Effects of common mental disorders and physical conditions on role functioning in Spain

被引:7
作者
Barbaglia, Gabriela [1 ,2 ,3 ]
Duran, Nuria [1 ,3 ]
Vilagut, Gemma [1 ,2 ,3 ]
Garcia Forero, Carlos [1 ,3 ]
Maria Haro, Josep [4 ,5 ]
Alonso, Jordi [1 ,2 ,3 ]
机构
[1] IMIM Inst Hosp Mar Invest Med, Hlth Serv Res Unit, Barcelona, Spain
[2] UPF, Barcelona, Spain
[3] CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
[4] Fundacio St Joan de Deu, St Joan de Deu Serveis Salut Mental, Barcelona, Spain
[5] CIBER Salud Mental CIBERSAM, Madrid, Spain
关键词
Burden of disease; Mental disorders; Physical conditions; Role functioning; Common health conditions; WORLD-HEALTH-ORGANIZATION; DISABILITY; PERFORMANCE; DEPRESSION; BURDEN; PRESENTEEISM; INFORMATION; IMPACTS; DISEASE; POLICY;
D O I
10.1016/j.gaceta.2013.03.006
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: To examine the effects of common mental disorders and physical conditions on role functioning in Spain. Methods: Cross-sectional study of the general adult population of Spain (n = 2,121). Non-psychotic mental disorders were assessed with the Composite International Diagnostic Interview (CIDI 3.0) and physical conditions with a checklist. The role functioning dimension of the WHO-Disability Assessment Schedule (WHODAS) was used to asses the number of days in the past month in which respondents were fully or partially limited to perform daily activities. Generalized linear models were used to estimate individual-level associations of specific conditions and role functioning, controlling for co-morbidity. Societal level estimates were calculated using population attributable risk proportions (PARP). Results: Mental disorders and physical conditions showed similar number of days with full role limitation (about 20 days per year); in contrast mental disorders were responsible for twice as many days with partial role limitation than physical conditions (42 vs 21 days, respectively). If the population were entirely unexposed to mental and physical conditions, days with full limitation would be reduced by 73% and days with partial limitation by 41%. Conclusions: Common health conditions in Spain are associated with considerably more days with role limitation than other Western countries. There is need of mainstreaming disability in the Spanish public health agenda in order to reduce role limitation among individuals with common conditions. (C) 2013 SESPAS. Published by Elsevier Espafia, S.L. All rights reserved.
引用
收藏
页码:480 / 486
页数:7
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