The prevalence of disability in older people in Hai, Tanzania

被引：20

作者：

Dewhurst, Felicity ^{[1
,2
]}

Dewhurst, Matthew J. ^{[1
,2
]}

Gray, William K. ^{[1
]}

Orega, Golda ^{[3
]}

Howlett, William ^{[3
]}

Chaote, Paul ^{[4
]}

Dotchin, Catherine ^{[1
,5
]}

Longdon, Anna R. ^{[6
]}

Paddick, Stella-Maria ^{[7
]}

Walker, Richard W. ^{[1
,2
]}

机构：

[1] Northumbria Healthcare NHS Fdn Trust, N Tyneside Gen Hosp, Dept Med, N Shields NE29 8NH, Tyne & Wear, England

[2] Newcastle Univ, Inst Hlth & Soc, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England

[3] Kilimanjaro Christian Med Ctr, Moshi, Tanzania

[4] Hai Dist Hosp, Dist Med Off, Bomangombe, Hai, Tanzania

[5] Newcastle Univ, Inst Ageing & Hlth, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England

[6] S Devon Healthcare NHS Fdn Trust, Torquay, Devon, England

[7] Newcastle Upon Tyne Hosp NHS Fdn Trust, Royal Victoria Infirm, Newcastle Upon Tyne, Tyne & Wear, England

来源：

AGE AND AGEING | 2012年 / 41卷 / 04期

关键词：

disability; Barthel index; elderly; neurological disorders; memory problems; Tanzania; Africa; BARTHEL INDEX; RELIABILITY; HEALTH;

D O I：

10.1093/ageing/afs054

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

030301 [社会学]; 100201 [内科学];

摘要：

Methods: we performed a community-based study of people aged 70 years and over in Hai, Tanzania. Participants underwent disability assessment using the culturally non-specific Barthel index (BI), and also clinical assessment for neurological disorders and memory problems. Results: in 2,232 participants, the age-adjusted prevalence of severe disability (BI < 15) was 3.7% (95% CI: 2.9-4.5) and the age-adjusted prevalence of moderate disability (BI: 15-18) was 6.2% [95% confidence interval (CI): 5.2-7.2]. Increasing age, female gender, memory problems and the presence of neurological disorders were all independent predictors of the presence of disability. Conclusion: in this study, the average disability level was lower than seen in most high-income countries. This may reflect increased mortality from disabling disease in low-income countries. Disability is likely to increase as the population of low-income countries ages and disease survival improves.

引用

页码：517 / 523

页数：7

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