Health and ageing in Nairobi’s informal settlements-evidence from the International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH): a cross sectional study
Identifieur interne : 000748 ( Pmc/Curation ); précédent : 000747; suivant : 000749Health and ageing in Nairobi’s informal settlements-evidence from the International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH): a cross sectional study
Auteurs : Boniface Wilunda [Kenya] ; Nawi Ng [Suède] ; Jennifer Stewart Williams [Suède]Source :
- BMC Public Health [ 1471-2458 ] ; 2015.
Abstract
Much of the focus on population ageing has been in high-income counties. Relatively less attention is given to the world’s poorest region, Sub-Saharan Africa (SSA) where children and adolescents still comprise a high proportion of the population. Yet the number of adults aged 60-plus in SSA is already twice that in northern Europe. In addition, SSA is experiencing massive rural to urban migration with consequent expansion of informal urban settlements, or slums, whose health problems are usually unrecognised and not addressed. This study aims to improve understanding of functional health and well-being in older adult slum-dwellers in Nairobi (Kenya).
The study sample comprised men and women, aged 50 years and over, living in Korogocho and Viwandani, Nairobi, Kenya (
Women reported poorer QoL and greater functional difficulties than men in all domains except self-care. In the multivariable logistic regression the odds of poor QoL among respondents with problems or difficulties in relation to affect (OR = 7.0; 95%CI = 3.0-16.0), pain/discomfort (OR = 3.6; 95%CI = 2.3-5.8), cognition (OR = 1.8; 95 %CI = 1.2-2.9) and mobility (OR = 1.8; 95%CI = 1.1-2.8) were statistically significant.
The findings underscore differences in the domains of functional health that encapsulate women and men’s capacities to perform regular activities and the impact of poor functioning on QoL. Investing in the health and QoL of older people in SSA will be crucial in helping the region to realise key development goals and in opening opportunities for improved health outcomes and sustainable economic development.
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DOI: 10.1186/s12889-015-2556-x
PubMed: 26652252
PubMed Central: 4676180
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Health and ageing in Nairobi’s informal settlements-evidence from the International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH): a cross sectional study</title><author><name sortKey="Wilunda, Boniface" sort="Wilunda, Boniface" uniqKey="Wilunda B" first="Boniface" last="Wilunda">Boniface Wilunda</name><affiliation wicri:level="1"><nlm:aff id="Aff1">United Nations Office at Nairobi (UNON), UN Gigiri Office Complex, Block X, P.O Box 30218–00100, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>United Nations Office at Nairobi (UNON), UN Gigiri Office Complex, Block X, P.O Box 30218–00100, Nairobi</wicri:regionArea></affiliation></author><author><name sortKey="Ng, Nawi" sort="Ng, Nawi" uniqKey="Ng N" first="Nawi" last="Ng">Nawi Ng</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Centre for Demographic and Ageing Research, Umeå University, Umeå, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Centre for Demographic and Ageing Research, Umeå University, Umeå</wicri:regionArea></affiliation></author><author><name sortKey="Stewart Williams, Jennifer" sort="Stewart Williams, Jennifer" uniqKey="Stewart Williams J" first="Jennifer" last="Stewart Williams">Jennifer Stewart Williams</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26652252</idno><idno type="pmc">4676180</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676180</idno><idno type="RBID">PMC:4676180</idno><idno type="doi">10.1186/s12889-015-2556-x</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000749</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000749</idno><idno type="wicri:Area/Pmc/Curation">000748</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000748</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Health and ageing in Nairobi’s informal settlements-evidence from the International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH): a cross sectional study</title><author><name sortKey="Wilunda, Boniface" sort="Wilunda, Boniface" uniqKey="Wilunda B" first="Boniface" last="Wilunda">Boniface Wilunda</name><affiliation wicri:level="1"><nlm:aff id="Aff1">United Nations Office at Nairobi (UNON), UN Gigiri Office Complex, Block X, P.O Box 30218–00100, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>United Nations Office at Nairobi (UNON), UN Gigiri Office Complex, Block X, P.O Box 30218–00100, Nairobi</wicri:regionArea></affiliation></author><author><name sortKey="Ng, Nawi" sort="Ng, Nawi" uniqKey="Ng N" first="Nawi" last="Ng">Nawi Ng</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Centre for Demographic and Ageing Research, Umeå University, Umeå, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Centre for Demographic and Ageing Research, Umeå University, Umeå</wicri:regionArea></affiliation></author><author><name sortKey="Stewart Williams, Jennifer" sort="Stewart Williams, Jennifer" uniqKey="Stewart Williams J" first="Jennifer" last="Stewart Williams">Jennifer Stewart Williams</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Much of the focus on population ageing has been in high-income counties. Relatively less attention is given to the world’s poorest region, Sub-Saharan Africa (SSA) where children and adolescents still comprise a high proportion of the population. Yet the number of adults aged 60-plus in SSA is already twice that in northern Europe. In addition, SSA is experiencing massive rural to urban migration with consequent expansion of informal urban settlements, or slums, whose health problems are usually unrecognised and not addressed. This study aims to improve understanding of functional health and well-being in older adult slum-dwellers in Nairobi (Kenya).</p></sec><sec><title>Methods</title><p>The study sample comprised men and women, aged 50 years and over, living in Korogocho and Viwandani, Nairobi, Kenya (<italic>n</italic> = 1,878). Data from the International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH) and the WHO Study on global AGEing and adult health (SAGE Wave 1) were analysed. The prevalence of poor self-reported quality of life (QoL) and difficulties in domain-specific function is estimated by age and sex. Logistic regression investigates associations between difficulties in the domains of function and poor QoL, adjusting for age, sex and socio-demographic factors. Statistical significance is set at P<0.05.</p></sec><sec><title>Results</title><p>Women reported poorer QoL and greater functional difficulties than men in all domains except self-care. In the multivariable logistic regression the odds of poor QoL among respondents with problems or difficulties in relation to affect (OR = 7.0; 95%CI = 3.0-16.0), pain/discomfort (OR = 3.6; 95%CI = 2.3-5.8), cognition (OR = 1.8; 95 %CI = 1.2-2.9) and mobility (OR = 1.8; 95%CI = 1.1-2.8) were statistically significant.</p></sec><sec><title>Conclusions</title><p>The findings underscore differences in the domains of functional health that encapsulate women and men’s capacities to perform regular activities and the impact of poor functioning on QoL. Investing in the health and QoL of older people in SSA will be crucial in helping the region to realise key development goals and in opening opportunities for improved health outcomes and sustainable economic development.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Aboderin, Iag" uniqKey="Aboderin I">IAG Aboderin</name></author><author><name sortKey="Beard, J" uniqKey="Beard J">J Beard</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kyobutungi, C" uniqKey="Kyobutungi C">C Kyobutungi</name></author><author><name sortKey="Kasiira Ziraba, A" uniqKey="Kasiira Ziraba A">A Kasiira Ziraba</name></author><author><name sortKey="Ezeh, A" uniqKey="Ezeh A">A Ezeh</name></author><author><name sortKey="Ye, Y" uniqKey="Ye Y">Y 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26652252</article-id><article-id pub-id-type="pmc">4676180</article-id><article-id pub-id-type="publisher-id">2556</article-id><article-id pub-id-type="doi">10.1186/s12889-015-2556-x</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Health and ageing in Nairobi’s informal settlements-evidence from the International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH): a cross sectional study</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Wilunda</surname><given-names>Boniface</given-names></name><address><email>bwilunda@gmail.com</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Ng</surname><given-names>Nawi</given-names></name><address><email>Nawi.Ng@umu.se</email></address><xref ref-type="aff" rid="Aff2"></xref><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Stewart Williams</surname><given-names>Jennifer</given-names></name><address><email>Jennifer.Stewart.Williams@umu.se</email></address><xref ref-type="aff" rid="Aff2"></xref></contrib><aff id="Aff1"><label></label>United Nations Office at Nairobi (UNON), UN Gigiri Office Complex, Block X, P.O Box 30218–00100, Nairobi, Kenya</aff><aff id="Aff2"><label></label>Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå, Sweden</aff><aff id="Aff3"><label></label>Centre for Demographic and Ageing Research, Umeå University, Umeå, Sweden</aff></contrib-group><pub-date pub-type="epub"><day>11</day><month>12</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>11</day><month>12</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>15</volume><elocation-id>1231</elocation-id><history><date date-type="received"><day>18</day><month>5</month><year>2015</year></date><date date-type="accepted"><day>1</day><month>12</month><year>2015</year></date></history><permissions><copyright-statement>© Wilunda et al. 2015</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Much of the focus on population ageing has been in high-income counties. Relatively less attention is given to the world’s poorest region, Sub-Saharan Africa (SSA) where children and adolescents still comprise a high proportion of the population. Yet the number of adults aged 60-plus in SSA is already twice that in northern Europe. In addition, SSA is experiencing massive rural to urban migration with consequent expansion of informal urban settlements, or slums, whose health problems are usually unrecognised and not addressed. This study aims to improve understanding of functional health and well-being in older adult slum-dwellers in Nairobi (Kenya).</p></sec><sec><title>Methods</title><p>The study sample comprised men and women, aged 50 years and over, living in Korogocho and Viwandani, Nairobi, Kenya (<italic>n</italic> = 1,878). Data from the International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH) and the WHO Study on global AGEing and adult health (SAGE Wave 1) were analysed. The prevalence of poor self-reported quality of life (QoL) and difficulties in domain-specific function is estimated by age and sex. Logistic regression investigates associations between difficulties in the domains of function and poor QoL, adjusting for age, sex and socio-demographic factors. Statistical significance is set at P<0.05.</p></sec><sec><title>Results</title><p>Women reported poorer QoL and greater functional difficulties than men in all domains except self-care. In the multivariable logistic regression the odds of poor QoL among respondents with problems or difficulties in relation to affect (OR = 7.0; 95%CI = 3.0-16.0), pain/discomfort (OR = 3.6; 95%CI = 2.3-5.8), cognition (OR = 1.8; 95 %CI = 1.2-2.9) and mobility (OR = 1.8; 95%CI = 1.1-2.8) were statistically significant.</p></sec><sec><title>Conclusions</title><p>The findings underscore differences in the domains of functional health that encapsulate women and men’s capacities to perform regular activities and the impact of poor functioning on QoL. Investing in the health and QoL of older people in SSA will be crucial in helping the region to realise key development goals and in opening opportunities for improved health outcomes and sustainable economic development.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Functional health</kwd><kwd>Domains of health</kwd><kwd>Quality of life</kwd><kwd>Informal settlements</kwd><kwd>Slums</kwd><kwd>Ageing</kwd><kwd>Aging</kwd><kwd>Nairobi</kwd><kwd>Kenya</kwd><kwd>Africa</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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