Skip to main content
Article thumbnail
Location of Repository

Assessing health and well-being among older people in rural South Africa

By F. Xavier Gómez-Olivé, Margaret Thorogood, Benjamin D. Clark, Kathleen Kahn and Stephen Tollman

Abstract

Background: The population in developing countries is ageing, which is likely to increase the burden of noncommunicable diseases and disability.\ud Objective: To describe factors associated with self-reported health, disability and quality of life (QoL) of older people in the rural northeast of South Africa.\ud Design: Cross-sectional survey of 6,206 individuals aged 50 and over. We used multivariate analysis to examine relationships between demographic variables and measures of self-reported health (Health Status), functional ability (WHODASi) and quality of life (WHOQoL).\ud Results: About 4,085 of 6,206 people eligible (65.8%) completed the interview. Women (Odds Ratio (OR)\ud 1.30, 95% CI 1.09, 1.55), older age (OR2.59, 95% CI 1.97, 3.40), lower education (OR1.62, 95% CI 1.31,2.00), single status (OR1.18, 95% CI 1.01, 1.37) and not working at present (OR1.29, 95% CI 1.06, 1.59) were associated with a low health status. Women were also more likely to report a higher level of disability (OR1.38, 95% CI 1.14, 1.66), as were older people (OR2.92, 95% CI 2.25, 3.78), those with no education (OR1.57, 95% CI 1.26, 1.97), with single status (OR1.25, 95% CI 1.06, 1.46) and not working at present (OR1.33, 95% CI 1.06, 1.66). Older age (OR1.35, 95% CI 1.06, 1.74), no education (OR1.39, 95% CI\ud 1.11, 1.73), single status (OR1.28, 95% CI 1.10, 1.49), a low household asset score (OR1.52, 95% CI 1.19,\ud 1.94) and not working at present (OR1.32; 95% CI 1.07, 1.64) were all associated with lower quality of life.\ud Conclusions: This study presents the first population-based data from South Africa on health status, functional ability and quality of life among older people. Health and social services will need to be restructured to provide effective care for older people living in rural South Africa with impaired functionality and other health problems

Topics: RA
Publisher: Co-Action Publishing
Year: 2010
OAI identifier: oai:wrap.warwick.ac.uk:3579

Suggested articles

Citations

  1. (1997). Alternative projections of mortality and disability by cause 19902020: global burden of disease study. Lancet doi
  2. (2006). current population reports, P95/07-1. Population aging in Sub-Saharan Africa: demographic dimensions
  3. (2008). HIV epidemiology and the effects of antiviral therapy on long-term consequences. AIDS doi
  4. (2008). HIV infection in the elderly. Clin Interv Aging
  5. (1996). Household transitions in rural South Africa, doi
  6. (2009). Mid-year population estimates, doi
  7. (2008). of Economics and Social Affairs. Population division. World population prospects: the doi
  8. (2005). Organization. Preventing chronic diseases avital investment.
  9. (2005). Preventing chronic diseases: how many lives can we save? Lancet doi
  10. settlement change and health in post-apartheid South Africa: triangulating doi
  11. (2007). Taking care of my own blood’’: older women’s relationships to their households in rural South Africa. Scand J Public Health Suppl doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.