Health, wellbeing, and disability among older people infected or affected by HIV in Uganda and South Africa
| Autor: | Joseph Mugisha, Makandwe Nyirenda, Portia Mutevedzi, Paul Kowal, Marie-Louise Newell, Francien Scholten, Janet Seeley |
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| Přispěvatelé: | US National Institute on Aging’s Division of Behavioral and Social Research, WHO, Wellcome Trust |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
functional ability Activities of daily living Cross-sectional study Population HIV Infections health status RA407-409.5 Disease cluster older people Global Health Epidemiology Demography 03 medical and health sciences South Africa Sex Factors 0302 clinical medicine Uganda subjective wellbeing parasitic diseases Activities of Daily Living medicine Humans Disabled Persons 030212 general & internal medicine Functional ability 10. No inequality education Aged Aged 80 and over education.field_of_study business.industry 030503 health policy & services Health Policy lcsh:Public aspects of medicine 1. No poverty Public Health Environmental and Occupational Health lcsh:RA1-1270 Middle Aged medicine.disease Obesity 3. Good health Socioeconomic Factors Cluster: Improving Health and Living Conditions for Elderly Populations Cohort Female Rural area 0305 other medical science business |
| Zdroj: | Global Health Action, Vol 6, Iss 0, Pp 1-11 (2013) Global Health Action Global Health Action; Vol 6 (2013): incl Supplements |
| ISSN: | 1654-9880 1654-9716 |
| Popis: | Objective: To describe and compare the health status, emotional wellbeing, and functional status of older people in Uganda and South Africa who are HIV infected or affected by HIV in their families. Methods: Data came from the general population cohort and Entebbe cohort of the Medical Research Council/Uganda Virus Research Institute, and from the Africa Centre Demographic Information System through cross-sectional surveys in 2009/10 using instruments adapted from the World Health Organization (WHO) Study on Global Ageing and Adult Health (SAGE). Analysis was based on 932 people aged 50 years or older (510 Uganda, 422 South Africa). Results: Participants in South Africa were slightly younger (median age - 60 years in South Africa, 63 in Uganda), and more were currently married, had no formal education, were not working, and were residing in a rural area. Adjusting for socio-demographic factors, older people in South Africa were significantly less likely to have good functional ability [adjusted odds ratio (aOR) 0.72, 95% CI 0.53-0.98] than those in Uganda, but were more likely to be in good subjective wellbeing (aOR 2.15, 95% CI 1.6-02.90). South Africans were more likely to be obese (aOR 5.26, 95% CI 3.46-8.00) or to be diagnosed with hypertension (aOR 2.77, 95% CI 2.06-3.73). Discussion and conclusions: While older people’s health problems are similar in the two countries, marked socio-demographic differences influence the extent to which older people are affected by poorer health. It is therefore imperative when designing policies to improve the health and wellbeing of older people in sub-Saharan Africa that the region is not treated as a homogenous entity. Keywords: South Africa; Uganda; older people; health status; functional ability; subjective wellbeing (Published: 23 January 2013) Citation: Glob Health Action 2013, 6 : 19201 - http://dx.doi.org/10.3402/gha.v6i0.19201 This paper is part of the thematic cluster Improving health and living conditions for elderly populations - more papers from this cluster can be found here . |
| Databáze: | OpenAIRE |
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