Nawagi Faith, Söderberg Martin, Berggren Vanja, Midlöv Patrik, Ajambo Aidah, Nakasujja Noeline
Euclid University Global Health Institute, Washington, DC, USA.
Faculty of Social Sciences, Child Rights Institute, Lund University, Lund, Sweden.
Curr Gerontol Geriatr Res. 2018 May 16;2018:4147509. doi: 10.1155/2018/4147509. eCollection 2018.
Aging entails health challenges globally, but pertinent data from low-income countries like Uganda remains scarce. A cross-sectional study was carried out at Mulago National Referral Hospital in Kampala, among 134 patients (38% men and 62% women) aged ≥60 years. Data was collected on sociodemographic characteristics, medical disorders, cognitive function, hearing handicap, and functional status, that is, Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL). The participants had high independency in BADL (89%) and IADL (75%). The most common medical conditions were bone/joint pain (35%), hypertension (24%), and visual problems (20%). More women (54%) than men (37%) reported bone and joint pain. The majority (80%) of the participants did not report any hearing handicap, and half (54%) did not have any cognitive impairment. Dependency in IADL was associated with advanced age, being female, and being financially dependent, and the risk of having a hearing handicap was higher among those above the median age (68 years). In adjusted models, the effects remained similar although statistical significance was only achieved for advanced age versus dependency in IADL (RR: 2.38, 95% CI: 1.12-5.08) and hearing handicap (RR: 2.67, 95% CI: 1.17-6.12). Thus, socioeconomic status and gender are relevant aspects when attempting to understand the health profile of the elderly in Kampala, Uganda.
老龄化在全球范围内带来了健康挑战，但像乌干达这样的低收入国家的相关数据仍然稀缺。在坎帕拉的穆拉戈国家转诊医院对134名年龄≥60岁的患者（38%为男性，62%为女性）进行了一项横断面研究。收集了社会人口学特征、医学疾病、认知功能、听力障碍和功能状态的数据，即日常生活基本活动（BADL）和日常生活工具性活动（IADL）。参与者在BADL（89%）和IADL（75%）方面具有较高的独立性。最常见的医学病症是骨/关节疼痛（35%）、高血压（24%）和视力问题（20%）。报告骨和关节疼痛的女性（54%）多于男性（37%）。大多数（80%）参与者未报告任何听力障碍，一半（54%）没有任何认知障碍。IADL方面的依赖与高龄、女性身份和经济依赖有关，年龄中位数（68岁）以上人群出现听力障碍的风险更高。在调整模型中，效果仍然相似，尽管仅在高龄与IADL依赖（RR：2.38，95%CI：1.12 - 5.08）和听力障碍（RR：2.67，95%CI：1.17 - 6.12）方面达到统计学显著性。因此，在试图了解乌干达坎帕拉老年人的健康状况时，社会经济地位和性别是相关因素。
