Disability, caregiver's dependency and patterns of access to rehabilitation care: results from a national representative study in Peru

2.50
Hdl Handle:
http://hdl.handle.net/10757/556094
Title:
Disability, caregiver's dependency and patterns of access to rehabilitation care: results from a national representative study in Peru
Authors:
Bernabe Ortiz, Antonio ( 0000-0002-6834-1376 ) ; Diez Canseco, Francisco; Vásquez, Alberto; Miranda, J. Jaime
Publisher:
Informa Healthcare
Journal:
(Disability and Rehabilitation (Disabil Rehabil)
Issue Date:
30-May-2015
URI:
http://hdl.handle.net/10757/556094
DOI:
10.3109/09638288.2015.1051246
PubMed ID:
26017542
Additional Links:
http://informahealthcare.com/doi/abs/10.3109/09638288.2015.1051246
Abstract:
PURPOSE: To determine the prevalence of disability in Peru, explore dependency on caregiver's assistance and assess access to rehabilitation care. METHOD: Data from Disability National Survey (ENEDIS), including urban and rural areas, were analyzed. Disability was defined as a permanent limitation on movement, vision, communication, hearing, learning/remembering or social relationships. Dependency was defined as the self-reported need for a caregiver to help with daily activities; and access to rehabilitation care was defined as the self-report of any therapy for disabilities. Estimates and projections were calculated using sample strata, primary sampling units and population weights, and prevalence ratios (PRs) and 95%CI were reported. RESULTS: From 798 308 people screened, 37 524 (5.1%; 95%CI 4.9--5.2%) had at least one disability. A total of 37 117 were included in further analysis, mean age 57.8 (SD ± 24.1) years, 52.1% women. Dependency was self-reported by 14 980 (40.5%; 95%CI: 39.2-41.9%) individuals with disabilities. A family member, usually female, was identified as a caregiver in 94.3% (95%CI: 93.3-95.3%) of dependent participants. Only 2881 (10.7%; 95%CI: 9.7-11.9%) of people with disabilities reported access to rehabilitation care. Major inequality patterns of disability burden versus access to rehabilitation care were observed by age and education level. Older age groups had higher disability burden yet lower chances of access to rehabilitation care. Conversely, the higher the education level, the lesser the overall disability burden but also the higher chances of reporting receiving care. Private healthcare insurance doubled the probability of having access to rehabilitation compared with those without insurance. CONCLUSIONS: Approximately 1.6 million Peruvians have at least one disability, and 40% of them require assistance with daily activities. Informal caregiving, likely female and relative-provided, is highly common. Rehabilitation care access is low and inequitable. Our results signal a major need to implement strategies to guarantee the highest standard of health care for people with disabilities. Implications for Rehabilitation Major inequality patterns in terms of burden of disability versus access to rehabilitation care were observed: those groups who concentrate more disability reported receiving less rehabilitation care. Caregiving is mostly informal and provided by a direct relative, mainly a woman, who resigned to their usual activities in order to help care for the person with disability. As a result, there is a need to develop appropriate support and training for caregivers. Access to care services in Peru is low and inequitable, but especially for people with disabilities: they experience greater barriers when accessing healthcare services even in the case of having health insurance.
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/openAccess
Language:
eng
Description:
Article
Keywords:
Activities of daily living; Care; Care givers; Peru
ISSN:
0963-8288
EISSN:
1464-5165

Full metadata record

DC FieldValue Language
dc.contributor.authorBernabe Ortiz, Antonioes_PE
dc.contributor.authorDiez Canseco, Franciscoes_PE
dc.contributor.authorVásquez, Albertoes_PE
dc.contributor.authorMiranda, J. Jaimees_PE
dc.date.accessioned2015-05-30T18:02:43Zes_PE
dc.date.available2015-05-30T18:02:43Zes_PE
dc.date.issued2015-05-30es_PE
dc.identifier.issn0963-8288es_PE
dc.identifier.pmid26017542es_PE
dc.identifier.doi10.3109/09638288.2015.1051246es_PE
dc.identifier.urihttp://hdl.handle.net/10757/556094es_PE
dc.descriptionArticlees_PE
dc.description.abstractPURPOSE: To determine the prevalence of disability in Peru, explore dependency on caregiver's assistance and assess access to rehabilitation care. METHOD: Data from Disability National Survey (ENEDIS), including urban and rural areas, were analyzed. Disability was defined as a permanent limitation on movement, vision, communication, hearing, learning/remembering or social relationships. Dependency was defined as the self-reported need for a caregiver to help with daily activities; and access to rehabilitation care was defined as the self-report of any therapy for disabilities. Estimates and projections were calculated using sample strata, primary sampling units and population weights, and prevalence ratios (PRs) and 95%CI were reported. RESULTS: From 798 308 people screened, 37 524 (5.1%; 95%CI 4.9--5.2%) had at least one disability. A total of 37 117 were included in further analysis, mean age 57.8 (SD ± 24.1) years, 52.1% women. Dependency was self-reported by 14 980 (40.5%; 95%CI: 39.2-41.9%) individuals with disabilities. A family member, usually female, was identified as a caregiver in 94.3% (95%CI: 93.3-95.3%) of dependent participants. Only 2881 (10.7%; 95%CI: 9.7-11.9%) of people with disabilities reported access to rehabilitation care. Major inequality patterns of disability burden versus access to rehabilitation care were observed by age and education level. Older age groups had higher disability burden yet lower chances of access to rehabilitation care. Conversely, the higher the education level, the lesser the overall disability burden but also the higher chances of reporting receiving care. Private healthcare insurance doubled the probability of having access to rehabilitation compared with those without insurance. CONCLUSIONS: Approximately 1.6 million Peruvians have at least one disability, and 40% of them require assistance with daily activities. Informal caregiving, likely female and relative-provided, is highly common. Rehabilitation care access is low and inequitable. Our results signal a major need to implement strategies to guarantee the highest standard of health care for people with disabilities. Implications for Rehabilitation Major inequality patterns in terms of burden of disability versus access to rehabilitation care were observed: those groups who concentrate more disability reported receiving less rehabilitation care. Caregiving is mostly informal and provided by a direct relative, mainly a woman, who resigned to their usual activities in order to help care for the person with disability. As a result, there is a need to develop appropriate support and training for caregivers. Access to care services in Peru is low and inequitable, but especially for people with disabilities: they experience greater barriers when accessing healthcare services even in the case of having health insurance.eng
dc.formatapplication/pdfes_PE
dc.language.isoenges_PE
dc.publisherInforma Healthcarees_PE
dc.relation.urlhttp://informahealthcare.com/doi/abs/10.3109/09638288.2015.1051246es_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.sourceUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.sourceRepositorio Académico - UPCes_PE
dc.subjectActivities of daily livinges_PE
dc.subjectCarees_PE
dc.subjectCare giverses_PE
dc.subjectPerues_PE
dc.titleDisability, caregiver's dependency and patterns of access to rehabilitation care: results from a national representative study in Perues_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
dc.identifier.eissn1464-5165es_PE
dc.identifier.journal(Disability and Rehabilitation (Disabil Rehabil)es_PE
dc.description.peer-reviewRevisión por pareses_PE
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