Health and social status of an elderly urban population in Sri Lanka

Nugegoda, D.B.; Balasuriya, S.

doi:10.1016/0277-9536(94)00144-i

Cited by 21 publications

(28 citation statements)

References 5 publications

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“…Disability prevalence rates in Malaysia appear comparable to rates in other developing countries: For example, among people aged 65 and older, the prevalence of 5 item ADL disability in Sri Lanka was 10% (17% when age standardised) which is almost identical to the 16% prevalence in our study [18]. Among people aged 60 years and over the prevalence of 5 item ADL disability was 11% in our study, similar to 12% in India (10% when age standardized) [15], and 8% in Shanghai, China[19].…”

Section: Discussionsupporting

confidence: 83%

Prevalence and correlates of physical disability and functional limitation among community dwelling older people in rural Malaysia, a middle income country

et al. 2010

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BackgroundThe prevalence and correlates of physical disability and functional limitation among older people have been studied in many developed countries but not in a middle income country such as Malaysia. The present study investigated the epidemiology of physical disability and functional limitation among older people in Malaysia and compares findings to other countries.MethodsA population-based cross sectional study was conducted in Alor Gajah, Malacca. Seven hundred and sixty five older people aged 60 years and above underwent tests of functional limitation (Tinetti Performance Oriented Mobility Assessment Tool). Data were also collected for self reported activities of daily living (ADL) using the Barthel Index (ten items). To compare prevalence with other studies, ADL disability was also defined using six basic ADL's (eating, bathing, dressing, transferring, toileting and walking) and five basic ADL's (eating, bathing, dressing, transferring and toileting).ResultsTen, six and five basic ADL disability was reported by 24.7% (95% CI 21.6-27.9), 14.4% (95% CI 11.9-17.2) and 10.6% (95% CI 8.5-13.1), respectively. Functional limitation was found in 19.5% (95% CI 16.8-22.5) of participants. Variables independently associated with 10 item ADL disability physical disability, were advanced age (≥ 75 years: prevalence ratio (PR) 7.9; 95% CI 4.8-12.9), presence of diabetes (PR 1.8; 95% CI 1.4-2.3), stroke (PR 1.5; 95% CI 1.1-2.2), depressive symptomology (PR 1.3; 95% CI 1.1-1.8) and visual impairment (blind: PR 2.0; 95% CI 1.1-3.6). Advancing age (≥ 75 years: PR 3.0; 95% CI 1.7-5.2) being female (PR 2.7; 95% CI 1.2-6.1), presence of arthritis (PR 1.6; 95% CI 1.2-2.1) and depressive symptomology (PR 2.0; 95% CI 1.5-2.7) were significantly associated with functional limitation.ConclusionsThe prevalence of physical disability and functional limitation among older Malaysians appears to be much higher than in developed countries but is comparable to developing countries. Associations with socio-demographic and other health related variables were consistent with other studies.

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Section: Discussionsupporting

confidence: 83%

Prevalence and correlates of physical disability and functional limitation among community dwelling older people in rural Malaysia, a middle income country

et al. 2010

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“…Disability prevalence rates in this study appear comparable to rates in other developing countries; for example, among people aged 65 and older, the prevalence of 5 items ADL disability in Malaysia [28] was 16% (14.8% when age standardized) and 10% in Srilanka [32], (14.4% when age standardized). The prevalence of disability among people aged 60 years and above was 12.1%.…”

Section: Discussionsupporting

confidence: 75%

Prevalence and Correlates of Physical Disability and Functional Limitation among Elderly Rural Population in Nigeria

Abdulraheem

Oladipo

Amodu

2011

Journal of Aging Research

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Background. The number of people surviving into old age is increasing, and it has now become a global phenomenon. Studies on the prevalence and correlates of physical disability and functional limitation among elderly Nigerians are scanty. Methodology. This is a community-based cross-sectional study conducted in 3 local government areas (LGAs) in Nigeria, using a multistage sampling technique. Functional limitations of 1824 elderly persons were tested using Tinetti performance-oriented mobility assessment tool (TPOMAT) and self-reported activities of daily living (ADL). ADL disability of ten, six, and five basic items were compared. Results. The prevalence ratios (PRs) of physical disability using the ten, six, and five basic ADL items were 28.3 (95% CI 25.2–31. 5), 15.7 (95% CI 13.4–19.8), and 12.1 (95% CI 9.8–15.3), respectively, while functional limitation was 22.5 (95% CI 18.1–24.4). Increased risk of disability was independently associated with female gender PR 3.6 (95% CI 1.5–7.4), advanced age ≥75 years; PR 22.2 (95% CI 14.5, 36.8), arthritis PR 3.7 (95% CI 2.6–4.6), stroke PR 4.8 (95% CI 3.7–7.9) and diabetes PR 6.1 (95% CI 4.3–7.1). Conclusions. The findings from this study are pointers to unmet needs of the elderly disabled Nigerians.

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“…They observed that unmet health needs were more pronounced among the 33.1% of the elderly in India who were reported to have lost their spouses. This finding is also similar to another study of Moner Alam et al (7) and is in contrast to the several studies from western countries (8,9). The prevalence of unmet needs in disabilities were found to be at much lower than our study.…”

Section: Discussioncontrasting

confidence: 56%

Prevalence and Predictors of Unmet Needs among the Elderly Residents of the rural Field Practice Area of a Tertiary Care Centre from Northern India

Singh

Bairwa

Goel

et al. 2016

MJMS

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To cite this article: Singh A, Bairwa M, Goel S, Bypareddy R, Mithra P. Practical area of tertiary care centre from Northern India. Abstract Background: Surrogate markers simple enough to be used by primary care workers have not been closely investigated by the community experts in rural Uttar Pradesh. We assessed the physical disabilities in activities of daily living (ADL) and unmet need in physical disabilities among rural elderly. Predictors of unmet needs in physical disabilities among the elderly were also identified.Methods: A community based cross-sectional study was conducted among elderly residents of the rural field practice area of a tertiary care centre in rural Uttar Pradesh. Three hundred and thirty five (335) participants aged 60 years and above from 9 villages were selected using the Probability Proportional to Size (PPS) sampling technique. Study tools were the proforma regarding socio-demographic details, socio-economic status and Stanford Health Assessment Questionnaire. Multivariate logistic regression analysis was performed to identify predictors of unmet needs.Results: 185 (55.2%) had physical disability in one or more activity limitation. Gender wise elderly females had more physical disability in one or more ADL categories than elderly males (66.8% vs. 42.0%). Almost one third (32.5%) of subjects had unmet need for one or more physical disabilities. the predictors of unmet needs that were identified in the study were female gender (P = 0.046), elderly aged 70 years and above (P = 0.032), those living alone (P = 0.035), low monthly family income (P = 0.044), financially fully dependent elderly (P = 0.0002), and those having 3 or more physical disabilities (P = 0.033).Conclusions: The findings of the study highlight that large number of needs of the disabled are still unmet. Greater, targeted efforts are needed to identify at-risk elderly people living in the community. These predictors would act as surrogate markers and can be easily used by primary care workers to plan and provide services to the elderly people in rural communities.

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Health and social status of an elderly urban population in Sri Lanka

Cited by 21 publications

References 5 publications

Prevalence and correlates of physical disability and functional limitation among community dwelling older people in rural Malaysia, a middle income country

Prevalence and correlates of physical disability and functional limitation among community dwelling older people in rural Malaysia, a middle income country

Prevalence and Correlates of Physical Disability and Functional Limitation among Elderly Rural Population in Nigeria

Prevalence and Predictors of Unmet Needs among the Elderly Residents of the rural Field Practice Area of a Tertiary Care Centre from Northern India

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