Gómez-Olivé, F. Xavier, Thorogood, Margaret, Clark, Benjamin D., Kahn, Kathleen and Tollman, Stephen (2010) Assessing health and well-being among older people in rural South Africa. Global Health Action, Vol.3 . doi:10.3402/gha.v3i0.2126 ISSN 1654-9880.

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Abstract

Background: The population in developing countries is ageing, which is likely to increase the burden of noncommunicable diseases and disability.
Objective: To describe factors associated with self-reported health, disability and quality of life (QoL) of older people in the rural northeast of South Africa.
Design: Cross-sectional survey of 6,206 individuals aged 50 and over. We used multivariate analysis to examine relationships between demographic variables and measures of self-reported health (Health Status), functional ability (WHODASi) and quality of life (WHOQoL).
Results: About 4,085 of 6,206 people eligible (65.8%) completed the interview. Women (Odds Ratio (OR)
1.30, 95% CI 1.09, 1.55), older age (OR2.59, 95% CI 1.97, 3.40), lower education (OR1.62, 95% CI 1.31,2.00), single status (OR1.18, 95% CI 1.01, 1.37) and not working at present (OR1.29, 95% CI 1.06, 1.59) were associated with a low health status. Women were also more likely to report a higher level of disability (OR1.38, 95% CI 1.14, 1.66), as were older people (OR2.92, 95% CI 2.25, 3.78), those with no education (OR1.57, 95% CI 1.26, 1.97), with single status (OR1.25, 95% CI 1.06, 1.46) and not working at present (OR1.33, 95% CI 1.06, 1.66). Older age (OR1.35, 95% CI 1.06, 1.74), no education (OR1.39, 95% CI
1.11, 1.73), single status (OR1.28, 95% CI 1.10, 1.49), a low household asset score (OR1.52, 95% CI 1.19,
1.94) and not working at present (OR1.32; 95% CI 1.07, 1.64) were all associated with lower quality of life.
Conclusions: This study presents the first population-based data from South Africa on health status, functional ability and quality of life among older people. Health and social services will need to be restructured to provide effective care for older people living in rural South Africa with impaired functionality and other health problems.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Health surveys -- South Africa, Older people -- Health and hygiene -- South Africa, Quality of life -- South Africa, Disabilities -- South Africa
Journal or Publication Title:	Global Health Action
Publisher:	Co-Action Publishing
ISSN:	1654-9880
Official Date:	27 September 2010
Dates:	Date Event 27 September 2010 Published
Volume:	Vol.3
DOI:	10.3402/gha.v3i0.2126
Status:	Peer Reviewed
Access rights to Published version:	Open Access (Creative Commons)
Funder:	National Institute on Aging (NIA), Wellcome Trust (London, England)
Grant number:	058893/Z/99/A (Wellcome Trust), 069683/Z/02/ Z (Wellcome Trust)

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