Self-rated health and associated factors among older South Africans: evidence from the study on global ageing and adult health

Phaswana‐Mafuya, Nancy; Peltzer, Karl; Chirinda, Witness; Kose, Zamakayise; Hoosain, E.; Ramlagan, Shandir; Tabane, Cily; Davids, A.

doi:10.3402/gha.v6i0.19880

Cited by 56 publications

(66 citation statements)

References 27 publications

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“…In addition, diabetes status per se was associated with poor quality of life and disability, as were socio-economic status (low education), being in a low wealth quintile, having a poor employment history, marital status (not being in a partnership), lifestyle habits (low physical activity, history of alcohol use) and co-morbid conditions. In accordance with previous studies, we found that having diabetes [20–22], having lower formal education levels [23–25], being in a low socioeconomic group [26,27], not being in a marital relationship [28,29] and not having worked [30,31] were significantly associated with poor quality of life and a high level of disability, but unlike findings in other studies [32–35], being older and being female were not associated with a high level of disability 20–2223–25 26,27 28,29]30,31 32–35 The differences in findings in this study compared to others may relate to the use of different instruments to assess the quality of life and disability, as well as the use of diabetes-specific and generic measures across studies.…”

Section: Discussionsupporting

confidence: 92%

Diabetes in South African older adults: prevalence and impact on quality of life and functional disability – as assessed using SAGE Wave 1 data

Werfalli

Kassanjee

Kalula

et al. 2018

Global Health Action

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Background: Diabetes is a chronic disease with severe late complications. It is known to impact the quality of life and cause disability, which may affect an individual’s capacity to manage and maintain longer-term health and well-being. Objectives: To examine the prevalence of self-report diabetes, and association between diabetes and each of health-related quality of life and disability amongst South Africa’s older adults. To study both the direct relationship between diabetes and these two measures, as well as moderation effects, i.e. whether associations between other factors and these measures of well-being differed between individuals with diabetes and those without. Methods: Secondary analyses of data on participants aged 50 years and older from the Study on global AGEing and adult health (SAGE) in South Africa Wave 1 (2007–2008) were conducted. Prevalence of self-reported diabetes was assessed. Multivariable regressions describe the relationships between each of quality of life (WHOQoL) and disability (WHODAS), and diabetes, while controlling for selected socio-demographic characteristics, health risk behaviours and co-morbid conditions. In the regression models, we also investigated whether diabetes moderates the relationships between these additional factors and WHOQoL/WHODAS. Results: Self-reported diabetes prevalence was 9.2% (95% CI: 7.8,10.9) and increased with age. Having diabetes was associated with poorer WHOQoL scores (additive effect: −4.2; 95% CI: −9.2,0.9; p-value <0.001) and greater disability (multiplicative effect: 2.1; 95% CI: 1.5,2.9; p-value <0.001). Lower quality of life and greater disability were both related to not being in a relationship, lower education, less wealth, lower physical activity and a larger number of chronic conditions. Conclusions: Diabetes is associated with lower quality of life and greater disability amongst older South Africans. Attention needs to be given to enhancing the capacity of health systems to meet the changing needs of ageing populations with diabetes in SA as well as facilitating social support networks in communities.

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Section: Discussionsupporting

confidence: 92%

Diabetes in South African older adults: prevalence and impact on quality of life and functional disability – as assessed using SAGE Wave 1 data

Werfalli

Kassanjee

Kalula

et al. 2018

Global Health Action

Self Cite

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“…The finding that men have better SRH than women is in line with several other studies [17][18][19]27]. In most studies younger elderly have been found to have better SRH than older elderly [16,19,27] whereas in a study of elderly in Spain the opposite was found [9]. We did not find any difference in SRH between agegroups 85-87 and 88-99 years.…”

Section: Discussionsupporting

confidence: 91%

Self-rated health and associated factors among the oldest-old: results from a cross-sectional study in Sweden

Simonsson¹,

Molarius

2020

Arch Public Health

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Background: Very few population-based studies have investigated self-rated health and related factors in the increasing age group 85 years or older. The aim of this study was to examine self-rated health and its association with living conditions, lifestyle factors, physical and mental health problems and functional ability among the oldest-old in the general population in Sweden. Methods: The study is cross-sectional and based on 1360 persons, 85 years of age or older, who answered a survey questionnaire sent to a random population sample in 2012 (participation rate 47%). Multivariate logistic regression was used as the statistical method. Results: The prevalence of good self-rated health was 39% in men and 30% in women. Physical inactivity, impaired physical mobility, pain, anxiety/depression and longstanding illness were independently associated with poorer than good self-rated health, while factors such as gender, age, educational level, cash margin, living alone, social support, smoking, alcohol use, obesity, accidents and impaired vision/hearing were not. Conclusions: While a considerable part of the oldest-old assess their health as good, not being physically active and having common health problems such as pain and depression as well as impaired physical mobility are associated with poorer than good self-rated health. This should be considered when planning how to improve and maintain health in the growing population of persons 85 years and older.

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“…Biomarkers, including a blood sample, were collected. More information on SAGE survey methods and materials is available elsewhere [21–23]. …”

Section: Methodsmentioning

confidence: 99%

Prevalence of HIV and chronic comorbidities among older adults

Negin

Martiniuk

Cumming

et al. 2012

Aids

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101

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Objectives Limited evidence is available on HIV, aging and comorbidities in sub-Saharan Africa. This article describes the prevalence of HIV and chronic comorbidities among those aged 50 years and older in South Africa using nationally representative data. Design The WHO’s Study of global AGEing and adult health (SAGE) was conducted in South Africa in 2007–2008. SAGE includes nationally representative cohorts of persons aged 50 years and older, with comparison samples of those aged 18–49 years, which aims to study health and its determinants. Methods Logistic and linear regression models were applied to data from respondents aged 50 years and older to determine associations between age, sex and HIV status and various outcome variables including prevalence of seven chronic conditions. Results HIV prevalence among adults aged 50 and older in South Africa was 6.4% and was particularly elevated among Africans, women aged 50–59 and those living in rural areas. Rates of chronic disease were higher among all older adults compared with those aged 18–49. Of those aged 50 years and older, 29.6% had two or more of the seven chronic conditions compared with 8.8% of those aged 18–49 years (P < 0.0001). When controlling for age and sex among those aged 50 and older, BMI was lower among HIV-infected older adults aged 50 and older (27.5 kg/m2) than in HIV-uninfected individuals of the same age (30.6) (P < 0.0001). Grip strength among HIV-infected older adults was significantly (P=0.004) weaker than among similarly-aged HIV-uninfected individuals. Conclusion HIV-infected older adults in South Africa have high rates of chronic disease and weakness. Studies are required to examine HIV diagnostics and treatment instigation rates among older adults to ensure equity of access to quality care, as the number and percentage of older adults living with HIV is likely to increase.

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Self-rated health and associated factors among older South Africans: evidence from the study on global ageing and adult health

Cited by 56 publications

References 27 publications

Diabetes in South African older adults: prevalence and impact on quality of life and functional disability – as assessed using SAGE Wave 1 data

Diabetes in South African older adults: prevalence and impact on quality of life and functional disability – as assessed using SAGE Wave 1 data

Self-rated health and associated factors among the oldest-old: results from a cross-sectional study in Sweden

Prevalence of HIV and chronic comorbidities among older adults

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