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Changes in Disability, Severe Disability, and Dependence in Spain (1986-2020)
Javier Casillas-Clot1, Andreu Nolasco1, Pamela Pereyra-Zamora1
1Research Unit for the Analysis of Mortality and Health Statistics, Department of Community Nursing, Preventive Medicine, Public Health, and History of Science, University of Alicante, Alicante, Spain.
Spain saw reduced mild disability but increased severe disability and dependence, especially in older adults. Women live longer but with more years of disability, posing challenges for long-term care planning.
Area of Science:
- Gerontology
- Public Health
- Epidemiology
Background:
- Understanding trends in disability and dependence is crucial for effective long-term care planning in aging populations.
- Spain has undergone significant demographic shifts, necessitating an analysis of disability trends over time.
Purpose of the Study:
- To examine changes in disability, severe disability, and dependence in Spain from 1986 to 2020.
- To assess the implications of these trends for long-term care planning.
Main Methods:
- Analysis of microdata from four national disability surveys (1986, 1999, 2008, 2020).
- Application of the Sullivan method to estimate life expectancy free of disability, severe disability, and dependence.
- Stratification of estimates by sex and age groups (6, 45, 65, 85 years).
Main Results:
- Disability-free life expectancy increased for both sexes, with men showing slightly greater gains.
- Years lived with severe disability and dependence have risen, particularly among older adults.
- Women live longer but experience more years with disability and dependence compared to men, indicating a partial compression of morbidity.
Conclusions:
- Spain exhibits a relative compression of disability, but with an increasing burden of severe disability and dependence in older age.
- These trends present challenges for care systems, especially in societies relying on informal caregiving.
- Findings support policy reforms for resilient and equitable long-term care models.
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