University of Montreal, Montreal, QC, Canada.
Glob Public Health. 2012;7(5):495-508. doi: 10.1080/17441692.2011.630676. Epub 2011 Nov 15.
The objective of this study was to assess the prevalence and the contribution of socio-demographic factors and chronic diseases to mobility disability in West African countries. Data were obtained from the World Health Survey (2002-2003) in which adults≥18 years participated, from Burkina Faso (n=4822), Mali (n=4230) and Senegal (n=3197). Participants reporting mild, moderate, severe, extreme difficulty or inability to move around were defined as having mobility disability. All estimates were corrected for sampling design. Association measures were estimated using logistic regression methods. Mobility disability was frequent at young ages (35-44 years old) in men and women, respectively: 17% and 23% in Burkina Faso, 12% and 23% in Mali and 22% and 34% in Senegal. Women had higher odds of mobility difficulty than men at every age group in the three countries: 1.34 (95%CI 1.06; 1.70) in Burkina Faso; 2.33 (95% CI 1.84; 2.71) in Mali and 1.82 (95%CI 1.41; 2.36) in Senegal. Controlling for socio-economic factors and chronic disease, these odds changed respectively to 0.94 (95%CI 0.70; 1.25), 2.19 (95%CI 1.61; 2.96) and 1.90 (95%CI 1.27; 2.84). These results constitute a benchmark for the study of trends of mobility disability in West Africa and could be used by policy planners.
本研究旨在评估社会人口因素和慢性病对西非国家的残疾移动性的流行程度和贡献。数据来自 2002-2003 年的世界卫生调查，其中包括来自布基纳法索（n=4822）、马里（n=4230）和塞内加尔（n=3197）的≥18 岁的成年人。报告有轻度、中度、重度、极度困难或无法四处走动的参与者被定义为有残疾移动性。所有估计数均经过抽样设计校正。使用逻辑回归方法估计关联度量。在布基纳法索，男性和女性分别在 35-44 岁年龄组中出现残疾移动性的频率较高：17%和 23%；在马里，12%和 23%；在塞内加尔，22%和 34%。在这三个国家，女性在每个年龄组中残疾移动性的几率均高于男性：在布基纳法索为 1.34（95%CI 1.06；1.70）；在马里为 2.33（95%CI 1.84；2.71）；在塞内加尔为 1.82（95%CI 1.41；2.36）。在控制社会经济因素和慢性疾病后，这些几率分别变为 0.94（95%CI 0.70；1.25）、2.19（95%CI 1.61；2.96）和 1.90（95%CI 1.27；2.84）。这些结果为研究西非残疾移动性趋势提供了基准，并可供政策制定者使用。
