ArticleBMC geriatrics2020
Self-reported activities of daily living, health and quality of life among older adults in South Africa and Uganda: a cross sectional study.
Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Functional disability in basic and instrumental activities of daily living among older adults globally: a systematic review and meta-analysis.BMC geriatrics · 2025Pooled it
- Health-related quality of life and associated factors among older adults attending primary care clinics in Nigeria: a cross-sectional study.BMC primary care · 2026Article
- Associations between technology use, perceived burdensomeness, and independence among rural older adults.BMC geriatrics · 2026Article
- Exploring the quality of life of older people in long-term care facilities in the Sub-Saharan region: a scoping review.BMC geriatrics · 2025Article
- Associations of Objective and Subjective Physical Function With Quality of Life and Well-Being: A Cross-Sectional Study From Ardakan Cohort Study on Aging (ACSA).Health science reports · 2025Article
- Article
- Sociodemographic and health disparities in self-care difficulties among older individuals: Evidence from South Africa.BMC geriatrics · 2024Article
- Health-Related Quality of Life Perception Among Older Persons with Non-Communicable Diseases in Primary Healthcare Facilities: A Qualitative Inquiry.medRxiv : the preprint server for health sciences · 2024Article
- Determinants of self-reported chronic disease diagnoses among older persons in South Africa.African journal of primary health care & family medicine · 2024Article
- Socioeconomic support, quality of life, and prognosis of frailty among the older adults.Health care science · 2024Article
- Struggles over elder care in South Africa.Development Southern Africa · 2024Article
- Article
- The effect of psychosocial interventions by nurses on the well-being of aged Indian adults.Bioinformation · 2024Article
- Article
- Article
- Daily living activities' performance by male diabetics with sexual dysfunction in South Africa.African journal of primary health care & family medicine · 2023Article
- The moderating role of neighborhood disadvantage on the link between functional limitations and self-rated health.PloS one · 2023Article
- The perceptions of older people living with hiv/aids towards physical activity and exercise.AIDS research and therapy · 2022Article
- The association between self-rated health and all-cause mortality and explanatory factors in China's oldest-old population.Journal of global health · 2022Article
- Quality of life of older adults and associated factors in Ghanaian urban slums: a cross-sectional study.BMJ open · 2022Article
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDifficulties in performing the activities of daily living (ADL) are common among middle-aged and older adults. Inability to perform the basic tasks as well as increased healthcare expenditure and dependence on care can have debilitating effects on health and quality of life. The objective of this study was to examine the relationship between self-reported difficulty in activities of daily living (ADL), health and quality of life among community-dwelling, older population in South Africa and Uganda.
methodsWe analyzed cross-sectional data on 1495 men and women from South Africa (n = 514) and Uganda (n = 981) which were extracted from the SAGE Well-Being of Older People Study (WOPS 2011-13). Outcome variables were self-reported health and quality of life (QoL). Difficulty in ADL was assessed by self-reported answers on 12 different questions covering various physical and cognitive aspects. The association between self-reported health and quality of life with ADL difficulties was calculated by using multivariable logistic regression models.
resultsOverall percentage of good health and good quality of life was 40.4% and 20%, respectively. The percentage of respondents who had 1-3, 3-6, > 6 ADL difficulties were 42.4%7, 30.97% and 14.85%, respectively. In South Africa, having > 6 ADL difficulties was associated with lower odds of good health among men [Odds ratio = 0.331, 95%CI = 0.245,0.448] and quality of life among men [Odds ratio = 0.609, 95%CI = 0.424,0.874] and women [Odds ratio = 0.129, 95%CI = 0.0697,0.240]. In Uganda, having > 6 ADL difficulties was associated lower odds of good health [Odds ratio = 0.364, 95%CI = 0.159,0.835] and quality of life [Odds ratio = 0.584, 95%CI = 0.357,0.954].
conclusionThis study concludes that difficulty in ADL has a significant negative association with health and quality of life among community-dwelling older population (> 50 years) in South Africa and Uganda. The sex differences support previous findings on differential health outcomes among men and women, and underline the importance of designing sex-specific health intervention programs.
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