Background:In Nigeria,the prevailing realities of ageing in poverty and ill health are becoming obvious.This situation,coupled with the fact that Nigeria has no functional national policy on the care and welfare of ol...Background:In Nigeria,the prevailing realities of ageing in poverty and ill health are becoming obvious.This situation,coupled with the fact that Nigeria has no functional national policy on the care and welfare of older persons is worrisome.There are many factors which contribute to later life frailty which could be direct or indirect.These factors include socioeconomic and demographic factors,biological factors like genetics,lifestyle factors,medical factors such as diseases,sleep disturbances as well as psychological factors.These factors are often interwoven.This study aimed to assess the role of selected socio-economic determinants on later life frailty in Southwestern Nigeria.Data was sourced from the Nigerian general household survey-panel 2018–2019,with a total population size of 4,863 persons aged 45 years and above(mean 52.1±6.4 years).Method:Fried's approach was used to develop a frailty index(non-frail(3%);pre-frail(5.3%);frail(38.7%))and Poisson regression model was utilised.Results:We found a high prevalence of frailty in later life,using some socio-economic status such as educational level(b=0.024;p=0.004),wealth status(b=0.029;p=0.001),smoking habit(b=0.073;p=0.003)Rohrer index(b=0.005;p=0.002)and current health status(b=0.020;p=0.001).Our findings provided further evidence that socio-economic status impacts later-life frailty outcomes.This study uses cross sectional data which limits the study of the factors influencing the socioeconomic determinants of frailty.Conclusion:These results underline the need to adopt social protection systems in Nigeria to moderate the impact of health and economic shocks over the lifespan and to maintain the reserve capacity individuals bring in later life.State actors are to mainstream ageing issues into national development planning and the implementation of equal access for all older persons to affordable and quality healthcare and long-term care.展开更多
Background:The study is focused on assessing predictors of later life inequality in Nigeria with specificity to the gaps in dimension and distribution.Methods:The study employed linear mixed multi-level regression ana...Background:The study is focused on assessing predictors of later life inequality in Nigeria with specificity to the gaps in dimension and distribution.Methods:The study employed linear mixed multi-level regression analysis to assess predictors of aged inequalities status nested between geo-political zones and households.The study utilized the general household Survey-Panel(2018-2019)dataset(n=5527 persons aged≤60).Results:Evidence from the cross-sectional study revealed that aging inequalities are prevalent and persist between geo-political zones(γ00=1.374;p<0.001)and among households(γ00=1.266;p≤0.001).Demographic,social,and economic factors were strong determinants of inequality in the country.Conclusion:These results show that inequality among older adults in place and space is prevalent.Furthermore,these dire statistics of unequal inequalities at a later age are a significant problem in Nigeria.Therefore,an in-depth evaluation of the determined risk factors related to unequal aging and actions for its prevention are warranted.展开更多
文摘Background:In Nigeria,the prevailing realities of ageing in poverty and ill health are becoming obvious.This situation,coupled with the fact that Nigeria has no functional national policy on the care and welfare of older persons is worrisome.There are many factors which contribute to later life frailty which could be direct or indirect.These factors include socioeconomic and demographic factors,biological factors like genetics,lifestyle factors,medical factors such as diseases,sleep disturbances as well as psychological factors.These factors are often interwoven.This study aimed to assess the role of selected socio-economic determinants on later life frailty in Southwestern Nigeria.Data was sourced from the Nigerian general household survey-panel 2018–2019,with a total population size of 4,863 persons aged 45 years and above(mean 52.1±6.4 years).Method:Fried's approach was used to develop a frailty index(non-frail(3%);pre-frail(5.3%);frail(38.7%))and Poisson regression model was utilised.Results:We found a high prevalence of frailty in later life,using some socio-economic status such as educational level(b=0.024;p=0.004),wealth status(b=0.029;p=0.001),smoking habit(b=0.073;p=0.003)Rohrer index(b=0.005;p=0.002)and current health status(b=0.020;p=0.001).Our findings provided further evidence that socio-economic status impacts later-life frailty outcomes.This study uses cross sectional data which limits the study of the factors influencing the socioeconomic determinants of frailty.Conclusion:These results underline the need to adopt social protection systems in Nigeria to moderate the impact of health and economic shocks over the lifespan and to maintain the reserve capacity individuals bring in later life.State actors are to mainstream ageing issues into national development planning and the implementation of equal access for all older persons to affordable and quality healthcare and long-term care.
文摘Background:The study is focused on assessing predictors of later life inequality in Nigeria with specificity to the gaps in dimension and distribution.Methods:The study employed linear mixed multi-level regression analysis to assess predictors of aged inequalities status nested between geo-political zones and households.The study utilized the general household Survey-Panel(2018-2019)dataset(n=5527 persons aged≤60).Results:Evidence from the cross-sectional study revealed that aging inequalities are prevalent and persist between geo-political zones(γ00=1.374;p<0.001)and among households(γ00=1.266;p≤0.001).Demographic,social,and economic factors were strong determinants of inequality in the country.Conclusion:These results show that inequality among older adults in place and space is prevalent.Furthermore,these dire statistics of unequal inequalities at a later age are a significant problem in Nigeria.Therefore,an in-depth evaluation of the determined risk factors related to unequal aging and actions for its prevention are warranted.
