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[基于1999年残疾、损伤与健康状况调查的受抚养个体分类]

[Dependent individuals classification based on the 1999 Disabilities, Impairments and Health Status Survey].

作者信息

Albarrán Lozano Irene, Alonso González Pablo

机构信息

Facultad de Estudios Empresariales y Turismo, Universidad de Extremadura, Avda. Universidad s/n, 10071 Cáceres.

出版信息

Rev Esp Salud Publica. 2006 Jul-Aug;80(4):349-60. doi: 10.1590/s1135-57272006000400005.

Abstract

BACKGROUND

In order to move to a system in which formal medical-social care is a priority, in which the institutions play a greater role, it is advisable to analyze the different actual situations of those individuals who are dependent. The objective of this study consists of classifying the dependent Spanish population into different groups, each of their own distinguishing characteristics.

METHODS

The data from the Disabilities, Deficiencies and Health Status Survey (Spanish National Institute of Statistics, 1999) related to the non-institionalized population over 6 years of age. Groups are configured using multivariate analysis techniques in terms of the age, sex, daily living activity-related disabilities, the severity thereof and the number of hours of care per week.

RESULTS

Nine statistically heterogeneous profiles were obtained. In the first three, with 341,262 individuals (24.5% of the total dependent population), the individuals in question were under 60 years of age. With the exception of one group, females were predominant (61% males), falling within the 13-36 age range. In the group least affected by lack of self-sufficiency (136,240 individuals), solely 26% of those comprising this group had problems getting around (maximum degree of severity in 7%), regarding care, 25% (maximum degree of severity in 10%) and only 32% need more than 15 hours of care per week. Most thereof (74%) are females within the 82-90 age range.

CONCLUSIONS

The dependent Spanish population is revealed to be in different situations related to different categories in terms of age, sex, number and severity of the daily living activities affected. The different assessments of the severity related to said categories, employing both the Spanish National Institute of Statistics maximum severity criterion as well as another alternative criterion which implements the degree of severity of all of the daily living activities, not only the maximum, confirm the nine groups found to be different from one another.

摘要

背景

为了转向一个将正规医疗 - 社会护理作为优先事项、机构发挥更大作用的体系,分析那些需要照料者的不同实际情况是可取的。本研究的目的是将西班牙需要照料的人群分为不同的组,每组都有其独特的特征。

方法

数据来自《残疾、缺陷与健康状况调查》(西班牙国家统计局,1999年),涉及6岁以上非机构化人群。根据年龄、性别、与日常生活活动相关的残疾情况、残疾严重程度以及每周护理时长,使用多变量分析技术构建分组。

结果

获得了9个在统计学上具有异质性的概况。在前三个组中,有341,262人(占需要照料总人口的24.5%),这些人年龄在60岁以下。除了一个组,女性占主导(男性占61%),年龄范围在13 - 36岁。在受自给自足能力缺乏影响最小的组(136,240人)中,该组仅有26%的人行动不便(严重程度最高为7%),在护理方面,25%(严重程度最高为10%),只有32%的人每周需要超过15小时的护理。其中大多数(74%)是82 - 90岁的女性。

结论

西班牙需要照料的人群在年龄、性别、受影响的日常生活活动的数量和严重程度方面呈现出与不同类别相关的不同情况。使用西班牙国家统计局的最大严重程度标准以及另一种采用所有日常生活活动的严重程度而非仅最大严重程度的替代标准,对与这些类别相关的严重程度进行的不同评估,证实了所发现的9个组彼此不同。

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