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Diversity in the Factors Associated with ADL-Related Disability among Older People in Six Middle-Income Countries

A Cross-Country Comparison

Bibliographic Data

ID15508802
AuthorsSepti Kurnia Lestari (0000-0003-2665-1736, Umeå University, corresponding author), Nawi Ng (0000-0003-0556-1483, Umeå University), Paul Kowal (0000-0002-6314-8753, Vantage Health Solutions (Myanmar)), Ailiana Santosa (0000-0002-1848-2867, Umeå University)
Year2019
Volume16
Issue8
Pages1341-1341
Publication date2019-04-14
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16081341
PMID31013975
OpenAlexW2937292626
LanguageEN
Citations received15
References cited43

The low- and middle-income countries (LMICs) are experiencing rapid population ageing, yet knowledge about disability among older populations in these countries is scarce. This study aims to identify the prevalence and factors associated with disability among people aged 50 years and over in six LMICs. Cross-sectional data from the World Health Organization (WHO) Study on global AGEing and adult health Wave 1 (2007-2010) in China, Ghana, India, Mexico, the Russian Federation, and South Africa was used. Multivariable logistic regression analyses were undertaken to examine the association between sociodemographic factors, health behaviours, chronic conditions, and activities of daily living (ADL) disability. The prevalence of disability among older adults ranged from 16.2% in China to 55.7% in India. Older age, multimorbidity, and depression were the most common factors related to disability in all six countries. Gender was significant in China (OR = 1.14, 95% CI: 1.01-1.29), Ghana (OR = 1.22, 95% CI: 1.01-1.48) and India (OR = 1.65, 95% CI: 1.37-1.99). Having no access to social capital was significantly associated with ADL disability in China (OR = 2.57, 95% CI: 1.54-4.31) and South Africa (OR = 4.11, 95% CI: 1.79-9.43). Prevalence data is valuable in these six ageing countries, with important evidence on mitigating factors for each. Identifying determinants associated with ADL disability among older people in LMICs can inform how to best implement health prevention programmes considering different country-specific factors

Activities of daily living · China · Cross-sectional study · Depression (economics · Environmental health · Geography · Logistic regression · Population · Psychiatry · Chronic Disease Management Strategies · Demography · Global Health Care Issues · Health disparities and outcomes · Medicine · Gerontology

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Unique citing works15
Citations per year2,5
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 15

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