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Time trends in health inequalities due to care in the context of the Spanish Dependency Law

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dc.contributor.author Salvador-Piedrafita, Maria
dc.contributor.author Malmusi, Davide, 1980-
dc.contributor.author Borrell i Thió, Carme
dc.date.accessioned 2018-11-15T07:44:16Z
dc.date.available 2018-11-15T07:44:16Z
dc.date.issued 2017
dc.identifier.citation Salvador-Piedrafita M, Malmusi D, Borrell C. Time trends in health inequalities due to care in the context of the Spanish Dependency Law. Gac Sanit. 2017 Jan-Feb;31(1):11-7. DOI: 10.1016/j.gaceta.2016.06.006
dc.identifier.issn 0213-9111
dc.identifier.uri http://hdl.handle.net/10230/35755
dc.description.abstract OBJECTIVE: In Spain, responsibility for care of old people and those in situations of dependency is assumed by families, and has an unequal social distribution according to gender and socioeconomic level. This responsibility has negative health effects on the carer. In 2006, the Dependency Law recognised the obligation of the State to provide support. This study analyses time trends in health inequalities attributable to caregiving under this new law. METHODS: Study of trends using two cross-sectional samples from the 2006 and 2012 editions of the Spanish National Health Survey (27,922 and 19,995 people, respectively). We compared fair/poor self-rated health, poor mental health (GHQ-12 >2), back pain, and the use of psychotropic drugs between non-carers, carers sharing care with other persons, and those providing care alone. We obtain prevalence ratios by fitting robust Poisson regression models. RESULTS: We observed no change in the social profile of carers according to gender or social class. Among women, the difference in all health indicators between carers and non-carers tended to decrease among those sharing care but not among lone carers. Inequalities tend to decrease slightly in both groups of men carers. CONCLUSIONS: Between 2006 and 2012, trends in health inequalities attributable to informal care show different trends according to gender and share of responsibility. It is necessary to redesign and implement policies to reduce inequalities that take into account the most affected groups, such as women lone carers. Policies that strengthen the fair social distribution of care should also be adopted.
dc.description.sponsorship This research was partially supported by the European Community’s Seventh Framework Programme (FP7/2007-2013 , grant agreement number 278173) : Evaluating the impact of structural policies on health inequalities and their social determinants and fostering change (Sophie) project
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof Gaceta Sanitaria. 2017 Jan-Feb;31(1):11-7
dc.rights ©2016 SESPAS. Published by Elsevier España,S.L.U.This is an open access article under the CCBY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.other Dependència -- Dret i legislació
dc.subject.other Desigualtats
dc.title Time trends in health inequalities due to care in the context of the Spanish Dependency Law
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1016/j.gaceta.2016.06.006
dc.subject.keyword Carer
dc.subject.keyword Cuidadores
dc.subject.keyword Desigualdades en salud
dc.subject.keyword Gender
dc.subject.keyword Género
dc.subject.keyword Health inequalities
dc.subject.keyword Mental health
dc.subject.keyword Políticas públicas
dc.subject.keyword Public policy
dc.subject.keyword Salud autopercibida
dc.subject.keyword Salud mental
dc.subject.keyword Self-rated health
dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/278173
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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