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Lookup NU author(s): Professor Miles WithamORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America.OBJECTIVES: The importance of impairment in performing activities of daily living (ADL) is likely to increase in sub-Saharan Africa because few care options for affected people exist. This study investigated the prevalence of ADL impairment, the extent to which care need was met, and described characteristics of people with ADL impairment and unmet need in Burkina Faso. METHODS: This study used data from the Centre de Recherche en Santé de Nouna Heidelberg Aging Study, a population-based study among 3,026 adults aged older than 40 years conducted in rural Burkina Faso. Information on 6 basic ADL items was sought, with a follow-up question asking whether care need was not met, partially met, or met. Bivariable correlations and multivariable logistic regression were used to determine sociodemographic and health characteristics associated with ADL impairment and unmet need. RESULTS: ADL impairment of any kind was reported by 1,202 (39.7%) respondents and was associated with older age (adjusted odds ratio: 1.05 [95% CI: 1.04-1.06]), being a woman (1.33 [1.06-1.60]), and reporting depressive symptoms (1.90 [1.65-2.18]). Among those with ADL impairment, 67.8% had at least one unmet need. Severe ADL impairment was found in 202 (6.7%) respondents, who reported a lower prevalence of unmet need (43.1%). Severe ADL impairment was associated with depressive symptoms (2.55 [2.11-3.07]) to a stronger degree than any ADL impairment. DISCUSSION: Prevalence of ADL impairment and unmet need was high in this setting. Variation in impairment across the population highlighted key groups for future interventions. Unmet need for care was highest in middle-aged adults, indicating a gap in care provision.
Author(s): Brinkmann B, Davies JI, Witham MD, Harling G, Barnighausen T, Bountogo M, Siedner MJ, Ouermi L, Junghanns J, Coulibaly B, Sie A, Payne CF, Kohler IV
Publication type: Article
Publication status: Published
Journal: Journals of Gerontology B: Psychological Sciences and Social Sciences
Year: 2021
Volume: 76
Issue: 9
Pages: 1880-1892
Print publication date: 01/11/2021
Online publication date: 14/03/2021
Acceptance date: 24/02/2021
Date deposited: 25/02/2021
ISSN (print): 0016-9013
ISSN (electronic): 1758-5341
Publisher: Oxford University Press
URL: https://doi.org/10.1093/geronb/gbab041
DOI: 10.1093/geronb/gbab041
PubMed id: 33715008
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