-1999, total and disability-free life expectancy rose across all age groups in both sexes. Among men aged 65 years, the proportion of life expectancy with disability fell from 42.1% in 1986 to 21.6% in 1999; the comparable figures for women were 49.8% in 1986 and 30.6% in 1999. Indeed, a reduction in life expectancy with disability was observed even among persons aged 80 years and older.Conclusion. From 1986 through 1999, prevalence of severe disability among Spanish elderly persons decreased substantially, and the duration of life with disability was compressed between a later onset and the time of death. Among women, however, self-care disability-the type of disability requiring most social resources for its attention-underwent a sharp rise.