Gender differences in cognitive impairment and mobility disability in old age: A cross-sectional study in Ouagadougou, Burkina Faso

Onadja, Yentéma; Atchessi, Nicole; Soura, Bassiahi Abdramane; Rossier, Clémentine; Zunzunegui, Marı́a Victoria

doi:10.1016/j.archger.2013.06.007

Cited by 53 publications

(50 citation statements)

References 32 publications

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“…In this study, Miszkurka et al (2012) observed that irrespective of age, women in these three countries have a significantly higher prevalence of mobility disability compared to men. These findings are supportive of our own results, and emphasise the notion that gender appears to be a strong risk factor for disability in west-African settings (Onadja et al 2013). Despite being on average younger than men, women in this study were found to have a higher prevalence of mobility disability.…”

Section: Discussionsupporting

confidence: 81%

“…The higher prevalence of mobility disability observed among women in this study has been reported in studies previously conducted in West Africa (Miszkurka et al 2012;Onadja et al 2013), and other low-and middleincome countries (Khadr and Yount 2012;Melzer and Parahyba 2004;Zunzunegui et al 2009 and demographic survey in Burkina Faso, older women were found to have 51.7 % mobility disability, compared to 25.5 % in older men (Onadja et al 2013). This gender difference remained significant after adjusting for certain social and health conditions.…”

Section: Discussionmentioning

confidence: 48%

“…A total of 3586 adults aged 50 and above were selected for analysis in this study. Age 50 was selected as the cut-off for old age in this study, as this threshold has been used previously in studies from other Sub-Saharan African (here after SSA) countries (Mudege and Ezeh 2009;Onadja et al 2013). The use of age 50 as the cut-point for old age is also logical given that life expectancy is low (i.e.…”

Section: Methodsmentioning

confidence: 99%

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Gender difference in the prevalence and socio-demographic correlates of mobility disability among older adults in Nigeria

Balogun

Guntupalli

2016

Eur J Ageing

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The aim of the current study is to examine gender differences in mobility disability among older people in Nigeria, and to explore factors associated with gender differences in mobility disability in later life. Data were used from the first (2010-2011) wave of the Nigeria General Household Survey-Panel, which included 3586 respondents aged 50 years and above. Mobility disability was assessed as self-reported difficulty in walking 100 m, walking 1 km, walking uphill, running, bending or stooping, and climbing stairs. Regression analyses were used to estimate the extent to which socio-demographic conditions contribute to gender differences in mobility disability. We observed a higher prevalence of mobility disability among women compared to men (20.1 vs. 12.5 %, P \ 0.001). The prevalence ratios (PR) of mobility disability for women versus men was 1.61 (95 % CI 1.38-1.88, P \ 0.001); after adjusting for age, marital status, place of residence, self-reported health status and cognitive difficulties, the PR was 1.55 (95 % CI 1.30-1.85, P \ 0.001).In the fully adjusted model, mobility disability still remained significantly higher among women (PR 1.60, 95 % CI 1.32-1.93, P \ 0.001). The marginal effects of socio-demographic and health factors were stronger for women than for men. Socio-demographic and health variables considered in this study explained between 19.3 % (men) and 22.3 % (women) of variance in mobility disability suggesting that additional factors beyond those considered in this study warrant further investigation, so that differences in mobility disability between older men and women in Nigeria can be fully understood.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 48%

Section: Methodsmentioning

confidence: 99%

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Gender difference in the prevalence and socio-demographic correlates of mobility disability among older adults in Nigeria

Balogun

Guntupalli

2016

Eur J Ageing

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“…Even if the indigents selected in this category were not the most vulnerable, they were nevertheless afflicted with physical disabilities in terms of poor muscle strength. The fact that COGESs took into consideration physical disabilities when selecting indigents is an encouraging result, given that populations in sub-Saharan Africa, both old and young, often suffer from such disabilities [34, 35]. …”

Section: Methodsmentioning

confidence: 99%

Is the process for selecting indigents to receive free care in Burkina Faso equitable?

2014

Self Cite

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BackgroundIn Burkina Faso, patients are required to pay for healthcare. This constitutes a barrier to access for indigents, who are the most disadvantaged. User fee exemption systems have been created to facilitate their access. A community-based initiative was thus implemented in a rural region of Burkina Faso to select the worst-off and exempt them from user fees. The final selection was not based on pre-defined criteria, but rather on community members’ tacit knowledge of the villagers. The objective of this study was to analyze the equitable nature of this community-based selection process.MethodBased on a cross-sectional study carried out in 2010, we surveyed 1,687 indigents. The variables collected were those that determine healthcare use according to the Andersen-Newman model (1969): sociodemographic variables; income; occupation; access to financial, food or instrumental assistance; presence of chronic illness; and disabilities related to vision, muscle strength, or mobility. Bivariate analyses and logistic regression were performed.ResultsUser fee exemptions were given mainly to indigents who were widowed (OR = 1.40; CI 95% [1.10–1.78]), had no financial assistance from their household for healthcare (OR = 1.58; CI 95% [1.26–1.97], lived alone (OR = 1.28; CI 95% [1.01–1.63]), lived with their spouses, (OR = 2.00; CI 95% [1.35-2.96], had vision impairments (OR = 1.45; CI 95% [1.14–1.84]), or had poor muscle strength and good mobility (OR = 1.73; CI 95% [1.28–2.33]). The indigent selection was not determined by household income, self-reported chronic illness, or previous use of services.ConclusionThe community selection process took into account factors related to social vulnerability and functional limitations. However, we cannot affirm that the selection process was perfectly equitable, as it was very restrictive due to the limited budget available and the State’s lack of engagement in this matter. Exemption processes should be temporary solutions, and the State should make a commitment to move toward universal healthcare coverage.

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“…Sex is strongly associated with both education and disability, with women having lower education and reporting higher levels of disability compared to men (Onadja et al 2013). We code age at the time of the WHS interview as a categorical variable with six categories: 18-29, 30-39, 40-49, 50-59, 60-69, and 70+ years.…”

Section: Other Explanatory Variables: Socio-demographicmentioning

confidence: 99%

Socio-economic differences in disability by age in sub-Saharan Africa: A cross-national study using the World Health Survey

Onadja

Bignami

Zunzunégui

2017

CSP

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This study aims to examine the relationship between socio-economic status (as measured by education) and multiple disability measures among adults in eighteen sub-Saharan African countries, and to determine whether the strength of this relationship varies across age groups. The analysis uses data drawn from the 2002-04 World Health Survey. The findings indicate that low education is positively associated with poor functional health, and the functional health gap between educational levels increases across age groups. These findings suggest that in sub-Saharan African countries, the under-educated are less successful in postponing disability to later ages.

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Gender differences in cognitive impairment and mobility disability in old age: A cross-sectional study in Ouagadougou, Burkina Faso

Cited by 53 publications

References 32 publications

Gender difference in the prevalence and socio-demographic correlates of mobility disability among older adults in Nigeria

Gender difference in the prevalence and socio-demographic correlates of mobility disability among older adults in Nigeria

Is the process for selecting indigents to receive free care in Burkina Faso equitable?

Socio-economic differences in disability by age in sub-Saharan Africa: A cross-national study using the World Health Survey

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