Data Resource Profile: The World Health Organization Study on global AGEing and adult health (SAGE)

Kowal, Paul; Chatterji, Somnath; Naidoo, Nirmala; Biritwum, Richard B.; Wu, Fan; Ridaura, Ruy López; Maximova, Tamara; Arokiasamy, Perianayagam; Phaswana‐Mafuya, Nancy; Williams, Sharon; Snodgrass, J. Josh; Minicuci, Nadia; DʼEste, Catherine; Peltzer, Karl; Boerma, J. Ties

doi:10.1093/ije/dys210

Cited by 669 publications

(765 citation statements)

References 15 publications

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“…The WHO Study on global AGEing and adult health (SAGE) Wave 1 was implemented in six LMICs: China, Ghana, India, Mexico, Russian Federation and South Africa, during 2007–2010 [29]. SAGE Ghana Wave 1 took place during 2007/2008.…”

Section: Methodsmentioning

confidence: 99%

Predictors of public and private healthcare utilization and associated health system responsiveness among older adults in Ghana

Awoke

Negin

Möller

et al. 2017

Global Health Action

103

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Background: Previous studies investigating factors associated with healthcare utilization by older Ghanaians lack distinction between public and private health services. The present study examined factors associated with public and private healthcare service use, and the resulting perceived health system responsiveness. Objectives: To identify factors associated with public and private healthcare utilization among older adults aged 50 and older in Ghana; and to compare perceived differences in health system responsiveness between the private and public sectors. Methods: Cross-sectional data was analyzed from the World Health Organization Study on global AGEing and adult health (SAGE) Wave 1 in Ghana. Using Andersen’s conceptual framework, public and private outpatient care utilization was examined using multinomial logistic regression to estimate and identify predictor variables associated with the type of outpatient healthcare facility accessed. Health system responsiveness was compared using chi-square tests. Results: Of 2517 respondents who used outpatient care in the 12 months preceding interview, 51.7% of respondents used a public facility, 17.8% a private facility, and 30.5% used other facilities. Older age group, higher education and higher wealth were associated with the use of private outpatient healthcare services. Using public outpatient care facilities was associated with having health insurance. Respondents with two or more chronic conditions were more likely to use public and private outpatient care than other facilities. Perceived health system responsiveness was better in private for-profit than in public and private not-for-profit healthcare facilities. Conclusions: This study suggested that higher wealth and multimorbidity were significant predictors of public and private outpatient healthcare utilization; however, health insurance was a predictor only for the use of public facilities. Future mixed-method studies could further elucidate factors influencing the choice of public and private outpatient healthcare use.

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Section: Methodsmentioning

confidence: 99%

Predictors of public and private healthcare utilization and associated health system responsiveness among older adults in Ghana

Awoke

Negin

Möller

et al. 2017

Global Health Action

103

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“…SAGE collected individual-level data from nationally representative household samples of older adults (50 years and older) using a multistage cluster sampling design and included a smaller sample of younger adults (aged 18–49 years) for comparison purposes [12]. SAGE Wave 2 was conducted in 2014/2015 but data for this study was not available to the public at the time the current study was conducted [13].…”

Section: Methodsmentioning

confidence: 99%

“…The sample comprised 4037 participants, 3836 (90.9%) of whom were 50 years and older. The household response rate for South Africa was 67%, and individual response rates were 77% [12]. All participants aged 50 years and older in the selected older households were invited to complete a personal interview.…”

Section: Methodsmentioning

confidence: 99%

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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“…The primary sampling units were stratified by region and location (urban/rural) and, within each stratum, enumeration areas were selected. Details are available at Kowal et al (2012) and the SAGE website (www.who.int/healthinfo/systems/sage). The six countries comprise a total study population of 35,125 people aged 50 and over.…”

Section: Methodsmentioning

confidence: 99%

Diseases of the Rich? The Social Patterning of Hypertension in Six Low- and Middle-Income Countries

et al. 2016

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Introduction.Hypertension and non-communicable diseases (NCDs) are not as yet priority issues for international development. This is surprising, since NCDs already account for a higher share of mortality and illness in low and middle income countries (LMICs) than infectious diseases do, and are set to rapidly increase (WHO, 2010). Referring to the broader policy literature, the papers identifies reasons for this general neglect. These include a general perception that, in contrast to high income countries, in LMICs NCDs disproportionately affect relatively wealthy groups. Drawing on survey data for six countries, we examine the validity of this perception with particular reference to hypertension prevalence, awareness and effective control. In conclusion, we considers the wider applications of its findings for agenda-setting for NCDs in global health. NCDs, hypertension and international development priorities.NCDs include a range of health conditions, such as cardio-vascular diseases, cancers and diabetes. In 2008 they accounted for 63 per cent of all deaths globally, and 80 per cent of these deaths occurred in LMICs (WHO, 2010). In all world regions except Africa the number of deaths caused by NCDs in 2008 already exceeded those caused by infectious, maternal, perinatal and nutritional diseases combined. It is projected that this will be the case for Africa by 2030 (WHO, 2010. NCDs also account for around half the global burden of illness and disability (Beaglehole et al, 2011).Hypertension is by some distance the leading risk factor for NCDs. WHO estimates that in 2008 hypertension was responsible for about 13 per cent of all global deaths (WHO, 2010).

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Data Resource Profile: The World Health Organization Study on global AGEing and adult health (SAGE)

Cited by 669 publications

References 15 publications

Predictors of public and private healthcare utilization and associated health system responsiveness among older adults in Ghana

Predictors of public and private healthcare utilization and associated health system responsiveness among older adults in Ghana

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

Diseases of the Rich? The Social Patterning of Hypertension in Six Low- and Middle-Income Countries

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