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Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries

This analysis of surveys from six low- and middle-income countries (LMICs) aimed to (i) estimate the prevalence of disability among older adults and (ii) compare experiences and participation in key life areas among older people with and without disabilities which may show vulnerability during the C...

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Autores principales: Prynn, Josephine E., Polack, Sarah, Mactaggart, Islay, Banks, Lena Morgon, Hameed, Shaffa, Dionicio, Carlos, Neupane, Shailes, Murthy, GVS, Oye, Joseph, Naber, Jonathan, Kuper, Hannah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297350/
https://www.ncbi.nlm.nih.gov/pubmed/34209792
http://dx.doi.org/10.3390/ijerph18136962
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author Prynn, Josephine E.
Polack, Sarah
Mactaggart, Islay
Banks, Lena Morgon
Hameed, Shaffa
Dionicio, Carlos
Neupane, Shailes
Murthy, GVS
Oye, Joseph
Naber, Jonathan
Kuper, Hannah
author_facet Prynn, Josephine E.
Polack, Sarah
Mactaggart, Islay
Banks, Lena Morgon
Hameed, Shaffa
Dionicio, Carlos
Neupane, Shailes
Murthy, GVS
Oye, Joseph
Naber, Jonathan
Kuper, Hannah
author_sort Prynn, Josephine E.
collection PubMed
description This analysis of surveys from six low- and middle-income countries (LMICs) aimed to (i) estimate the prevalence of disability among older adults and (ii) compare experiences and participation in key life areas among older people with and without disabilities which may show vulnerability during the COVID-19 pandemic. Data were analysed from district-level or national surveys in Cameroon, Guatemala, Haiti, India, Nepal and the Maldives, which across the six databases totalled 3499 participants aged 60 years and above including 691 people with disabilities. Disability was common among adults 60+, ranging from 9.7% (8.0–11.8) in Nepal to 39.2% in India (95% CI 34.1–44.5%). Mobility was the most commonly reported functional difficulty. In each setting, older people with disabilities were significantly less likely to be working and reported greater participation restrictions and environmental barriers in key life areas compared to people in the same age categories without disabilities (p < 0.05). Disability is common in this population, and older people with disabilities may have greater difficulties participating in COVID-19 responses and have high economic vulnerabilities. It is imperative to prioritise the needs of older people with disabilities in the COVID-19 pandemic, including ensuring accessibility of both health services and the community in general.
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spelling pubmed-82973502021-07-23 Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries Prynn, Josephine E. Polack, Sarah Mactaggart, Islay Banks, Lena Morgon Hameed, Shaffa Dionicio, Carlos Neupane, Shailes Murthy, GVS Oye, Joseph Naber, Jonathan Kuper, Hannah Int J Environ Res Public Health Article This analysis of surveys from six low- and middle-income countries (LMICs) aimed to (i) estimate the prevalence of disability among older adults and (ii) compare experiences and participation in key life areas among older people with and without disabilities which may show vulnerability during the COVID-19 pandemic. Data were analysed from district-level or national surveys in Cameroon, Guatemala, Haiti, India, Nepal and the Maldives, which across the six databases totalled 3499 participants aged 60 years and above including 691 people with disabilities. Disability was common among adults 60+, ranging from 9.7% (8.0–11.8) in Nepal to 39.2% in India (95% CI 34.1–44.5%). Mobility was the most commonly reported functional difficulty. In each setting, older people with disabilities were significantly less likely to be working and reported greater participation restrictions and environmental barriers in key life areas compared to people in the same age categories without disabilities (p < 0.05). Disability is common in this population, and older people with disabilities may have greater difficulties participating in COVID-19 responses and have high economic vulnerabilities. It is imperative to prioritise the needs of older people with disabilities in the COVID-19 pandemic, including ensuring accessibility of both health services and the community in general. MDPI 2021-06-29 /pmc/articles/PMC8297350/ /pubmed/34209792 http://dx.doi.org/10.3390/ijerph18136962 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Prynn, Josephine E.
Polack, Sarah
Mactaggart, Islay
Banks, Lena Morgon
Hameed, Shaffa
Dionicio, Carlos
Neupane, Shailes
Murthy, GVS
Oye, Joseph
Naber, Jonathan
Kuper, Hannah
Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries
title Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries
title_full Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries
title_fullStr Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries
title_full_unstemmed Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries
title_short Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries
title_sort disability among older people: analysis of data from disability surveys in six low- and middle-income countries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297350/
https://www.ncbi.nlm.nih.gov/pubmed/34209792
http://dx.doi.org/10.3390/ijerph18136962
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