Heidelberg Institute of Global Health, Heidelberg University, Germany.
Institute of Applied Health Research, University of Birmingham, UK.
J Gerontol B Psychol Sci Soc Sci. 2021 Oct 30;76(9):1880-1892. doi: 10.1093/geronb/gbab041.
The importance of impairment in performing activities of daily living (ADL) is likely to increase in sub-Saharan Africa because few care options for affected people exist. This study investigated the prevalence of ADL impairment, the extent to which care need was met, and described characteristics of people with ADL impairment and unmet need in Burkina Faso.
This study used data from the Centre de Recherche en Santé de Nouna Heidelberg Aging Study, a population-based study among 3,026 adults aged older than 40 years conducted in rural Burkina Faso. Information on 6 basic ADL items was sought, with a follow-up question asking whether care need was not met, partially met, or met. Bivariable correlations and multivariable logistic regression were used to determine sociodemographic and health characteristics associated with ADL impairment and unmet need.
ADL impairment of any kind was reported by 1,202 (39.7%) respondents and was associated with older age (adjusted odds ratio: 1.05 [95% CI: 1.04-1.06]), being a woman (1.33 [1.06-1.60]), and reporting depressive symptoms (1.90 [1.65-2.18]). Among those with ADL impairment, 67.8% had at least one unmet need. Severe ADL impairment was found in 202 (6.7%) respondents, who reported a lower prevalence of unmet need (43.1%). Severe ADL impairment was associated with depressive symptoms (2.55 [2.11-3.07]) to a stronger degree than any ADL impairment.
Prevalence of ADL impairment and unmet need was high in this setting. Variation in impairment across the population highlighted key groups for future interventions. Unmet need for care was highest in middle-aged adults, indicating a gap in care provision.
在撒哈拉以南非洲，日常生活活动（ADL）受损的重要性可能会增加，因为受影响的人几乎没有护理选择。本研究调查了 ADL 受损的流行率、满足护理需求的程度，并描述了布基纳法索 ADL 受损和未满足需求人群的特征。
本研究使用了来自 Centre de Recherche en Santé de Nouna Heidelberg Aging Study 的数据，这是一项在布基纳法索农村地区进行的、针对 3026 名年龄在 40 岁以上的成年人的基于人群的研究。研究人员询问了 6 项基本 ADL 项目的信息，并进一步询问是否存在未满足、部分满足或满足的护理需求。使用双变量相关性和多变量逻辑回归来确定与 ADL 受损和未满足需求相关的社会人口学和健康特征。
1202 名（39.7%）受访者报告存在某种程度的 ADL 受损，与年龄较大（调整后的优势比：1.05 [95%CI：1.04-1.06]）、女性（1.33 [1.06-1.60]）和报告抑郁症状（1.90 [1.65-2.18]）有关。在存在 ADL 受损的人群中，67.8%存在至少一种未满足的护理需求。202 名（6.7%）受访者存在严重的 ADL 受损，他们报告的未满足需求的比例较低（43.1%）。严重的 ADL 受损与抑郁症状的相关性更强（2.55 [2.11-3.07]），而不是任何 ADL 受损。
在这一背景下，ADL 受损和未满足需求的发生率较高。人群中 ADL 受损的差异突出了未来干预的关键人群。中年成年人的护理需求未得到满足的比例最高，表明护理提供方面存在差距。
