Prevalence and correlates of disability among older Ugandans: evidence from the Uganda National Household Survey
Identifieur interne : 002407 ( Pmc/Curation ); précédent : 002406; suivant : 002408Prevalence and correlates of disability among older Ugandans: evidence from the Uganda National Household Survey
Auteurs : Stephen O. Wandera ; James Ntozi ; Betty KwagalaSource :
- Global Health Action [ 1654-9716 ] ; 2014.
Abstract
Nationally representative evidence on the burden and determinants of disability among older people in sub-Saharan Africa in general, and Uganda in particular, is limited.
The aim of this study was to estimate the prevalence and investigate the correlates of disability among older people in Uganda.
We conducted secondary analysis of data from a sample of 2,382 older persons from the Uganda National Household Survey. Disability was operationalized as either: 1) having a lot of difficulty on any one question; 2) being unable to perform on any one question; or, 3) having some difficulty with two of the six domains. We used frequency distributions for description, chi-square tests for initial associations, and multivariable logistic regressions to assess the associations.
A third of the older population was disabled. Among all older persons, disability was associated with advancement in age (OR=4.91, 95% CI: 3.38–7.13), rural residence (0.56, 0.37–0.85), living alone (1.56, 1.07–2.27), separated or divorced (1.96, 1.31–2.94) or widowed (1.86, 1.32–2.61) marital status, households’ dependence on remittances (1.48, 1.10–1.98), ill health (2.48, 1.95–3.15), and non-communicable diseases (NCDs) (1.81, 0.80–2.33). Gender was not associated with disability among older persons.
Disability was associated with advancement in age, rural residence, living alone, divorced/separated/widowed marital status, dependence on remittances, ill health, and NCDs. Interventions to improve health and functioning of older people need to focus on addressing social inequalities and on the early preventive interventions and management of NCDs in old age in Uganda.
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DOI: 10.3402/gha.v7.25686
PubMed: 25413721
PubMed Central: 4238972
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prevalence and correlates of disability among older Ugandans: evidence from the Uganda National Household Survey</title><author><name sortKey="Wandera, Stephen O" sort="Wandera, Stephen O" uniqKey="Wandera S" first="Stephen O." last="Wandera">Stephen O. Wandera</name></author><author><name sortKey="Ntozi, James" sort="Ntozi, James" uniqKey="Ntozi J" first="James" last="Ntozi">James Ntozi</name></author><author><name sortKey="Kwagala, Betty" sort="Kwagala, Betty" uniqKey="Kwagala B" first="Betty" last="Kwagala">Betty Kwagala</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25413721</idno><idno type="pmc">4238972</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4238972</idno><idno type="RBID">PMC:4238972</idno><idno type="doi">10.3402/gha.v7.25686</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002408</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002408</idno><idno type="wicri:Area/Pmc/Curation">002407</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002407</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prevalence and correlates of disability among older Ugandans: evidence from the Uganda National Household Survey</title><author><name sortKey="Wandera, Stephen O" sort="Wandera, Stephen O" uniqKey="Wandera S" first="Stephen O." last="Wandera">Stephen O. Wandera</name></author><author><name sortKey="Ntozi, James" sort="Ntozi, James" uniqKey="Ntozi J" first="James" last="Ntozi">James Ntozi</name></author><author><name sortKey="Kwagala, Betty" sort="Kwagala, Betty" uniqKey="Kwagala B" first="Betty" last="Kwagala">Betty Kwagala</name></author></analytic><series><title level="j">Global Health Action</title><idno type="ISSN">1654-9716</idno><idno type="eISSN">1654-9880</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title><p>Nationally representative evidence on the burden and determinants of disability among older people in sub-Saharan Africa in general, and Uganda in particular, is limited.</p></sec><sec id="st2"><title>Objective</title><p>The aim of this study was to estimate the prevalence and investigate the correlates of disability among older people in Uganda.</p></sec><sec id="st3"><title>Design</title><p>We conducted secondary analysis of data from a sample of 2,382 older persons from the Uganda National Household Survey. Disability was operationalized as either: 1) having a lot of difficulty on any one question; 2) being unable to perform on any one question; or, 3) having some difficulty with two of the six domains. We used frequency distributions for description, chi-square tests for initial associations, and multivariable logistic regressions to assess the associations.</p></sec><sec id="st4"><title>Results</title><p>A third of the older population was disabled. Among all older persons, disability was associated with advancement in age (OR=4.91, 95% CI: 3.38–7.13), rural residence (0.56, 0.37–0.85), living alone (1.56, 1.07–2.27), separated or divorced (1.96, 1.31–2.94) or widowed (1.86, 1.32–2.61) marital status, households’ dependence on remittances (1.48, 1.10–1.98), ill health (2.48, 1.95–3.15), and non-communicable diseases (NCDs) (1.81, 0.80–2.33). Gender was not associated with disability among older persons.</p></sec><sec id="st5"><title>Conclusions</title><p>Disability was associated with advancement in age, rural residence, living alone, divorced/separated/widowed marital status, dependence on remittances, ill health, and NCDs. Interventions to improve health and functioning of older people need to focus on addressing social inequalities and on the early preventive interventions and management of NCDs in old age in Uganda.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Melzer, D" uniqKey="Melzer D">D Melzer</name></author><author><name sortKey="Parahyba, Mi" uniqKey="Parahyba M">MI Parahyba</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sousa, Rm" uniqKey="Sousa R">RM Sousa</name></author><author><name sortKey="Ferri, Cp" uniqKey="Ferri C">CP Ferri</name></author><author><name sortKey="Acosta, D" uniqKey="Acosta D">D Acosta</name></author><author><name sortKey="Albanese, E" uniqKey="Albanese E">E Albanese</name></author><author><name sortKey="Guerra, M" uniqKey="Guerra M">M Guerra</name></author><author><name sortKey="Huang, Y" uniqKey="Huang Y">Y 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open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Glob Health Action</journal-id><journal-id journal-id-type="iso-abbrev">Glob Health Action</journal-id><journal-id journal-id-type="publisher-id">GHA</journal-id><journal-title-group><journal-title>Global Health Action</journal-title></journal-title-group><issn pub-type="ppub">1654-9716</issn><issn pub-type="epub">1654-9880</issn><publisher><publisher-name>Co-Action Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25413721</article-id><article-id pub-id-type="pmc">4238972</article-id><article-id pub-id-type="publisher-id">25686</article-id><article-id pub-id-type="doi">10.3402/gha.v7.25686</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Prevalence and correlates of disability among older Ugandans: evidence from the Uganda National Household Survey</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Wandera</surname><given-names>Stephen O.</given-names></name><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Ntozi</surname><given-names>James</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kwagala</surname><given-names>Betty</given-names></name></contrib></contrib-group><aff>Department of Population Studies, School of Statistics and Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda</aff><author-notes><corresp id="cor1"><label>*</label>Correspondence to: Stephen O. Wandera, Department of Population Studies, School of Statistics and Planning, College of Business and Management Sciences, Makerere University, P.O. Box 7062, Kampala, Uganda, Email: <email xlink:href="swandera@gmail.com">swandera@gmail.com</email></corresp><fn><p>Responsible Editor: Nawi Ng, Umeå University, Sweden.</p></fn></author-notes><pub-date pub-type="epub"><day>18</day><month>11</month><year>2014</year></pub-date><pub-date pub-type="collection"><year>2014</year></pub-date><volume>7</volume><elocation-id content-type="doi">10.3402/gha.v7.25686</elocation-id><history><date date-type="received"><day>08</day><month>8</month><year>2014</year></date><date date-type="rev-recd"><day>27</day><month>10</month><year>2014</year></date><date date-type="accepted"><day>27</day><month>10</month><year>2014</year></date></history><permissions><copyright-statement>© 2014 Stephen O. Wandera et al.</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec id="st1"><title>Background</title><p>Nationally representative evidence on the burden and determinants of disability among older people in sub-Saharan Africa in general, and Uganda in particular, is limited.</p></sec><sec id="st2"><title>Objective</title><p>The aim of this study was to estimate the prevalence and investigate the correlates of disability among older people in Uganda.</p></sec><sec id="st3"><title>Design</title><p>We conducted secondary analysis of data from a sample of 2,382 older persons from the Uganda National Household Survey. Disability was operationalized as either: 1) having a lot of difficulty on any one question; 2) being unable to perform on any one question; or, 3) having some difficulty with two of the six domains. We used frequency distributions for description, chi-square tests for initial associations, and multivariable logistic regressions to assess the associations.</p></sec><sec id="st4"><title>Results</title><p>A third of the older population was disabled. Among all older persons, disability was associated with advancement in age (OR=4.91, 95% CI: 3.38–7.13), rural residence (0.56, 0.37–0.85), living alone (1.56, 1.07–2.27), separated or divorced (1.96, 1.31–2.94) or widowed (1.86, 1.32–2.61) marital status, households’ dependence on remittances (1.48, 1.10–1.98), ill health (2.48, 1.95–3.15), and non-communicable diseases (NCDs) (1.81, 0.80–2.33). Gender was not associated with disability among older persons.</p></sec><sec id="st5"><title>Conclusions</title><p>Disability was associated with advancement in age, rural residence, living alone, divorced/separated/widowed marital status, dependence on remittances, ill health, and NCDs. Interventions to improve health and functioning of older people need to focus on addressing social inequalities and on the early preventive interventions and management of NCDs in old age in Uganda.</p></sec></abstract><kwd-group><kwd>disability</kwd><kwd>socio-economic vulnerability</kwd><kwd>older people</kwd><kwd>non-communicable diseases</kwd><kwd>Uganda</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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