The Profiles of Health Aging in Older Ethiopian Adults within the WHO Healthy Aging Framework

Datos Bibliográficos

ID6437867
AutoresAmare Belachew (0000-0001-6374-1453, Australian National University, autor de correspondencia), Nicolas Cherbuin (0000-0001-6481-0748, Australian National University), Nazgol Bagheri (0000-0003-1097-2797, ACT Government), Richard Burns (Australian National University)
Año2024
Volumen18
Número1
Páginas133-151
Fecha de publicación2024-11-04
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Population Ageing (JOURNAL)
Identificadores de la revistaISSN: 1874-7876 • E-ISSN: 1874-7884
EditorialSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s12062-024-09468-3
OpenAlexW4404025965
IdiomaEN
Referencias citadas58

The World Health Organisation’s (WHO) Healthy Aging framework describes healthy aging as the maintenance of functional capacity in older adults. However, aging is a heterogeneous process influenced by genetics, lifestyle, and environmental factors, leading to variations in experiences of functional capacity among adults. In this study, Latent Class Analysis (LCA) classified groups of individuals based on their health and functional capacities. Adults from Northwest Ethiopia (n = 845) aged ≥ 60 years old, were interviewed about their cognition, mental health, social support, independence, and sensory functioning. LCA identified three groups, reflecting “high-“ (47.5%); "moderate-" (37.3%); and "low-functioning" (15.2%) participants. Compared to low-functioning individuals, high-functioning individuals were less likely to be aged 80+ (RR = 0.61; 95% CI: 0.46, 0.80), lonely (RR = 2.34; 95% CI: 1.72, 3.18), but more likely to report normal nutritional status (RR = 2.05; 95% CI: 1.47, 2.86), no multimorbidity (RR = 1.18; 95% CI: 1.06, 1.32), living in an urban area (RR = 1.12; 95% CI: 1.03, 1.22), and financially independent (RR = 1.24; 95% CI: 1.03, 1.49). Notably, almost half of the sample was classified as high functioning, comparable to findings from other developing countries. Those individuals in the high-functioning group who did not meet the WHO criteria for functional capacity across all domains did not differ from those individuals who did meet all the WHO criteria. This positively demonstrates that older adults do not need to be functional across all dimensions to experience healthy aging

Healthy aging · Successful aging · Global Health Care Issues · Health disparities and outcomes · Insurance, Mortality, Demography, Risk Management · Medicine · Psychology · Gerontology