Late-life disability trajectories in Yoruba Nigerians and the Spanish population: a state space model in continuous time.
Por:
Ojagbemi A, Estrada E, de la Torre-Luque A, Moreno-Agostino D, Lara E, Caballero FF, Bello T, Olaya B, Haro JM, Gureje O and Ayuso-Mateos JL
Publicada:
1 dic 2022
Ahead of Print:
28 nov 2021
Resumen:
OBJECTIVES: We compared the trajectory of activities of daily living (ADL) in a nationally representative sample of older Nigerians with their Spanish peers and identified factors to explain country-specific growth models. METHODS: Data from two household multistage probability samples were used, comprising older adults from Spain (n = 2,011) and Nigeria (n = 1,704). All participants underwent assessment for ADL. Risk factors including sex, household income, urbanicity, years of education, depression, alcohol consumption and smoking were assessed using validated methods. State-space model in continuous time (SSM-CT) methods were used for trajectory comparison. RESULTS: Compared with Nigerians (µ(ADL80)=0.44, SE = 0.015, p < 0.001), Spanish older adults had higher disability scores (µ(ADL80)=1.23, SE = 0.021, p < 0.001). In SSM-CT models, the rate of increase in disability was faster in Nigerians (Nigeria: ß = 0.061, p<.01; Spain: ß = 0.028, p < 0.010). An increasing course of disability in the Spanish sample was predicted by female sex, lower education and depression diagnosis. CONCLUSION: The rate of increase in disability was faster in older Nigerians living in an economically disadvantaged context.
Filiaciones:
Ojagbemi A:
Department of Psychiatry, University of Ibadan, Ibadan, Nigeria
WHO Collaborating Centre for Research and Training in Mental Health, Neurosciences and Substance Abuse, University of Ibadan, Ibadan, Nigeria
Estrada E:
Department of Social and Methodological Psychology, Universidad Autonoma de Madrid, Madrid, Spain
de la Torre-Luque A:
Centre for Biomedical Research in Mental Health (CIBERSAM), Madrid, Spain
Department of Legal Medicine, Psychiatry and Pathology, Universidad Complutense de Madrid, Madrid, Spain
Moreno-Agostino D:
ESRC Centre for Society and Mental Health, King's College London, London, United Kingdom
Centre for Longitudinal Studies, UCL Social Research Institute, University College London, London, United Kingdom
:
Centre for Biomedical Research in Mental Health (CIBERSAM), Madrid, Spain
Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain
Caballero FF:
Department of Preventive Medicine, Public Health, and Microbiology, Universidad Autónoma de Madrid, Madrid, Spain
Centre for Biomedical Research in Epidemiology and Public Health (CIBERESP), Pamplona, Spain
Bello T:
Department of Psychiatry, University of Ibadan, Ibadan, Nigeria
WHO Collaborating Centre for Research and Training in Mental Health, Neurosciences and Substance Abuse, University of Ibadan, Ibadan, Nigeria
Olaya B:
Centre for Biomedical Research in Mental Health (CIBERSAM), Madrid, Spain
Parc Sanitari Sant Joan de Deu, Barcelona, Spain
Haro JM:
Centre for Biomedical Research in Mental Health (CIBERSAM), Madrid, Spain
Parc Sanitari Sant Joan de Deu, Barcelona, Spain
Gureje O:
Department of Psychiatry, University of Ibadan, Ibadan, Nigeria
WHO Collaborating Centre for Research and Training in Mental Health, Neurosciences and Substance Abuse, University of Ibadan, Ibadan, Nigeria
Department of Psychiatry, Faculty of Health Sciences, Stellenbosch University, Stellenbosch, South Africa
Ayuso-Mateos JL:
Centre for Biomedical Research in Mental Health (CIBERSAM), Madrid, Spain
Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain
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