DSpace Repository

Older adults with disability in extreme poverty in Peru: How is their access to health care?

Show simple item record

dc.contributor.author Flores-Flores, Oscar
dc.contributor.author Bell, Ruth
dc.contributor.author Reynolds, Rodney
dc.contributor.author Bernabé Ortiz, Antonio
dc.date.accessioned 2019-03-05T15:23:30Z
dc.date.available 2019-03-05T15:23:30Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/5898
dc.description.abstract BACKGROUND: Disability rates increase with age. In 2012, Peruvian older adults (>/= 65 years) represented 9% of the population. Additionally, older population reported disabilities at about 5 times the rate of Peruvians between 36 and 64 years old, and 30% of older population lived in poverty. Peruvian seniors living in extreme poverty experience disabilities and the extent of their access to healthcare is unknown. OBJECTIVE: This study assesses associations between disability and access to healthcare among Peruvians older individuals living in extreme poverty. METHODS: Secondary analysis of a national representative population based survey that utilizes information from Peru's 2012 survey Health and Wellbeing in Older Adults (ESBAM), which includes older adults living in extreme poverty. We define disability in terms of the Activities of Daily Living (ADL disability) framework. Healthcare access was assessed as having any of Peru's available health insurance schemes combined with preventive health services (vision assessment, influenza vaccination, blood pressure assessment, diabetes screening, and cholesterol assessment). Poisson robust regression models were used to evaluate the associations among relevant variables. Prevalence Ratios and 95% confidence intervals (95%CI) were reported. RESULTS: Data from 3869 individuals (65 to 80 years old), of whom 1760 (45.5%) were females, were analyzed. The prevalence of ADL disability was 17.3% (95%CI: 16.0%-18.4%). In addition, more than 60% had never received any of the preventive measures evaluated, except for the blood pressure assessment. In the adjusted model, people with ADL disability had 63% less probability of having extensive insurance, compared to those without disability (p<0.05). CONCLUSIONS: This study shows that this Peruvian older population living in extreme poverty has limited access to healthcare services. Although there was no consistent association between ADL disability and the healthcare access, there is an urgent need to reduce the inequitable access to healthcare of this poor Peruvian older population. en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS ONE
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Disabilities en_US
dc.subject Health insurance en_US
dc.subject Socioeconomic aspects of health en_US
dc.subject Activities of daily living en_US
dc.subject Blood pressure en_US
dc.subject Elderly en_US
dc.subject Rural areas en_US
dc.subject Vaccination and immunizati en_US
dc.title Older adults with disability in extreme poverty in Peru: How is their access to health care? en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0208441
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#5.04.02
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.02
dc.relation.issn 1932-6203


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

info:eu-repo/semantics/restrictedAccess Except where otherwise noted, this item's license is described as info:eu-repo/semantics/restrictedAccess

Search DSpace


Browse

My Account

Statistics