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

<h4>Background</h4>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...

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Main Authors: Oscar Flores-Flores, Ruth Bell, Rodney Reynolds, Antonio Bernabé-Ortiz
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0208441
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author Oscar Flores-Flores
Ruth Bell
Rodney Reynolds
Antonio Bernabé-Ortiz
author_facet Oscar Flores-Flores
Ruth Bell
Rodney Reynolds
Antonio Bernabé-Ortiz
author_sort Oscar Flores-Flores
collection DOAJ
description <h4>Background</h4>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.<h4>Objective</h4>This study assesses associations between disability and access to healthcare among Peruvians older individuals living in extreme poverty.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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.
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spelling doaj.art-32623248edef42d583e080c3f9037b012022-12-21T23:10:38ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-011312e020844110.1371/journal.pone.0208441Older adults with disability in extreme poverty in Peru: How is their access to health care?Oscar Flores-FloresRuth BellRodney ReynoldsAntonio Bernabé-Ortiz<h4>Background</h4>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.<h4>Objective</h4>This study assesses associations between disability and access to healthcare among Peruvians older individuals living in extreme poverty.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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.https://doi.org/10.1371/journal.pone.0208441
spellingShingle Oscar Flores-Flores
Ruth Bell
Rodney Reynolds
Antonio Bernabé-Ortiz
Older adults with disability in extreme poverty in Peru: How is their access to health care?
PLoS ONE
title Older adults with disability in extreme poverty in Peru: How is their access to health care?
title_full Older adults with disability in extreme poverty in Peru: How is their access to health care?
title_fullStr Older adults with disability in extreme poverty in Peru: How is their access to health care?
title_full_unstemmed Older adults with disability in extreme poverty in Peru: How is their access to health care?
title_short Older adults with disability in extreme poverty in Peru: How is their access to health care?
title_sort older adults with disability in extreme poverty in peru how is their access to health care
url https://doi.org/10.1371/journal.pone.0208441
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