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Article

Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries

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International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK
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UCL Institute of Cardiovascular Science, Gower Street, London WC1E 6BT, UK
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National Council on Disability, Guatemala City 01001, Guatemala
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Valley Research Group, Kathmandu 44600, Nepal
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Indian Institute of Public Health, Hyderabad 122002, Telangana, India
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Sightsavers Cameroon, Yaoundé, Cameroon
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Range of Motion Project, P.O. Box 100915, Dever, CO 80250, USA
*
Author to whom correspondence should be addressed.
Academic Editors: Jean Woo and Marcello Covino
Int. J. Environ. Res. Public Health 2021, 18(13), 6962; https://doi.org/10.3390/ijerph18136962
Received: 10 May 2021 / Revised: 23 June 2021 / Accepted: 23 June 2021 / Published: 29 June 2021
This analysis of surveys from six low- and middle-income countries (LMICs) aimed to (i) estimate the prevalence of disability among older adults and (ii) compare experiences and participation in key life areas among older people with and without disabilities which may show vulnerability during the COVID-19 pandemic. Data were analysed from district-level or national surveys in Cameroon, Guatemala, Haiti, India, Nepal and the Maldives, which across the six databases totalled 3499 participants aged 60 years and above including 691 people with disabilities. Disability was common among adults 60+, ranging from 9.7% (8.0–11.8) in Nepal to 39.2% in India (95% CI 34.1–44.5%). Mobility was the most commonly reported functional difficulty. In each setting, older people with disabilities were significantly less likely to be working and reported greater participation restrictions and environmental barriers in key life areas compared to people in the same age categories without disabilities (p < 0.05). Disability is common in this population, and older people with disabilities may have greater difficulties participating in COVID-19 responses and have high economic vulnerabilities. It is imperative to prioritise the needs of older people with disabilities in the COVID-19 pandemic, including ensuring accessibility of both health services and the community in general. View Full-Text
Keywords: disability; older adults; participation; COVID-19 disability; older adults; participation; COVID-19
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MDPI and ACS Style

Prynn, J.E.; Polack, S.; Mactaggart, I.; Banks, L.M.; Hameed, S.; Dionicio, C.; Neupane, S.; Murthy, G.; Oye, J.; Naber, J.; Kuper, H. Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries. Int. J. Environ. Res. Public Health 2021, 18, 6962. https://doi.org/10.3390/ijerph18136962

AMA Style

Prynn JE, Polack S, Mactaggart I, Banks LM, Hameed S, Dionicio C, Neupane S, Murthy G, Oye J, Naber J, Kuper H. Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries. International Journal of Environmental Research and Public Health. 2021; 18(13):6962. https://doi.org/10.3390/ijerph18136962

Chicago/Turabian Style

Prynn, Josephine E., Sarah Polack, Islay Mactaggart, Lena M. Banks, Shaffa Hameed, Carlos Dionicio, Shailes Neupane, GVS Murthy, Joseph Oye, Jonathan Naber, and Hannah Kuper. 2021. "Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries" International Journal of Environmental Research and Public Health 18, no. 13: 6962. https://doi.org/10.3390/ijerph18136962

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