Social conditions and disability related to the mortality of older people in rural South Africa
Identifieur interne : 002545 ( Pmc/Curation ); précédent : 002544; suivant : 002546Social conditions and disability related to the mortality of older people in rural South Africa
Auteurs : F Xavier G Mez-Olivé [Afrique du Sud] ; Margaret Thorogood [Afrique du Sud, Royaume-Uni] ; Philippe Bocquier [Afrique du Sud, Belgique] ; Paul Mee [Afrique du Sud, Suède] ; Kathleen Kahn [Afrique du Sud, Suède] ; Lisa Berkman [États-Unis] ; Stephen Tollman [Afrique du Sud, Suède]Source :
- International Journal of Epidemiology [ 0300-5771 ] ; 2014.
Abstract
Url:
DOI: 10.1093/ije/dyu093
PubMed: 24836326
PubMed Central: 4190514
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Social conditions and disability related to the mortality of older people in rural South Africa</title>
<author><name sortKey="G Mez Olive, F Xavier" sort="G Mez Olive, F Xavier" uniqKey="G Mez Olive F" first="F Xavier" last="G Mez-Olivé">F Xavier G Mez-Olivé</name>
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<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>School of Public Health, University of the Witwatersrand, Johannesburg</wicri:regionArea>
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<affiliation><nlm:aff id="dyu093-AFF1">INDEPTH Network (<ext-link ext-link-type="uri" xlink:href="http://www.indepth-network.org">www.indepth-network.org</ext-link>
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<author><name sortKey="Thorogood, Margaret" sort="Thorogood, Margaret" uniqKey="Thorogood M" first="Margaret" last="Thorogood">Margaret Thorogood</name>
<affiliation wicri:level="1"><nlm:aff id="dyu093-AFF1">School of Public Health, University of the Witwatersrand, Johannesburg, South Africa,</nlm:aff>
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<author><name sortKey="Bocquier, Philippe" sort="Bocquier, Philippe" uniqKey="Bocquier P" first="Philippe" last="Bocquier">Philippe Bocquier</name>
<affiliation wicri:level="1"><nlm:aff id="dyu093-AFF1">School of Public Health, University of the Witwatersrand, Johannesburg, South Africa,</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>School of Public Health, University of the Witwatersrand, Johannesburg</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="dyu093-AFF1">Centre de recherche en démographie et sociétés, Université Catholique de Louvain, Louvain-La-Neuve, Belgium,</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Centre de recherche en démographie et sociétés, Université Catholique de Louvain, Louvain-La-Neuve</wicri:regionArea>
</affiliation>
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<author><name sortKey="Mee, Paul" sort="Mee, Paul" uniqKey="Mee P" first="Paul" last="Mee">Paul Mee</name>
<affiliation wicri:level="1"><nlm:aff id="dyu093-AFF1">School of Public Health, University of the Witwatersrand, Johannesburg, South Africa,</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
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</affiliation>
<affiliation wicri:level="1"><nlm:aff id="dyu093-AFF1">Centre for Global Health Research, Epidemiology and Global Health, Umeå University, Umeå, Sweden,</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Centre for Global Health Research, Epidemiology and Global Health, Umeå University, Umeå</wicri:regionArea>
</affiliation>
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<author><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name>
<affiliation wicri:level="1"><nlm:aff id="dyu093-AFF1">School of Public Health, University of the Witwatersrand, Johannesburg, South Africa,</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>School of Public Health, University of the Witwatersrand, Johannesburg</wicri:regionArea>
</affiliation>
<affiliation><nlm:aff id="dyu093-AFF1">INDEPTH Network (<ext-link ext-link-type="uri" xlink:href="http://www.indepth-network.org">www.indepth-network.org</ext-link>
),</nlm:aff>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="dyu093-AFF1">Centre for Global Health Research, Epidemiology and Global Health, Umeå University, Umeå, Sweden,</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Centre for Global Health Research, Epidemiology and Global Health, Umeå University, Umeå</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Berkman, Lisa" sort="Berkman, Lisa" uniqKey="Berkman L" first="Lisa" last="Berkman">Lisa Berkman</name>
<affiliation><nlm:aff wicri:cut=" and" id="dyu093-AFF1">Harvard Centre for Population and Development Studies</nlm:aff>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="dyu093-AFF1">Harvard School of Public Health, Harvard University, Cambridge, MA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard School of Public Health, Harvard University, Cambridge, MA</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Tollman, Stephen" sort="Tollman, Stephen" uniqKey="Tollman S" first="Stephen" last="Tollman">Stephen Tollman</name>
<affiliation wicri:level="1"><nlm:aff id="dyu093-AFF1">School of Public Health, University of the Witwatersrand, Johannesburg, South Africa,</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>School of Public Health, University of the Witwatersrand, Johannesburg</wicri:regionArea>
</affiliation>
<affiliation><nlm:aff id="dyu093-AFF1">INDEPTH Network (<ext-link ext-link-type="uri" xlink:href="http://www.indepth-network.org">www.indepth-network.org</ext-link>
),</nlm:aff>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="dyu093-AFF1">Centre for Global Health Research, Epidemiology and Global Health, Umeå University, Umeå, Sweden,</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Centre for Global Health Research, Epidemiology and Global Health, Umeå University, Umeå</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series><title level="j">International Journal of Epidemiology</title>
<idno type="ISSN">0300-5771</idno>
<idno type="eISSN">1464-3685</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><p><bold>Background:</bold>
South Africa is experiencing a health and social transition including an ageing population and an HIV epidemic. We report mortality experience of an older rural South African population.</p>
<p><bold>Methods:</bold>
Individual survey data and longer-term demographic data were used to describe factors associated with mortality. Individuals aged 50 years and over (<italic>n</italic>
= 4085) answered a health and quality of life questionnaire in 2006 and were followed for 3 years thereafter. Additional vital events and socio-demographic data were extracted from the Agincourt Health and Demographic Surveillance System from 1993 to 2010, to provide longer-term trends in mortality. Cox regression analysis was used to determine factors related to survival.</p>
<p><bold>Results:</bold>
In 10 967 person-years of follow-up between August 2006 and August 2009, 377 deaths occurred. Women had lower mortality {hazard ratio [HR] 0.35 [95% confidence interval (CI) 0.28–0.45]}. Higher mortality was associated with being single [HR 1.48 (95% CI 1.16–1.88)], having lower household assets score [HR 1.79 (95% CI 1.28–2.51)], reporting greater disability [HR 2.40 (95% CI 1.68–3.42)] and poorer quality of life [HR 1.59 (95% CI 1.09–2.31)]. There was higher mortality in those aged under 69 as compared with those 70 to 79 years old. Census data and cause specific regression models confirmed that this was due to deaths from HIV/TB in the younger age group.</p>
<p><bold>Conclusions:</bold>
Mortality due to HIV/TB is increasing in men, and to some extent women, aged over 50. Policy makers and practitioners should consider the needs of this growing and often overlooked group.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Epidemiol</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Epidemiol</journal-id>
<journal-id journal-id-type="publisher-id">ije</journal-id>
<journal-id journal-id-type="hwp">intjepid</journal-id>
<journal-title-group><journal-title>International Journal of Epidemiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0300-5771</issn>
<issn pub-type="epub">1464-3685</issn>
<publisher><publisher-name>Oxford University Press</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24836326</article-id>
<article-id pub-id-type="pmc">4190514</article-id>
<article-id pub-id-type="doi">10.1093/ije/dyu093</article-id>
<article-id pub-id-type="publisher-id">dyu093</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Social Epidemiology</subject>
</subj-group>
</article-categories>
<title-group><article-title>Social conditions and disability related to the mortality of older people in rural South Africa</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Gómez-Olivé</surname>
<given-names>F Xavier</given-names>
</name>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>2</sup>
</xref>
<xref ref-type="corresp" rid="dyu093-COR1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Thorogood</surname>
<given-names>Margaret</given-names>
</name>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>2</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bocquier</surname>
<given-names>Philippe</given-names>
</name>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mee</surname>
<given-names>Paul</given-names>
</name>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>2</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kahn</surname>
<given-names>Kathleen</given-names>
</name>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>2</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Berkman</surname>
<given-names>Lisa</given-names>
</name>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>6</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>7</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tollman</surname>
<given-names>Stephen</given-names>
</name>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>2</sup>
</xref>
<xref ref-type="aff" rid="dyu093-AFF1"><sup>5</sup>
</xref>
</contrib>
<aff id="dyu093-AFF1"><sup>1</sup>
School of Public Health, University of the Witwatersrand, Johannesburg, South Africa,<sup>2</sup>
INDEPTH Network (<ext-link ext-link-type="uri" xlink:href="http://www.indepth-network.org">www.indepth-network.org</ext-link>
),<sup>3</sup>
Warwick Medical School, University of Warwick, Coventry, UK,<sup>4</sup>
Centre de recherche en démographie et sociétés, Université Catholique de Louvain, Louvain-La-Neuve, Belgium,<sup>5</sup>
Centre for Global Health Research, Epidemiology and Global Health, Umeå University, Umeå, Sweden,<sup>6</sup>
Harvard Centre for Population and Development Studies and<sup>7</sup>
Harvard School of Public Health, Harvard University, Cambridge, MA, USA</aff>
</contrib-group>
<author-notes><corresp id="dyu093-COR1">Corresponding author. MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 27 St Andrews Road, Parktown 2193, Johannesburg, South Africa. E-mail: <email>F.Gomez-OliveCasas@wits.ac.za</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>15</day>
<month>5</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>15</day>
<month>5</month>
<year>2014</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
. </pmc-comment>
<volume>43</volume>
<issue>5</issue>
<fpage>1531</fpage>
<lpage>1541</lpage>
<history><date date-type="accepted"><day>26</day>
<month>3</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>© The Author 2014; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association</copyright-statement>
<copyright-year>2014</copyright-year>
<license xlink:href="http://creativecommons.org/licenses/by/3.0/" license-type="creative-commons"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>
), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p><bold>Background:</bold>
South Africa is experiencing a health and social transition including an ageing population and an HIV epidemic. We report mortality experience of an older rural South African population.</p>
<p><bold>Methods:</bold>
Individual survey data and longer-term demographic data were used to describe factors associated with mortality. Individuals aged 50 years and over (<italic>n</italic>
= 4085) answered a health and quality of life questionnaire in 2006 and were followed for 3 years thereafter. Additional vital events and socio-demographic data were extracted from the Agincourt Health and Demographic Surveillance System from 1993 to 2010, to provide longer-term trends in mortality. Cox regression analysis was used to determine factors related to survival.</p>
<p><bold>Results:</bold>
In 10 967 person-years of follow-up between August 2006 and August 2009, 377 deaths occurred. Women had lower mortality {hazard ratio [HR] 0.35 [95% confidence interval (CI) 0.28–0.45]}. Higher mortality was associated with being single [HR 1.48 (95% CI 1.16–1.88)], having lower household assets score [HR 1.79 (95% CI 1.28–2.51)], reporting greater disability [HR 2.40 (95% CI 1.68–3.42)] and poorer quality of life [HR 1.59 (95% CI 1.09–2.31)]. There was higher mortality in those aged under 69 as compared with those 70 to 79 years old. Census data and cause specific regression models confirmed that this was due to deaths from HIV/TB in the younger age group.</p>
<p><bold>Conclusions:</bold>
Mortality due to HIV/TB is increasing in men, and to some extent women, aged over 50. Policy makers and practitioners should consider the needs of this growing and often overlooked group.</p>
</abstract>
<kwd-group><kwd>Mortality</kwd>
<kwd>ageing</kwd>
<kwd>HIV</kwd>
<kwd>disability</kwd>
<kwd>quality of life</kwd>
<kwd>South Africa</kwd>
</kwd-group>
<counts><page-count count="11"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>
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