Health status and quality of life among older adults in rural Tanzania
Identifieur interne : 002422 ( Pmc/Curation ); précédent : 002421; suivant : 002423Health status and quality of life among older adults in rural Tanzania
Auteurs : Mathew A. Mwanyangala [Tanzanie, Ghana] ; Charles Mayombana [Tanzanie, Ghana] ; Honorathy Urassa [Tanzanie, Ghana] ; Jensen Charles [Tanzanie, Ghana] ; Chrizostom Mahutanga [Tanzanie, Ghana] ; Salim Abdullah [Tanzanie, Ghana] ; Rose Nathan [Tanzanie, Ghana]Source :
- Global Health Action [ 1654-9716 ] ; 2010.
Abstract
Increasingly, human populations throughout the world are living longer and this trend is developing in sub-Saharan Africa. In developing African countries such as Tanzania, this demographic phenomenon is taking place against a background of poverty and poor health conditions. There has been limited research on how this process of ageing impacts upon the health of older people within such low-income settings.
The objective of this study is to describe the impacts of ageing on the health status, quality of life and well-being of older people in a rural population of Tanzania.
A short version of the WHO Survey on Adult Health and Global Ageing questionnaire was used to collect information on the health status, quality of life and well-being of older adults living in Ifakara Health and Demographic Surveillance System, Tanzania, during early 2007. Questionnaires were administered through this framework to 8,206 people aged 50 and over.
Among people aged 50 and over, having good quality of life and health status was significantly associated with being male, married and not being among the oldest old. Functional ability assessment was associated with age, with people reporting more difficulty in performing routine activities as age increased, particularly among women. Reports of good quality of life and well-being decreased with increasing age. Women were significantly more likely to report poor quality of life (odds ratio 1.31;
Older people within this rural Tanzanian setting reported that the ageing process had significant impacts on their health status, quality of life and physical ability. Poor quality of life and well-being, and poor health status in older people were significantly associated with marital status, sex, age and level of education. The process of ageing in this setting is challenging and raises public health concerns.
Url:
DOI: 10.3402/gha.v3i0.2142
PubMed: 20975983
PubMed Central: 2958089
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Mwanyangala</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Ifakara Site Health Institute, Ifakara, Morogoro, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Site Health Institute, Ifakara, Morogoro</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">INDEPTH Network, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>INDEPTH Network, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Mayombana, Charles" sort="Mayombana, Charles" uniqKey="Mayombana C" first="Charles" last="Mayombana">Charles Mayombana</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Ifakara Site Health Institute, Ifakara, Morogoro, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Site Health Institute, Ifakara, Morogoro</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">INDEPTH Network, Accra, Ghana</nlm:aff><country 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Jensen" sort="Charles, Jensen" uniqKey="Charles J" first="Jensen" last="Charles">Jensen Charles</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Ifakara Site Health Institute, Ifakara, Morogoro, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Site Health Institute, Ifakara, Morogoro</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">INDEPTH Network, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>INDEPTH Network, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Mahutanga, Chrizostom" sort="Mahutanga, Chrizostom" uniqKey="Mahutanga C" first="Chrizostom" last="Mahutanga">Chrizostom Mahutanga</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Ifakara Site Health Institute, Ifakara, Morogoro, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Site Health Institute, Ifakara, Morogoro</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">INDEPTH Network, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>INDEPTH Network, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Abdullah, Salim" sort="Abdullah, Salim" uniqKey="Abdullah S" first="Salim" last="Abdullah">Salim Abdullah</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Ifakara Site Health Institute, Ifakara, Morogoro, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Site Health Institute, Ifakara, Morogoro</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">INDEPTH Network, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>INDEPTH Network, Accra</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0003">Mikocheni office, Ifakara Health Institute, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Mikocheni office, Ifakara Health Institute</wicri:regionArea></affiliation></author><author><name sortKey="Nathan, Rose" sort="Nathan, Rose" uniqKey="Nathan R" first="Rose" last="Nathan">Rose Nathan</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Ifakara Site Health Institute, Ifakara, Morogoro, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ifakara Site Health Institute, Ifakara, Morogoro</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">INDEPTH Network, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>INDEPTH Network, Accra</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0003">Mikocheni office, Ifakara Health Institute, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Mikocheni office, Ifakara Health Institute</wicri:regionArea></affiliation></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="2010">2010</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>Increasingly, human populations throughout the world are living longer and this trend is developing in sub-Saharan Africa. In developing African countries such as Tanzania, this demographic phenomenon is taking place against a background of poverty and poor health conditions. There has been limited research on how this process of ageing impacts upon the health of older people within such low-income settings.</p></sec><sec id="st2"><title>Objective</title><p>The objective of this study is to describe the impacts of ageing on the health status, quality of life and well-being of older people in a rural population of Tanzania.</p></sec><sec id="st3"><title>Design</title><p> A short version of the WHO Survey on Adult Health and Global Ageing questionnaire was used to collect information on the health status, quality of life and well-being of older adults living in Ifakara Health and Demographic Surveillance System, Tanzania, during early 2007. Questionnaires were administered through this framework to 8,206 people aged 50 and over.</p></sec><sec id="st4"><title>Results</title><p>Among people aged 50 and over, having good quality of life and health status was significantly associated with being male, married and not being among the oldest old. Functional ability assessment was associated with age, with people reporting more difficulty in performing routine activities as age increased, particularly among women. Reports of good quality of life and well-being decreased with increasing age. Women were significantly more likely to report poor quality of life (odds ratio 1.31; <italic>p</italic><0.001, 95% CI 1.15–1.50).</p></sec><sec id="st5"><title>Conclusions</title><p>Older people within this rural Tanzanian setting reported that the ageing process had significant impacts on their health status, quality of life and physical ability. Poor quality of life and well-being, and poor health status in older people were significantly associated with marital status, sex, age and level of education. The process of ageing in this setting is challenging and raises public health concerns.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mba, Cj" uniqKey="Mba C">CJ Mba</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mbamaonyeukwu, Cj" uniqKey="Mbamaonyeukwu C">CJ Mbamaonyeukwu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mba, C" uniqKey="Mba C">C Mba</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Charton, Ke" uniqKey="Charton K">KE Charton</name></author><author><name sortKey="Rose, D" uniqKey="Rose D">D Rose</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kimokoti, Rw" uniqKey="Kimokoti R">RW Kimokoti</name></author><author><name sortKey="Hamer, Dh" uniqKey="Hamer D">DH 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<front><journal-meta><journal-id journal-id-type="nlm-ta">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>CoAction Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20975983</article-id><article-id pub-id-type="pmc">2958089</article-id><article-id pub-id-type="publisher-id">GHA-3-2142</article-id><article-id pub-id-type="doi">10.3402/gha.v3i0.2142</article-id><article-categories><subj-group subj-group-type="heading"><subject>Supplement 2, 2010</subject><subj-group><subject>INDEPTH WHO-SAGE Supplement</subject></subj-group></subj-group></article-categories><title-group><article-title>Health status and quality of life among older adults in rural Tanzania</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mwanyangala</surname><given-names>Mathew A.</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0002">2</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Mayombana</surname><given-names>Charles</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0002">2</xref><xref ref-type="aff" rid="AF0003">3</xref></contrib><contrib contrib-type="author"><name><surname>Urassa</surname><given-names>Honorathy</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0002">2</xref></contrib><contrib contrib-type="author"><name><surname>Charles</surname><given-names>Jensen</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0002">2</xref></contrib><contrib contrib-type="author"><name><surname>Mahutanga</surname><given-names>Chrizostom</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0002">2</xref></contrib><contrib contrib-type="author"><name><surname>Abdullah</surname><given-names>Salim</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0002">2</xref><xref ref-type="aff" rid="AF0003">3</xref></contrib><contrib contrib-type="author"><name><surname>Nathan</surname><given-names>Rose</given-names></name><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0002">2</xref><xref ref-type="aff" rid="AF0003">3</xref></contrib></contrib-group><aff id="AF0001"><label>1</label>Ifakara Site Health Institute, Ifakara, Morogoro, Tanzania</aff><aff id="AF0002"><label>2</label>INDEPTH Network, Accra, Ghana</aff><aff id="AF0003"><label>3</label>Mikocheni office, Ifakara Health Institute, Tanzania</aff><author-notes><corresp id="cor1"><label>*</label><bold>Mathew A. Mwanyangala</bold>, Ifakara Site Health Institute, P.O. Box 53, Ifakara, Morogoro, Tanzania. Email: <email xlink:href="malexander@ihi.or.tz">malexander@ihi.or.tz</email></corresp></author-notes><pub-date pub-type="epub"><day>27</day><month>9</month><year>2010</year></pub-date><pub-date pub-type="collection"><year>2010</year></pub-date><volume>3</volume><elocation-id content-type="doi">10.3402/gha.v3i0.2142</elocation-id><history><date date-type="received"><day>20</day><month>11</month><year>2009</year></date><date date-type="rev-recd"><day>29</day><month>3</month><year>2010</year></date><date date-type="accepted"><day>08</day><month>7</month><year>2010</year></date></history><permissions><copyright-statement>© 2010 Mathew A. Mwanyangala et al.</copyright-statement><copyright-year>2010</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial 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>Increasingly, human populations throughout the world are living longer and this trend is developing in sub-Saharan Africa. In developing African countries such as Tanzania, this demographic phenomenon is taking place against a background of poverty and poor health conditions. There has been limited research on how this process of ageing impacts upon the health of older people within such low-income settings.</p></sec><sec id="st2"><title>Objective</title><p>The objective of this study is to describe the impacts of ageing on the health status, quality of life and well-being of older people in a rural population of Tanzania.</p></sec><sec id="st3"><title>Design</title><p> A short version of the WHO Survey on Adult Health and Global Ageing questionnaire was used to collect information on the health status, quality of life and well-being of older adults living in Ifakara Health and Demographic Surveillance System, Tanzania, during early 2007. Questionnaires were administered through this framework to 8,206 people aged 50 and over.</p></sec><sec id="st4"><title>Results</title><p>Among people aged 50 and over, having good quality of life and health status was significantly associated with being male, married and not being among the oldest old. Functional ability assessment was associated with age, with people reporting more difficulty in performing routine activities as age increased, particularly among women. Reports of good quality of life and well-being decreased with increasing age. Women were significantly more likely to report poor quality of life (odds ratio 1.31; <italic>p</italic><0.001, 95% CI 1.15–1.50).</p></sec><sec id="st5"><title>Conclusions</title><p>Older people within this rural Tanzanian setting reported that the ageing process had significant impacts on their health status, quality of life and physical ability. Poor quality of life and well-being, and poor health status in older people were significantly associated with marital status, sex, age and level of education. The process of ageing in this setting is challenging and raises public health concerns.</p></sec></abstract><kwd-group><kwd>health status</kwd><kwd>quality of life</kwd><kwd>older people</kwd><kwd>ageing</kwd><kwd>Health and Demographic Surveillance System</kwd><kwd>INDEPTH WHO-SAGE</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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