ArticleInternational journal of epidemiology2014
Social conditions and disability related to the mortality of older people in rural South Africa.
Article in International journal of epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality of life and mortality in the general population: a systematic review and meta-analysis.BMC public health · 2020Pooled it
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- Article
- 'Sometimes it is not about men': Gendered and generational discourses of caregiving HIV transmission in a rural South African setting.Global public health · 2022Article
- Article
- Instruments used to assess quality of life of older adults in African countries: a scoping review.BMC geriatrics · 2021Article
- Self-reported disability in relation to mortality in rural Malawi: a longitudinal study of over 16 000 adults.BMJ open · 2020Article
- Receipt of Emotional Support among Rural South African Adults.Ageing and society · 2020Article
- Rethinking collaboration: developing a learning platform to address under-five mortality in Mpumalanga province, South Africa.Health policy and planning · 2019Article
- "They don't care about us": older people's experiences of primary healthcare in Cape Town, South Africa.BMC geriatrics · 2019Article
- Article
- Sexual behavior and HIV risk across the life course in rural South Africa: trends and comparisons.AIDS care · 2018Article
- Disparities in mortality by disability: an 11-year follow-up study of 1 million individuals.International journal of public health · 2017Article
- Marital Dissolutions and the Health of Older Individuals in a Rural African Context.The journals of gerontology. Series B, Psychological sciences and social sciences · 2017Article
- Physical Function in an Aging Population in Rural South Africa: Findings From HAALSI and Cross-National Comparisons With HRS Sister Studies.The journals of gerontology. Series B, Psychological sciences and social sciences · 2017Article
- Relative Association of Multi-Level Supportive Environments on Poor Health among Older Adults.International journal of environmental research and public health · 2017Article
- Non-communicable disease syndemics: poverty, depression, and diabetes among low-income populations.Lancet (London, England) · 2017Review
- Introducing visual participatory methods to develop local knowledge on HIV in rural South Africa.BMJ global health · 2017Article
- Variations in disability and quality of life with age and sex between eight lower income and middle-income countries: data from the INDEPTH WHO-SAGE collaboration.BMJ global health · 2017Article
- Determinants of poor self-rated health among adults in urban Mozambique.BMC public health · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundSouth Africa is experiencing a health and social transition including an ageing population and an HIV epidemic. We report mortality experience of an older rural South African population.
methodsIndividual survey data and longer-term demographic data were used to describe factors associated with mortality. Individuals aged 50 years and over (n¼4085) answered a health and quality of life questionnaire in 2006 and were followed for 3 years thereafter. Additional vital events and socio-demographic data were extracted from the Agincourt Health and Demographic Surveillance System from 1993 to 2010, to provide longer-term trends in mortality. Cox regression analysis was used to determine factors related to survival.
resultsIn 10 967 person-years of follow-up between August 2006 and August 2009,377 deaths occurred. Women had lower mortality {hazard ratio [HR] 0.35 [95% confidence interval (CI) 0.28–0.45]}. Higher mortality was associated with being single[HR 1.48 (95% CI 1.16–1.88)], having lower household assets score [HR 1.79 (95%CI 1.28–2.51)], reporting greater disability [HR 2.40 (95% CI 1.68–3.42)] and poorer quality of life [HR 1.59 (95% CI 1.09–2.31)]. There was higher mortality in those aged under 69 as compared with those 70 to 79 years old. Census data and cause specific regression models confirmed that this was due to deaths from HIV/TB in the younger age group.
conclusionsMortality due to HIV/TB is increasing in men, and to some extent women,aged over 50. Policy makers and practitioners should consider the needs of this growing and often overlooked group.
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