Evidence map›Paper›PMID 27225792›Full record

ArticleGlobal health action2016

Chronic disease, risk factors and disability in adults aged 50 and above living with and without HIV: findings from the Wellbeing of Older People Study in Uganda.

Joseph O Mugisha, Enid J Schatz, Madeleine Randell, Monica Kuteesa, Paul Kowal, Joel Negin, Janet Seeley

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global health action, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 6 pooled it
6.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 6 syntheses or guidelines pooled it, 73 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 5 countries.

Joseph O MugishaMRC/UVRI, Uganda Research Unit on AIDS, Uganda.
Enid J SchatzDepartment of Health Sciences, University of Missouri Columbia, Missouri, USA.
Madeleine RandellSchool of Public Health, University of Sydney, Australia.
Monica KuteesaMRC/UVRI, Uganda Research Unit on AIDS, Uganda.
Paul KowalWorld Health Organization, Study on global AGEing and adult health, Geneva, Switzerland.
Joel NeginSchool of Public Health, University of Sydney, Australia.
Janet SeeleyMRC/UVRI, Uganda Research Unit on AIDS, Uganda.
University of Sydney · AULondon School of Hygiene & Tropical Medicine · GBUganda Virus Research Institute · UGUniversity of Missouri · USUniversity of Missouri Health System · USWorld Health Organization · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the prevalence of chronic conditions, their risk factors, and their associations with disability in older people living with and without HIV are scarce in sub-Saharan Africa.

objectivesIn older people living with and without HIV in sub-Saharan Africa: 1) to describe the prevalence of chronic conditions and their risk factors and 2) to draw attention to associations between chronic conditions and disability.

methodsCross-sectional individual-level survey data from people aged 50 years and over living with and without HIV were analyzed from three study sites in Uganda. Diagnoses of chronic conditions were made through self-report, and disability was determined using the WHO Disability Assessment Schedule (WHODAS). We used ordered logistic regression and calculated predicted probabilities to show differences in the prevalence of multiple chronic conditions across HIV status, age groups, and locality. We used linear regression to determine associations between chronic conditions and the WHODAS.

resultsIn total, 471 participants were surveyed; about half the respondents were living with HIV. The prevalence of chronic obstructive pulmonary disease and eye problems (except for those aged 60-69 years) was higher in the HIV-positive participants and increased with age. The prevalence of diabetes and angina was higher in HIV-negative participants. The odds of having one or more compared with no chronic conditions were higher in women (OR 1.6, 95% CI 1.1-2.3) and in those aged 70 years and above (OR 2.1, 95% CI 1.2-3.6). Sleep problems (coefficient 14.2, 95% CI 7.3-21.0) and depression (coefficient 9.4, 95% CI 1.2-17.0) were strongly associated with higher disability scores.

conclusionChronic conditions are common in older adults and affect their functioning. Many of these conditions are not currently addressed by health services in Uganda. There is a need to revise health care policy and practice in Uganda to consider the health needs of older people, particularly as the numbers of people living into older age with HIV and other chronic conditions are increasing.

Indexed as

AgedAged, 80 and overAgingChronic DiseaseCross-Sectional StudiesFemaleHealth SurveysHIV InfectionsHumansMaleMiddle AgedPersons with DisabilitiesPrevalenceRisk FactorsSex FactorsSocioeconomic FactorsAfricaagingaging disabilityHIV/AIDSnon-communicable diseasesolder adultsUganda

Identifiers

PMID27225792
PMCPMC4880619
OpenAlexW2400451381

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.