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

Author

Listed:
  • Oscar Flores-Flores
  • Ruth Bell
  • Rodney Reynolds
  • Antonio Bernabé-Ortiz

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

Suggested Citation

  • Oscar Flores-Flores & Ruth Bell & Rodney Reynolds & Antonio Bernabé-Ortiz, 2018. "Older adults with disability in extreme poverty in Peru: How is their access to health care?," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-15, December.
    • Handle: RePEc:plo:pone00:0208441
    DOI: 10.1371/journal.pone.0208441
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    References listed on IDEAS

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    2. I-Fen Lin & Hsueh-Sheng Wu, 2011. "Does Informal Care Attenuate the Cycle of ADL/IADL Disability and Depressive Symptoms in Late Life?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(5), pages 585-594.
    3. Qiushi Feng & Zhihong Zhen & Danan Gu & Bei Wu & Pamela W. Duncan & Jama L. Purser, 2013. "Trends in ADL and IADL Disability in Community-Dwelling Older Adults in Shanghai, China, 1998-2008," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 68(3), pages 476-485.
    4. Rafael Novella & Javier Olivera, 2014. "Mental Retirement and Non-Contributory Pensions for the Elderly Poor in Peru," Working Papers 14, Peruvian Economic Association.
    5. Nora Groce & Maria Kett & Raymond Lang & Jean-Francois Trani, 2011. "Disability and Poverty: the need for a more nuanced understanding of implications for development policy and practice," Third World Quarterly, Taylor & Francis Journals, vol. 32(8), pages 1493-1513.
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    1. Georgia Casanova & Mirian Fernández-Salido & Carolina Moreno-Castro, 2023. "The Risk of Household Socioeconomic Deprivation Related to Older Long-Term Care Needs: A Qualitative Exploratory Study in Italy and Spain," Sustainability, MDPI, vol. 15(20), pages 1-15, October.
    2. Sutham Nanthamongkolchai & Athicha Tojeen & Korravarn Yodmai & Wanich Suksatan, 2022. "Factors Influencing Access to Health Services among Chronically Ill Older Adults with Physical Disabilities in the Era of the COVID-19 Outbreak," IJERPH, MDPI, vol. 20(1), pages 1-9, December.

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