Correlates of Physical Activity Among Middle-Aged and Older Adults With Hazardous Drinking Habits in Six Low- and Middle-Income Countries

2018 ◽  
Vol 26 (4) ◽  
pp. 589-598 ◽  
Author(s):  
Davy Vancampfort ◽  
Brendon Stubbs ◽  
Mats Hallgren ◽  
Andreas Lundin ◽  
James Mugisha ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Hazardous Drinking ◽  
Urban Setting ◽  
World Health ◽  
Drinking Patterns ◽  
Middle Aged ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

We investigated physical activity (PA) correlates among middle-aged and older adults (aged ≥50 years) with hazardous drinking patterns in six low- and middle-income countries. Cross-sectional data were analyzed from the World Health Organization’s Study on Global Ageing and Adult Health. Hazardous drinking was defined as consuming >7 (females) or >14 (males) standard drinks per week. Participants were dichotomized into low (i.e., not meeting 150 min of moderate PA/week) and moderate–high physically active groups. Associations between PA and a range of correlates were examined using multivariable logistic regressions. The prevalence of low PA in 1,835 hazardous drinkers (60.5 ± 13.1 years; 87.9% males) was 16.2% (95% confidence interval [13.9%, 18.9%]). Older age, living in an urban setting, being unemployed, depression, underweight, obesity, asthma, visual impairment, poor self-rated health, and higher levels of disability were identified as significant PA correlates. The current data provide important guidance for future interventions to assist older hazardous drinkers to engage in regular PA.

scholarly journals Perceived Income Adequacy and Well-being Among Older Adults in Six Low- and Middle-Income Countries

2016 ◽  
Vol 74 (3) ◽  
pp. 516-525 ◽  
Author(s):  
Theresa E Gildner ◽  
Melissa A Liebert ◽  
Benjamin D Capistrant ◽  
Catherine D’Este ◽  
J Josh Snodgrass ◽  
...  
Keyword(s):  
Older Adults ◽  
Well Being ◽  
World Health ◽  
Adult Health ◽  
Older Individuals ◽  
Middle Income ◽  
Middle Income Countries ◽  
Income Adequacy ◽  
Perceived Income Adequacy ◽  
Low And Middle Income

Abstract Objectives Perceived income adequacy is positively associated with self-rated health (SRH) and quality of life (QOL) among adults in higher-income countries. Additionally, older individuals often report higher levels of income adequacy. However, it is unclear if these associations, documented primarily in high-income countries, are also evident across economically and culturally distinctive low- and middle-income countries. Methods Data were drawn from the World Health Organization’s Study on global AGEing and adult health (SAGE), a study of adults aged 50 years or older in China, Ghana, India, Mexico, the Russian Federation, and South Africa. Smaller samples of younger adults (18–49 years) were included for comparison purposes. Participants reported income adequacy, SRH, and QOL. Associations between age and income adequacy and between income adequacy and SRH/QOL were examined using country-specific logistic regression analysis. Results Older adults in China and Russia were more likely to report better income adequacy than their 18- to 49-year-old counterparts; however, the opposite was observed in Ghana and India. SRH and QOL improved as income adequacy increased in all countries. Discussion As expected, income adequacy was correlated with SRH and QOL. However, the relationship between age and income adequacy varied cross-culturally, potentially due to differences in familial and governmental financial support.

Correlates of physical activity among community-dwelling individuals aged 65 years or older with anxiety in six low- and middle-income countries

2017 ◽  
Vol 30 (5) ◽  
pp. 705-714 ◽  
Author(s):  
Davy Vancampfort ◽  
Brendon Stubbs ◽  
Mats Hallgren ◽  
Nicola Veronese ◽  
James Mugisha ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cognitive Impairment ◽  
Social Cohesion ◽  
Community Dwelling ◽  
World Health ◽  
Older Individuals ◽  
Middle Income ◽  
Middle Income Countries ◽  
Wide Range ◽  
Low And Middle Income

ABSTRACTBackground:Given the important health benefits of physical activity (PA) and the higher risk for physical inactivity in people with anxiety, and the high prevalence of anxiety and low PA among the elderly, there is a need for research to investigate what factors influence PA participation among anxious older individuals. We investigated PA correlates among community-dwelling adults aged ≥ 65 years with anxiety symptoms in six low- and middle-income countries.Methods:Cross-sectional data from the World Health Organization's Study on Global Ageing and Adult Health were analyzed. PA level was assessed by the Global Physical Activity Questionnaire. 980 participants with anxiety (mean age 73.3 years; 62.4% females) were grouped into those who do and do not (low PA) meet the 150 minutes of moderate-to-vigorous PA per week recommendation. Associations between PA and the correlates were examined using multivariable logistic regressions.Results:The prevalence of low PA was 44.9% (95% CI = 39.2–50.7%). Older age, male gender, less consumption of alcohol, mild cognitive impairment, pain, a wide range of somatic co-morbidities, slow gait, weak grip strength, poor self-rated health, and lower levels of social cohesion were identified as significant positive correlates of low PA.Conclusions:Our data illustrate that a number of sociodemographic and health factors are associated with PA levels among older people with symptoms of anxiety. The promotion of social cohesion may increase the efficacy of public health initiatives, while from a clinical perspective, somatic co-morbidities, cognitive impairment, pain, muscle strength, and slow gait need to be considered.

scholarly journals Gender Differences in Quality of Life among Community-Dwelling Older Adults in Low- and Middle-Income Countries: Results from the Study on Global AGEing and adult health (SAGE)

2019 ◽  
Author(s):  
Kyung Hee Lee ◽  
Hanzhang Xu ◽  
Bei Wu
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
World Health ◽  
Adult Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
The World ◽  
Global Ageing ◽  
Low And Middle Income

Abstract Background: Quality of life (QoL) is an important component of individuals’ general well-being, particularly in older adults. However, factors influencing QoL among older adults in low- and middle-income countries (LMICs) have not been fully examined. Furthermore, the role of gender differences in relation to QoL in multiple LMICs has also not been examined in detail. Methods: This study used data from the World Health Organization’s Study on Global AGEing and adult health (SAGE), Wave-1. Based on a literature review of existing works, a set of variables—an independent variable and covariates—were selected. The study sample consisted of 33,019 participants aged 50 years and above from China, Ghana, India, Russia, and South Africa. Multivariate linear regression models were estimated with the World Health Organization QoL scores as the dependent variable. To preserve the analytical sample size, multiple imputation was used to account for missing data. Results: L The results showed that generally, male older adults reported a better QoL than female older adults across all of the countries. The associations between QoL and sociodemographic factors, health-related factors, and social support factors among older adults differed according to country. Conclusions: This study provides a better understanding of QoL among older adults in LMICs, which can help prepare LMICs to better address the QoL of older adults. The results of this study can be used to develop programs to promote better living standards and services to reduce gender disparities and ultimately, to improve the QoL among older adults in LMICs. Keywords: Quality of life, gender inequality, older adults, low- and middle-income country

scholarly journals Prevalence of anxiety and its correlates among older adults in Latin America, India and China: cross-cultural study

2011 ◽  
Vol 199 (6) ◽  
pp. 485-491 ◽  
Author(s):  
A. Matthew Prina ◽  
Cleusa P. Ferri ◽  
Mariella Guerra ◽  
Carol Brayne ◽  
Martin Prince
Keyword(s):  
Older Adults ◽  
Latin America ◽  
Older People ◽  
Common Mental Disorder ◽  
World Health ◽  
Western World ◽  
Computer Assisted ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

BackgroundAnxiety is a common mental disorder among older people who live in the Western world, yet little is known about its prevalence in low- and middle-income countries.AimsWe investigated the prevalence of anxiety and its correlates among older adults in low- and middle-income countries with diverse cultures.MethodCross-sectional surveys of all residents aged 65 or over (n = 15 021) in 11 catchment sites in 7 countries (China, India, Cuba, Dominican Republic, Venezuela, Mexico and Peru) were carried out as part of the 10/66 collaboration. Anxiety was measured by using the Geriatric Mental State Examination (GMS) and the Automated Geriatric Examination for Computer Assisted Taxonomy (AGECAT) diagnostic algorithm.ResultsThe age- and gender-standardised prevalence of anxiety varied greatly across sites, ranging from 0.1% (95% CI 0.0–0.3) in rural China to 9.6% (95% CI 6.2–13.1) in urban Peru. Urban centres had higher estimates of anxiety than their rural counterparts with adjusted (age, gender and site) odds ratios of 2.9 (95% CI 1.7–5.3). Age, gender, socioeconomic status and comorbid physical illnesses were all associated with a GMS/AGECAT diagnosis of anxiety, and so was disability (World Health Organization Disability Assessment Schedule II).ConclusionsAnxiety is common in Latin America. Estimates from this region are similar to the ones from high-income European countries found in the literature. As demographic change will occur more rapidly in these countries, further research exploring the mental health of older people in developing areas is vital, with the inclusion of other specific anxiety disorders, along with evidence for strategies for supporting those with these disorders.

scholarly journals Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countries

2016 ◽  
Vol 47 (3) ◽  
pp. 531-542 ◽  
Author(s):  
A. Koyanagi ◽  
H. Oh ◽  
B. Stubbs ◽  
J. M. Haro ◽  
J. E. DeVylder
Keyword(s):  
Urban Setting ◽  
World Health ◽  
Published Data ◽  
Psychotic Experiences ◽  
World Health Survey ◽  
Middle Income ◽  
Middle Income Countries ◽  
Physical Conditions ◽  
Chronic Physical Conditions ◽  
Low And Middle Income

BackgroundThe co-existence of depression and psychotic experiences (PEs) is associated with more pronounced adverse health outcomes compared to depression alone. However, data on its prevalence and correlates are lacking in the general adult population, and there is no published data on its association with chronic physical conditions.MethodCross-sectional, community-based data from 201 337 adults aged ⩾18 years from 47 low- and middle-income countries from the World Health Survey were analyzed. The presence of past 12-month PE and DSM-IV depression was assessed with the Composite International Diagnostic Interview (CIDI). Information on six chronic medical conditions (chronic back pain, edentulism, arthritis, angina, asthma, diabetes) were obtained by self-report. Multivariable logistic regression analysis was performed.ResultsThe crude overall prevalence of co-morbid depression/PEs was 2.5% [95% confidence interval (CI) 2.3–2.7%], with the age- and sex-adjusted prevalence ranging from 0.1% (Sri Lanka, Vietnam) to 9.03% (Brazil). Younger age, urban setting, current smoking, alcohol consumption, and anxiety were significant correlates of co-existing depression/PEs. Co-occurring depression/PEs was associated with significantly higher odds for arthritis, angina, and diabetes beyond that of depression alone after adjusting for sociodemographics, anxiety, and country, with odds ratios (depression/PEs v. depression only) being: arthritis 1.30 (95% CI 1.07–1.59, p = 0.0086); angina 1.40 (95% CI 1.18–1.67, p = 0.0002); diabetes 1.65 (95% CI 1.21–2.26, p = 0.0017).ConclusionsThe prevalence of co-existing depression/PEs was non-negligible in most countries. Our study suggests that when depression/PE or a chronic condition (e.g. arthritis, angina, diabetes) is detected, screening for the other may be important to improve clinical outcomes.

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