Background:In Nigeria,the prevailing realities of ageing in poverty and ill health are becoming obvious.This situation,coupled with the fact that Nigeria has no functional national policy on the care and welfare of ol...Background:In Nigeria,the prevailing realities of ageing in poverty and ill health are becoming obvious.This situation,coupled with the fact that Nigeria has no functional national policy on the care and welfare of older persons is worrisome.There are many factors which contribute to later life frailty which could be direct or indirect.These factors include socioeconomic and demographic factors,biological factors like genetics,lifestyle factors,medical factors such as diseases,sleep disturbances as well as psychological factors.These factors are often interwoven.This study aimed to assess the role of selected socio-economic determinants on later life frailty in Southwestern Nigeria.Data was sourced from the Nigerian general household survey-panel 2018–2019,with a total population size of 4,863 persons aged 45 years and above(mean 52.1±6.4 years).Method:Fried's approach was used to develop a frailty index(non-frail(3%);pre-frail(5.3%);frail(38.7%))and Poisson regression model was utilised.Results:We found a high prevalence of frailty in later life,using some socio-economic status such as educational level(b=0.024;p=0.004),wealth status(b=0.029;p=0.001),smoking habit(b=0.073;p=0.003)Rohrer index(b=0.005;p=0.002)and current health status(b=0.020;p=0.001).Our findings provided further evidence that socio-economic status impacts later-life frailty outcomes.This study uses cross sectional data which limits the study of the factors influencing the socioeconomic determinants of frailty.Conclusion:These results underline the need to adopt social protection systems in Nigeria to moderate the impact of health and economic shocks over the lifespan and to maintain the reserve capacity individuals bring in later life.State actors are to mainstream ageing issues into national development planning and the implementation of equal access for all older persons to affordable and quality healthcare and long-term care.展开更多
文摘Background:In Nigeria,the prevailing realities of ageing in poverty and ill health are becoming obvious.This situation,coupled with the fact that Nigeria has no functional national policy on the care and welfare of older persons is worrisome.There are many factors which contribute to later life frailty which could be direct or indirect.These factors include socioeconomic and demographic factors,biological factors like genetics,lifestyle factors,medical factors such as diseases,sleep disturbances as well as psychological factors.These factors are often interwoven.This study aimed to assess the role of selected socio-economic determinants on later life frailty in Southwestern Nigeria.Data was sourced from the Nigerian general household survey-panel 2018–2019,with a total population size of 4,863 persons aged 45 years and above(mean 52.1±6.4 years).Method:Fried's approach was used to develop a frailty index(non-frail(3%);pre-frail(5.3%);frail(38.7%))and Poisson regression model was utilised.Results:We found a high prevalence of frailty in later life,using some socio-economic status such as educational level(b=0.024;p=0.004),wealth status(b=0.029;p=0.001),smoking habit(b=0.073;p=0.003)Rohrer index(b=0.005;p=0.002)and current health status(b=0.020;p=0.001).Our findings provided further evidence that socio-economic status impacts later-life frailty outcomes.This study uses cross sectional data which limits the study of the factors influencing the socioeconomic determinants of frailty.Conclusion:These results underline the need to adopt social protection systems in Nigeria to moderate the impact of health and economic shocks over the lifespan and to maintain the reserve capacity individuals bring in later life.State actors are to mainstream ageing issues into national development planning and the implementation of equal access for all older persons to affordable and quality healthcare and long-term care.
