TY  - JOUR
PY  - 2015//
TI  - Disability related to road traffic crashes among adults in Spain
JO  - Gaceta Sanitaria
A1  - Palmera-Suárez, Rocío
A1  - López-Cuadrado, Teresa
A1  - Almazán-Isla, Javier
A1  - Fernández-Cuenca, Rafael
A1  - Alcalde-Cabero, Enrique
A1  - Galan, Inaki
SP  - 43
EP  - 48
VL  - 29
IS  - Suppl 1
N2  - BACKGROUND: Road traffic accidents cause substantial morbidity and disease burden; few studies have examined their impact on disability. <br><br>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. <br><br>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. <br><br>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). <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 0213-9111
UR  - http://dx.doi.org/10.1016/j.gaceta.2015.01.009
ID  - ref1
ER  -