Impairment in Activities of Daily Living, Care Receipt, and Unmet Needs in a Middle-Aged and Older Rural South African Population: Findings From the HAALSI Study

Date

2019-01-02

Authors

Harling, Guy
Payne, Collin
Davies, Justine
Gomez-Olive, F. Xavier
Kahn, Kathleen
Manderson, Lenore
Mateen, Farrah
Tollman, Stephen M.
Witham, Miles

Journal Title

Journal ISSN

Volume Title

Publisher

Sage Publications Inc

Abstract

Objectives: The objective of this study is to analyze the degree to which care needs are met in an aging rural African population. Method: Using data from the Health and Aging in Africa: Longitudinal Study of an INDEPTH Community (HAALSI) baseline survey, which interviewed 5,059 adults aged older than 40 years in rural South Africa, we assessed the levels of limitations in activities of daily living (ADLs) and in unmet care for these ADLs, and evaluated their association with sociodemographic and health characteristics. Results: ADL impairment was reported by 12.2% of respondents, with the proportion increasing with age. Among those with ADL impairment, 23.9% reported an unmet need and 51.4% more a partially met need. Relatives provided help most often; formal care provision was rare. Unmet needs were more frequent among younger people and women, and were associated with physical and cognitive deficits, but not income or household size. Discussion: Unmet care needs in rural South Africa are often found among individuals less expected to require care.

Description

Keywords

disability, gender, comorbidities, socioeconomic status

Citation

Source

Journal of Aging and Health

Type

Journal article

Book Title

Entity type

Access Statement

Open Access

License Rights

Creative Commons Attribution-NonCommercial 4.0 License

DOI

10.1177/0898264318821220

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