Ruralurban health disparities among older adults in South Africa
Afr. j. prim. health care fam. med. (Online)
; 11(1): 1-6, 2019. tab
Artigo
em Inglês
| AIM (África)
| ID: biblio-1257665
Biblioteca responsável:
CG1.1
ABSTRACT
Background:
There are limited studies assessing ruralurban disparities among older adults in Africa including South Africa.Aim:
This study explores ruralurban health disparities among older adults in a population-based survey in South Africa.Setting:
Data for this study emanated from the 2008 study on 'Global Ageing and Adult Health (SAGE) wave 1' (N= 3280) aged 50 years or older in South Africa.Methods:
Associations between exposure variables and outcome variables (health status variables and chronic conditions) were examined through bivariate analyses and multivariable logistic regression.Results:
Rural dwellers were more likely to be older, black African and had lower education and wealth than urban dwellers. Rural and urban dwellers reported a similar prevalence of self-rated health status, quality of life, severe functional disability, arthritis, asthma, lung disease, hypertension, obesity, underweight, stroke and/or angina, low vision, depression, anxiety and nocturnal sleep problems. Adjusting for socio-demographic and health risk behaviour variables, urban dwellers had a higher prevalence of diabetes (OR 2.36, 95%CI1.37, 4.04), edentulism (OR 2.79, 95% CI 1.27, 6.09) and cognitive functioning (OR 1.91, 95% CI 1.27, 2.85) than rural dwellers.Conclusion:
There are some ruralurban health disparities in South Africa, that is, urban dwellers had a higher prevalence of diabetes, edentulism and cognitive functioning than rural ones. Understanding these ruralurban health variations may help in developing better strategies to improve health across geolocality in South Africa
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Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Objetivo 1: Acesso equitativo aos serviços de saúde
/
Objetivo 11 Desigualdades e iniquidades na saúde
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Meta 3.8 Atingir a cobertura universal de saúde
Base de dados:
AIM (África)
Assunto principal:
África do Sul
/
Idoso
/
Dinâmica Populacional
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Nível de Saúde
/
Disparidades nos Níveis de Saúde
Tipo de estudo:
Fatores de risco
Aspecto:
Determinantes sociais da saúde
/
Equidade e iniquidade
/
Preferência do paciente
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Afr. j. prim. health care fam. med. (Online)
Ano de publicação:
2019
Tipo de documento:
Artigo