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

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

2020 ◽  
Author(s):  
Kyung Hee Lee ◽  
Hanzhang Xu ◽  
Bei Wu

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


2020 ◽  
Author(s):  
Kyung Hee Lee ◽  
Hanzhang Xu ◽  
Bei Wu

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


2017 ◽  
Vol 185 (6) ◽  
pp. 414-428 ◽  
Author(s):  
Perianayagam Arokiasamy ◽  
Uttamacharya ◽  
Paul Kowal ◽  
Benjamin D. Capistrant ◽  
Theresa E. Gildner ◽  
...  

2020 ◽  
Author(s):  
Duah Dwomoh ◽  
Susan Ama Amuasi ◽  
Gabriel Incoom ◽  
Alfred Edwin Yawson ◽  
Emmanuel Asampong ◽  
...  

Abstract Background The diagnosis and treatment of Depressive Disorders (DD) remain a challenge in low and middle-income countries (LMICs). Identifying the most important correlate of DD would serve as a guide in the design and implementation of targeted intervention in resource-constrained LMICs. This study determined whether there is/are common risk factor(s) of DD across the six LMICs and whether there is a risk factor that can be ranked consistently as the most important predictor of DD in all the six LMICs. We further estimated the impact of DD on the quality of life (QoL).Methods We used data from the World Health Organization Study on Global Ageing and Adult Health. Weighted dominance analysis was performed to determine the most important risk factor of DD. We applied inverse probability weighting Poisson regression adjustment to estimate the impact of DD on QoL for each country and further estimated the overall effect of DD on QoL in the six countries by computing a weighted average of the country-specific estimate using the technique of meta-analysis.Results Among the 58 risk factors investigated, Asthma was the most common and the most important predictor of DD across all six LMICs. DD contributed to a 12% increase in the poor QoL in China, (prevalence difference (PD)=0.12; 95% CI: 0.07-0.18, p<0.001). In India (PD=0.08; 95% CI: 0.04-0.13, p<0.01) and Russian Federation (PD=0.08; 95% CI: 0.01-0.15, p<0.01). Although there was some increase in poor QoL in Mexico, Ghana, and South Africa due to DD, the increase was not statistically significant.Conclusions Asthma is a major contributing factor to the high prevalence of DD among older adults and could have a direct or indirect effect on QoL. We recommend integrated intervention for Asthma patients that incorporates the diagnosis and treatment of DD. Access to quality mental healthcare should be a major government priority in LMICs.


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