Regional differences in the profile of disabled community-dwelling older adults: A European population-based cross-sectional study

• Published in: PloS one 2018-12, Vol.13 (12), p.e0208946-e0208946
• Main Authors: Jerez-Roig, Javier, Bosque-Prous, Marina, Giné-Garriga, Maria, Bagur-Calafat, Caritat, Bezerra de Souza, Dyego L, Teixidó-Compañó, Ester, Espelt, Albert
• Format: Article
• Language: English
• Subjects: Activities of Daily Living; Adults; Aged; Aged, 80 and over; Aging; Analysis; Biology and Life Sciences; Bivariate analysis; Communities; Cross-Sectional Studies; Disability; Disabled persons; Disabled Persons - rehabilitation; Earth Sciences; Education; Europe - epidemiology; Female; Gender; Health aspects; Health sciences; Health Surveys; Humans; Independent Living; Life Style; Male; Medicine and Health Sciences; Methods; Middle Aged; Multivariate analysis; Obesity; Odontology; Older people; People and Places; People with disabilities; Poisson density functions; Population; Population (statistical); Population studies; Population-based studies; Prevalence studies (Epidemiology); Public health; Quality of life; Regional differences; Regional disparities; Regression analysis; Retirement; Sex Factors; Smoking; Social aspects; Social Sciences; Statistical analysis; Statistical tests; Studies; Variance analysis
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0208946

The main objective of this work was to estimate the prevalence of disability in European community-dwelling older adults, as well as to investigate differences in the profile of disabled older adults between European regions (Northern, Central, Eastern and Southern). A cross-sectional study based on wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE) was conducted. Community-dwelling participants aged 65-84 were selected (n = 33,369). Disability was defined as presenting at least one functional limitation in basic activities of daily living (BADL). Sociodemographic, health services, lifestyle and health-related variables were analyzed. Statistical analysis was carried out through the Chi-square and ANOVA tests for bivariate analysis, and Poisson regression for multivariate analysis. Overall prevalence of disability was 13.8%: 9.4% in the Northern region, 13.1% in the Southern region, 13.6% in the Central region, and 16.6% in the Eastern region. Portugal, Poland, Estonia and Belgium showed the highest prevalence of BADL limitations, while Sweden, Denmark, Greece and Switzerland showed the lowest prevalence. Besides, disabled older adults from East Europe presented the most disadvantaged health profile, followed by the Southern region. On the other hand, disabled older adults living in the Northern region showed the most advantaged characteristics of most variables, except for smoking and polypharmacy.