Impairment in activities of daily living and unmet need for care among older adults: a population-based study from Burkina Faso

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dc.contributor.authorBrinkmann, Ben
dc.contributor.authorDavies, Justine
dc.contributor.authorWitham, Miles
dc.contributor.authorHarling, Guy
dc.contributor.authorBarninghausen, Till
dc.contributor.authorBountogo, Mamadou
dc.contributor.authorSiedner, Mark J
dc.contributor.authorOuermi, Lucienne
dc.contributor.authorJunghanns, Jana
dc.contributor.authorCoulibaly, Boubacar
dc.contributor.authorSie, Ali
dc.contributor.authorPayne, Collin
dc.contributor.authorKohler, Iliana
dc.date.accessioned2022-12-05T01:18:27Z
dc.date.available2022-12-05T01:18:27Z
dc.date.issued2021
dc.date.updated2021-11-28T07:31:13Z
dc.description.abstractObjectives 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.en_AU
dc.description.sponsorshipThis work was supported by the Alexander von Humboldt Foundation through an Alexander von Humboldt Professorship award to T. Bärnighausen, which is funded by the German Federal Ministry of Education and Research. I. V. Kohler acknowledges support by the Population Aging Research Center at the University of Pennsylvania and support by the National Institutes of Health (NIH) Award (R03AG069817). C. F. Payne is supported by an Australian Research Council Discovery Early Career Researcher Award (DE210100087) and the Australian National University Futures Scheme. M. D. Witham acknowledges support from the National Institute for Health Research Newcastle Biomedical Research Centre. G. Harling is supported by a fellowship from the Wellcome Trust and Royal Society (210479/Z/18/Z)en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn1079-5014en_AU
dc.identifier.urihttp://hdl.handle.net/1885/281528
dc.language.isoen_AUen_AU
dc.provenanceThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.en_AU
dc.publisherGerontological Society of Americaen_AU
dc.relationhttp://purl.org/au-research/grants/arc/DE210100087en_AU
dc.rights© 2021 The Author(s) Published by Oxford University Press on behalf of The Gerontological Society of Americaen_AU
dc.rights.licenseCreative Commons Attribution Licenseen_AU
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_AU
dc.sourceJournals of Gerontology Series B: Psychological Sciences and Social Sciencesen_AU
dc.subjectActivity impairmenten_AU
dc.subjectCare needen_AU
dc.subjectEpidemiologyen_AU
dc.subjectHealth careen_AU
dc.subjectSub-Saharan Africaen_AU
dc.titleImpairment in activities of daily living and unmet need for care among older adults: a population-based study from Burkina Fasoen_AU
dc.typeJournal articleen_AU
dcterms.accessRightsOpen Accessen_AU
local.bibliographicCitation.issue9en_AU
local.bibliographicCitation.lastpage1892en_AU
local.bibliographicCitation.startpage1880en_AU
local.contributor.affiliationBrinkmann, Ben, Heidelberg Universityen_AU
local.contributor.affiliationDavies, Justine, University of the Witwatersranden_AU
local.contributor.affiliationWitham, Miles, University of the Witwatersranden_AU
local.contributor.affiliationHarling, Guy, University of the Witwatersranden_AU
local.contributor.affiliationBarninghausen, Till, University of Heidelbergen_AU
local.contributor.affiliationBountogo, Mamadou, Centre de Recherche en Sante de Nounaen_AU
local.contributor.affiliationSiedner, Mark J, Africa Health Research Instituteen_AU
local.contributor.affiliationOuermi, Lucienne, Centre de Recherche en Sante de Nounaen_AU
local.contributor.affiliationJunghanns, Jana, Heidelberg Universityen_AU
local.contributor.affiliationCoulibaly, Boubacar, Centre de Recherche en Sante de Nounaen_AU
local.contributor.affiliationSie, Ali, Centre de Recherche en Sante de Nounaen_AU
local.contributor.affiliationPayne, Collin, College of Arts and Social Sciences, ANUen_AU
local.contributor.affiliationKohler, Iliana, University of Pennsylvaniaen_AU
local.contributor.authoremailu1057660@anu.edu.auen_AU
local.contributor.authoruidPayne, Collin, u1057660en_AU
local.description.notesImported from ARIESen_AU
local.identifier.absfor440301 - Family and household studiesen_AU
local.identifier.absfor420210 - Social epidemiologyen_AU
local.identifier.ariespublicationu3555277xPUB462en_AU
local.identifier.citationvolume76en_AU
local.identifier.doi10.1093/geronb/gbab041en_AU
local.identifier.uidSubmittedByu3555277en_AU
local.publisher.urlhttps://academic.oup.com/en_AU
local.type.statusPublished Versionen_AU

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