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.
Background:In the last decade the number of elderly citizens in Nigeria has increased and their health needs are becoming popularly recognized. A number of factors have also been recognized to determine health care seeking behaviour in these elderly. Methods:The sample consisted of 756 households that had at least one resident who was aged 60 years and above (35% of 2160 households). Multistage and proportionate sampling techniques were employed to select the study subjects. Structured interview were conducted to elicit information on health needs and determinants of health care seeking behaviour of household members aged 60 years and above. Results:The most frequently reported illnesses were body pain (89.5%), joint pain (86.4%), generalized body weakness and fatigue (81.5%), poor sight (78.2%), fever (71.3%) %), irritability, anger, and nervous tension (70 %), %), listlessness, depression, and headaches (60 %),and decreased mobility (65.8%). More than two-thirds (68.8%) of respondents had never visited health facilities in the last one year even for ordinary medical check-up. Family care/Family consultation was the first choice (44. 6%) of treatment for the most frequently reported illnesses irrespective of age group and sex. Less than onethird (28.7%) of the subjects were aware of their health needs. Receiving treatment when sick was the health needs mentioned by the majority (89.4%) of the elderly. Poverty emerged as a major (50.3%) determinant of health care seeking behaviour followed by nature of illness (28.5%). The odds ratio that elderly from poor households will seek health care from unqualified health care practitioners was 0.7 (95% confidence interval (CI) = 0.38-0.67); while the odds ratio that elderly from poor households will seek health care from qualified health care practitioners was 0.8 (95% CI = 0.57-0.89). Self treatment had odds ratio of 1.7 (95% CI= 0.38-0.67). After controlling the household's poverty status, there was still a significance difference (P<0.05) in age group and gender in terms of health care seeking behaviour. Conclusion: Socio-economic indicators and nature of illness were the most pervasive determinants of health care seeking behaviour among the elderly, overriding age and sex, and in terms of health-care expenditure, the nature of illness and quality of service provided ranked the major determinants.Keywords: Elderly, health needs, determinants, health care seeking behaviour Résumé Introduction: Dans la dernière décénnie le nombre des citoyens âgés au Nigéria avait augmenté et leur besoins sanitaires deviennent généralement réconnus. Un grand nombre des facteurs sont également reconnus afin de décider le comportement visant à la recherche des soins médicaux pour les âgés. Méthodes: L'échantillon consiste en 756 membre de la maison qui avaient au moins en résident âgeé de 60 ans et plus (35% de 160 foyers) Techniques d'échantillon multistage et proportionnel ont été utilisés afin de choisir les sujets d'étude. Entretien structure est fait afin de savoir des infor...
Purpose -Research on the impact of patriarchy and patriarchal norms on women's work-life balance is scarce. A typical patriarchal society, such as Nigeria, tends to be organised based on gender, and the construct is embedded in the culture. This study investigates the impact of patriarchy on women's work-life balance in a non-western context: Nigeria.Design/Methodology/Approach -The authors adopt a qualitative research approach to enhance their insight into the issue of patriarchy and women's work-life balance. Data for the study was collected over a four-month period, utilising semi-structured interviews as the primary method of data collection.Findings -The findings of the thematic analysis reveal the impact of patriarchy on women's work-life balance in Sub-Saharan Africa, specifically Nigeria. Women's aspirations to achieve work-life balance in this part of the world are often frustrated by patriarchal norms, which are deeply ingrained in the culture. The findings of this study reveal that male dominance of and excessive subordination of females, domestic and gender-based division of labour, and higher patriarchal proclivities among men are the ingredients of a patriarchal society. These issues make the achievement of work-life balance difficult for women.Research Limitations/Implications -The extent to which the findings of this research can be generalised is constrained by the limited sample size and the selected research context.Practical Implications -The insights gleaned from this research suggest that there are still major challenges for women in the global south, specifically Nigeria, in terms of achieving work-life balance due to the prevalent patriarchy and patriarchal norms in the society. Strong patriarchal norms and proclivity negatively affect women's worklife balance and in turn may impact employee productivity, organisational effectiveness, employee performance, and employee punctuality at work. However, an Australian 'Champion of Change' initiative may be adopted to ease the patriarchal proclivity and help women to achieve work-life balance.Originality/Value -This article provides valuable insights by bringing patriarchy into the discussion of work-life balance. This issue has been hitherto rare in the literature. It therefore enriches the literature on work-life balance from a patriarchal perspective.
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