Effect of Disability on High Quality of Life among Older Adults in Low and Middle-income Countries

Rahman, Mohammad Hifz Ur; Srivastava, Shobhit; Kumar, Pradeep; Singh, Ashish; Gupta, Deepak; Kaur, Vishavdeep

doi:10.1007/s12126-021-09425-x

Cited by 4 publications

(3 citation statements)

References 47 publications

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“…Physical and mental disabilities are known to have a profound impact on the quality of life experienced by older adults. This may be attributed to the challenges faced by this population in creating wealth due to their disabilities, which often place them in a lower socioeconomic profile rendering them highly susceptible to social isolation [ 11 ]. China has the largest population of disabled older adults in the world [ 12 ]: approximately 41 million older people were considered disabled and semidisabled in 2015, accounting for approximately 18.3% of people aged above 60 years in the country [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

A Multidimensional Assessment of Activities of Daily Living, Mental Status, Communication, and Social Abilities Among Older Adults in Shenzhen, China: Cross-Sectional Study

Wang

Kwan

Zhang

et al. 2023

JMIR Public Health Surveill

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Background China is facing a rapidly expanding aging population. Insights into the health status of older adults are of great significance for health resource allocation and health care provision to this population. Objective With the goal of providing a comprehensive understanding of the health status of older adults and to inform potential interventions, we investigated the level of disability and identified risk factors associated with disability among the older population (aged ≥60 years) living in China. Methods A total of 8467 older adults living in the Chinese city of Shenzhen were enrolled in this cross-sectional study. We used a multidimensional ability assessment survey, which assessed their activities of daily living (ADL; including eating, bathing, grooming, dressing, defecation control, urination control, using a toilet unaided, transfer, flat-ground walking, stair activity), mental status (including cognitive function, aggressive behavior, depression symptoms), sensory and communication (including consciousness level, vision, hearing, communication), and social participation (including living, working, time/space orientation, distinguish persons, social communication) abilities. The impact of demographic risk factors on ability levels was analyzed using ordinal logistic regression. The correlations between the four dimensions of ability mentioned above were analyzed using Spearman correlation analysis. Results A total of 7766 participants were effectively assessed. The participants’ average age was 70.64 (SD 8.46) years comprising 56.53% females. The overall ability level was classified as mildly, moderately, and severely impaired for 27.57% (n=2141), 2.83% (n=220), and 4.28% (n=332) of the 7766 participants, respectively. With increasing age, the proportion of impaired participants increased from 17.62% (365/2071) in the age group 60-64 years to 91.3% (253/277) in the age group above 90 years (P<.001), corresponding to an approximate 10% rise for every 5-year age increment. The odds of having more severe overall ability impairment in females was 1.15 times that in males (odds ratio [OR] 1.15, 95% CI 1.04-1.28). Participants who were divorced or widowed had a higher risk of more severe overall ability impairment than those currently married (OR 1.98, 95% CI 1.68-2.33). Participants living with nonrelatives had an increased risk of more severe overall ability impairment than those living alone (OR 2.38, 95% CI 1.46-3.91). Higher education level was a protective factor of overall ability impairment (college degree or above: OR 0.32, 95% CI 0.24-0.42). The four dimensions of ability assessed were significantly correlated; a low score for ADL was significantly correlated with poorer mental status, sensory and communication, and social participation (all P<.001). Conclusions The proportion of disability among Chinese older adults increases with age, being female, having lower education levels, being divorced or widowed, and living with nonrelatives. Impairment in ADL ability is significantly correlated with poor mental status, social participation, and sensory and communication abilities. A holistic approach to improving the health of the older population is recommended in China.

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Section: Introductionmentioning

confidence: 99%

A Multidimensional Assessment of Activities of Daily Living, Mental Status, Communication, and Social Abilities Among Older Adults in Shenzhen, China: Cross-Sectional Study

Wang

Kwan

Zhang

et al. 2023

JMIR Public Health Surveill

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“…Both were undertaken on adults aged 50 + . First, Rahman et al [16] reported that in six LMICs (Ghana, China, India, Russia, South Africa and Mexico) older adults with disabilities reported significantly lower life satisfaction than those without disabilities. Second, Gomez-Olive et al [17] reported that in pooled analyses across eight LMICs (Ghana, Kenya, Tanzania, South Africa, Vietnam, India, Indonesia and Bangladesh) there was a significant negative correlation between disability scores and life satisfaction.…”

Section: Introductionmentioning

confidence: 99%

“…Second, Gomez-Olive et al [17] reported that in pooled analyses across eight LMICs (Ghana, Kenya, Tanzania, South Africa, Vietnam, India, Indonesia and Bangladesh) there was a significant negative correlation between disability scores and life satisfaction. In addition, a recent UNICEF report highlighted the lower levels of happiness and life satisfaction among adolescents (age [15][16][17] in a number of LMICs [18].…”

Section: Introductionmentioning

confidence: 99%

The wellbeing of women and men with and without disabilities: evidence from cross-sectional national surveys in 27 low- and middle-income countries

Emerson

Llewellyn

2022

Qual Life Res

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Background Little is known about disability-related inequities in personal wellbeing (PWB) in low- and middle-income countries (LMICs). Method Secondary analysis of data collected in Round 6 of UNICEF’s Multiple Indicator Cluster Surveys (MICS) undertaken in 27 LMICs (n = 296,693 women, 66,557 men). Data were aggregated across countries by mixed effects multi-level modelling and meta-analysis. Results Women and men with disabilities were less likely than their non-disabled peers to report being happy and to be satisfied with their life. These differences were evident in all countries for women and in 18 of 22 countries for men. Aggregated data indicated that: (1) women with disabilities were 14–15% less likely to be happy and 17% less likely to be satisfied with their lives; (2) men with disabilities were 15–17% less likely to be happy and 17–19% less likely to be satisfied with their lives; (3) disability-related inequalities in personal wellbeing were reduced by 22–26% for women and 11–22% for men by adjusting for differences in living conditions. Conclusions Future releases of MICS data could prove a valuable resource in monitoring country-level progress to realising Sustainable Development Goal 3 and the extent to which progress is equitable between women and men and between people with/without disabilities. Results also suggest that a significant proportion of the disability-related inequities in wellbeing may be accounted for by modifiable differences in their living conditions and life experiences.

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Intrinsic capacity decline as a predictor of functional disability in the elderly: A systematic review and meta-analysis

Wang,

Yang,

et al. 2024

Archives of Gerontology and Geriatrics

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Effect of Disability on High Quality of Life among Older Adults in Low and Middle-income Countries

Cited by 4 publications

References 47 publications

A Multidimensional Assessment of Activities of Daily Living, Mental Status, Communication, and Social Abilities Among Older Adults in Shenzhen, China: Cross-Sectional Study

A Multidimensional Assessment of Activities of Daily Living, Mental Status, Communication, and Social Abilities Among Older Adults in Shenzhen, China: Cross-Sectional Study

The wellbeing of women and men with and without disabilities: evidence from cross-sectional national surveys in 27 low- and middle-income countries

Intrinsic capacity decline as a predictor of functional disability in the elderly: A systematic review and meta-analysis

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