Comparative study of disability-free life expectancy across six low- and middle-income countries

Objective: The objective of this study was to estimate healthy life expectancies in eight low- and middle-income countries (LMICs), using two indicators: disability-free life expectancy (DFLE) and dependence-free life expectancy (DepFLE). Method: Using the Sullivan method, healthy life expectancy was calculated based on the prevalence of dependence and disability from the 10/66 cohort study, which included 16,990 people aged 65 or above in China, Cuba, Dominican Republic, India, Mexico, Peru, Puerto Rico, and Venezuela, and country-specific life tables from the World Population Prospects 2017. Results: DFLE and DepFLE declined with older age across all sites and were higher in women than men. Mexico reported the highest DFLE at age 65 for men (15.4, SE = 0.5) and women (16.5, SE = 0.4), whereas India had the lowest with (11.5, SE = 0.3) in men and women (11.7, SE = 0.4). Discussion: Healthy life expectancy based on disability and dependency can be a critical indicator for aging research and policy planning in LMICs.

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A comparative study of fruit and vegetable consumption and physical activity among adolescents in 49 Low-and-Middle-Income Countries

Scientific Reports ◽

10.1038/s41598-018-19956-0 ◽

2018 ◽

Vol 8 (1) ◽

Cited By ~ 25

Author(s):

Sandra A. Darfour-Oduro ◽

David M. Buchner ◽

Juan E. Andrade ◽

Diana S. Grigsby-Toussaint

Keyword(s):

Physical Activity ◽

Comparative Study ◽

Vegetable Consumption ◽

Fruit And Vegetable Consumption ◽

Fruit And Vegetable ◽

Middle Income ◽

Middle Income Countries ◽

Low And Middle Income

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Advancing Age in Africa, the Urgent Need for Institutional Geriatric Care in a Low Resource Setting: A Case Report

World Journal of Advanced Research and Reviews ◽

10.30574/wjarr.2021.12.2.0610 ◽

2021 ◽

Vol 12 (2) ◽

pp. 416-420

Author(s):

Emmanuel Kobina Mesi Edzie ◽

Klenam Dzefi-Tettey ◽

Philip Narteh Gorleku ◽

Frank Naku Ghartey ◽

Madison Adanusa ◽

...

Keyword(s):

Life Expectancy ◽

Geriatric Care ◽

Health Concern ◽

Healthcare Personnel ◽

Healthcare Industry ◽

Middle Income ◽

Middle Income Countries ◽

Resource Setting ◽

Low Resource Setting ◽

Low And Middle Income

Background: The demand for geriatric care has been on the increase throughout the world, especially in the developing, low- and middle-income countries (LMICs), due to increasing life expectancy, improvement in technology in healthcare industry coupled with increasing numbers of healthcare personnel. Nonetheless, these increases in the resources to the healthcare industry are still woefully inadequate in the developing and LMICs, compared to the high demand for such services, thereby exposing the drastic challenges and gaps in geriatric services in these countries. Case Presentation: A 74-year-old woman apparently well, who was relocated from the rural area by her biological daughter, with the intention of giving her better care in a comfortable city environment. She was initially appreciative of the relocation. However, the situation went sour when her daughter and son-in-law resumed work after their annual leave period. They started locking her up in a well-furnished mansion with everything she may need until they returned from work. Consistently for eight working days, she was kept under lock and key because they did not want her to roam around the community, they thought was not familiar to her with the intention of keeping her safe. Everything was fine until they returned from work one day to find that she had soiled the house with her excrement, apparently as a protest against her consistent lock-up. This necessitated their visit to the hospital. A diagnosis of social isolation was made after clinical and mental state examination and appropriate interventions were instituted. The patient consequently became fine in the new environment. Conclusion: This case has been presented in order to emphasize the need to improve the systems for geriatric care which is of public health concern, especially as the life expectancy of the developing, low- and middle-income countries keep improving.

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