Rural–urban health disparities among older adults in South Africa
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Rural–urban health disparities among older adults in South Africa | |
| Creator | Peltzer, Karl Phaswana-Mafuya, Nancy Pengpid, Supa | |
| Description | Background: There are limited studies assessing rural–urban disparities among older adults in Africa including South Africa.Aim: This study explores rural–urban health disparities among older adults in a population-based survey in South Africa.Setting: Data for this study emanated from the 2008 study on ‘Global Ageing and Adult Health (SAGE) wave 1’ (N = 3280) aged 50 years or older in South Africa.Methods: Associations between exposure variables and outcome variables (health status variables and chronic conditions) were examined through bivariate analyses and multivariable logistic regression.Results: Rural dwellers were more likely to be older, black African and had lower education and wealth than urban dwellers. Rural and urban dwellers reported a similar prevalence of self-rated health status, quality of life, severe functional disability, arthritis, asthma, lung disease, hypertension, obesity, underweight, stroke and/or angina, low vision, depression, anxiety and nocturnal sleep problems. Adjusting for socio-demographic and health risk behaviour variables, urban dwellers had a higher prevalence of diabetes (OR: 2.36, 95% CI: 1.37, 4.04), edentulism (OR: 2.79, 95% CI: 1.27, 6.09) and cognitive functioning (OR: 1.91, 95% CI: 1.27, 2.85) than rural dwellers.Conclusion: There are some rural–urban health disparities in South Africa, that is, urban dwellers had a higher prevalence of diabetes, edentulism and cognitive functioning than rural ones. Understanding these rural–urban health variations may help in developing better strategies to improve health across geolocality in South Africa. | |
| Publisher | AOSIS | |
| Date | 2019-06-19 | |
| Identifier | 10.4102/phcfm.v11i1.1890 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 11, No 1 (2019); 6 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/1890/3176
https://phcfm.org/index.php/phcfm/article/view/1890/3175
https://phcfm.org/index.php/phcfm/article/view/1890/3177
https://phcfm.org/index.php/phcfm/article/view/1890/3166
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