ArticleBMJ open2020
Cohort profile: the mature adults cohort of the Malawi longitudinal study of families and health (MLSFH-MAC).
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 27 citations in OpenAlex.
- Article
- Cognitive aging across the life course in a low-income context: evidence from Malawi.International journal of epidemiology · 2026Article
- Risk of malnutrition, food insecurity, dietary quality, and associated factors among Malawian older adults at hospital admission: a cross-sectional study.BMC geriatrics · 2025Article
- Surviving Bad News: Health Information Without Treatment Options.American economic review. Insights · 2025Article
- Derivation of a multivariate longitudinal causal effects model.Journal of applied statistics · 2025Article
- Prevalence and early-life predictors of adverse childhood experiences: Longitudinal insights from a low-income country.Child abuse & neglect · 2024Article
- Mortality risk information and health-seeking behavior during an epidemic.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Cohort profile: the Adverse Childhood Experiences cohort of the Malawi Longitudinal Study of Families and Health.BMJ open · 2024Article
- MORTALITY RISK INFORMATION, SURVIVAL EXPECTATIONS AND SEXUAL BEHAVIOURS.Economic journal (London, England) · 2024Article
- Surprising Gendered Age Differences in Rural Malawians' Early COVID-19 Pandemic Prevention Efforts.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Longitudinal Studies of Aging in Sub-Saharan Africa: Review, Limitations, and Recommendations in Preparation of Projected Aging Population.Innovation in aging · 2024Review
- Resilience, Accelerated Aging and Persistently Poor Health: Diverse Trajectories of Health in Malawi.Population and development review · 2023Article
- Barker's Hypothesis Among the Global Poor: Positive Long-Term Cardiovascular Effects of in Utero Famine Exposure.Demography · 2023Article
- Prevalence of suspected dementia in a sample of adults living in Kinshasa-Democratic Republic of the Congo.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Cognition and Cognitive Changes in a Low-Income Sub-Saharan African Aging Population.Journal of Alzheimer's disease : JAD · 2023Article
- Mental health and life-course shocks in a low-income country: Evidence from Malawi.SSM - population health · 2022Article
- Path Dependence in Disability.Journal of African economies · 2022Article
- Curtailing Covid-19 on a dollar-a-day in Malawi: Role of community leadership for shaping public health and economic responses to the pandemic.World development · 2022Article
- Aging and hypertension among the global poor-Panel data evidence from Malawi.PLOS global public health · 2022Article
- Pain Is Widespread and Predicts Poor Mental Health Among Older Adults in Rural Malawi.Innovation in aging · 2022Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 4 countries.
Funding
Abstract
purposeThe Mature Adults Cohort of the Malawi Longitudinal Study of Families and Health (MLSFH-MAC) contributes to global ageing studies by providing a rare opportunity to study the processes of individual and population ageing, the public health and social challenges associated with ageing and the coincident shifts in disease burdens, in a low-income, high HIV prevalence, sub-Saharan African (SSA) context.
participantsThe MLSFH-MAC is an open population-based cohort study of mature adults aged 45+ years living in rural communities in three districts in Malawi. Enrolment at baseline is 1266 individuals in 2012. Follow-ups were in 2013, 2017 and 2018 when the cohort size reached 1626 participants in 2018. FINDINGS TO DATE: Survey instruments cover ageing-related topics such as cognitive and mental health, non-communicable diseases (NCDs) and related health literacy, subjective survival expectations, measured biomarkers including HIV, grip strength, hypertension, fasting glucose, body mass index (BMI), broad individual-level and household-level social and economic information, a 2018 qualitative survey of mature adults and community officials, 2019 surveys of village heads, healthcare facilities and healthcare providers in the MLSFH-MAC study areas. Across many domains, MLSFH-MAC allows for comparative research with global ageing studies through harmonised measures and instruments. Key findings to date include a high prevalence of depression and anxiety among older adults, evidence for rapid declines in cognitive health with age, a low incidence of HIV among mature adults, rising prevalence of HIV due to increased survival of HIV-positive individuals and poor physical health with high NCD prevalence. FUTURE PLANS: An additional wave of MLSFH-MAC is forthcoming in 2021, and future expansions of the cohort are planned. MLSFH-MAC data will also be publicly released and will provide a wealth of information unprecedented for ageing studies in a low-income SSA context that broadly represents the socioeconomic environment of millions of individuals in south-eastern Africa.
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