Resumen

BAYARRE VEA, Héctor D et al. Prevalence of physical disability in elders from selected provinces, Cuba 2000-2004. Rev Cubana Salud Pública [online]. 2008, vol.34, n.2. ISSN 0864-3466.

Introduction Physical disability is one of the most important problems that the Cuban scientific community faces. Objective To estimate the prevalence of physical disability in elders from the City of Havana, Las Tunas, Gramma, Holguín and Camagüey provinces from 2000 to 2004. Methods A descriptive study of complex samples of randomly selected elders from each of the above provinces was conducted. Lawton index and Minimal Mental Status Examination were applied. Global and specific physical disability prevalence rates were estimated. Results Physical disability ranged from 13.9 % (Holguín province) to 36.6 % (Gramma province). It increased with the age, from 4.5 % in 60-69 age group dwelling in Holguín to 83 % in 80 years and over group in Las Tunas and it was predominant in females in the five provinces, with rates of 40 %, except for Holguín. Elders in this last province were less disabled than those of the other provinces in all the activities except for housekeeping in which older people from Las Tunas were more capable (10.9 %). Use of telephone was the most preserved ability in elders regardless of the province whereas the responsibility for taking their medicines showed similar values. Conclusions Physical disability is common in the researched older population except for that of Holguín province; it increases with the age, is predominant in females and derives from loss of mobility activities. The most affected psychosocial variables are illiteracy and lack of active social role. Feelings of idleness and dissatisfaction with daily life activities predominated in the elderly from Holguín; the former was also present in Las Tunas province and the latter in Camagüey province. Additionally, the feeling of loneliness also prevailed in the City of Havana and Gramma provinces

Palabras clave : Older people; physical disability; prevalence; provinces; Cuba.