Limits...
Physical Functional Limitations among Aboriginal and Non-Aboriginal Older Adults: Associations with Socio-Demographic Factors and Health.

Gubhaju L, Banks E, MacNiven R, McNamara BJ, Joshy G, Bauman A, Eades SJ - PLoS ONE (2015)

Bottom Line: In both Aboriginal and non-Aboriginal participants, severe limitation was significantly associated with: being ≥70 vs <70 years old (aPRs 1.8, 1.3-2.4 and 5.3, 5.0-5.5, within Aboriginal and non-Aboriginal participants, respectively), none vs tertiary educational qualifications (aPRs 2.4, 1.7-3.3 and 3.1, 3.0-3.2), lower vs higher income (aPRs 6.6, 4.2-10.5 and 5.5, 5.2-5.8), current vs never-smoking (aPRs 2.0, 1.6-2.5 and 2.2, 2.1-2.3), obese vs normal weight (aPRs 1.7, 1.3-2.2 and 2.7, 2.7-2.8) and sitting for ≥7 vs <7 hours/day (aPRs 1.6, 1.2-2.0 and 1.6, 1.6-1.7).It was significantly higher in those with few vs many social contacts (aPRs 1.7, 1.4-2.0 and 1.4, 1.4-1.4) and with very high vs low psychological distress (aPRs 4.4, 3.6-5.4 and 5.7, 5.5-5.9).Effective management of chronic disease and reducing the prevalence of obesity and smoking are important areas for attention.

View Article: PubMed Central - PubMed

Affiliation: Aboriginal Health, Baker IDI Heart and Diabetes Institute, 99 Commercial Road, Melbourne, 3004, Victoria, Australia.

ABSTRACT

Background: Australian Aboriginal people are disproportionately affected by physical disability; the reasons for this are unclear. This study aimed to quantify associations between severe physical functional limitations and socio-demographic and health-related factors among older Aboriginal and non-Aboriginal adults.

Methods: Questionnaire data from 1,563 Aboriginal and 226,802 non-Aboriginal participants aged ≥45 years from the Sax Institute's 45 and Up Study (New South Wales, Australia) were used to calculate age- and sex-adjusted prevalence ratios (aPRs) for severe limitation [MOS-PF score <60] according to socio-demographic and health-related factors.

Results: Overall, 26% (410/1563) of Aboriginal participants and 13% (29,569/226,802) of non-Aboriginal participants had severe limitations (aPR 2.8, 95%CI 2.5-3.0). In both Aboriginal and non-Aboriginal participants, severe limitation was significantly associated with: being ≥70 vs <70 years old (aPRs 1.8, 1.3-2.4 and 5.3, 5.0-5.5, within Aboriginal and non-Aboriginal participants, respectively), none vs tertiary educational qualifications (aPRs 2.4, 1.7-3.3 and 3.1, 3.0-3.2), lower vs higher income (aPRs 6.6, 4.2-10.5 and 5.5, 5.2-5.8), current vs never-smoking (aPRs 2.0, 1.6-2.5 and 2.2, 2.1-2.3), obese vs normal weight (aPRs 1.7, 1.3-2.2 and 2.7, 2.7-2.8) and sitting for ≥7 vs <7 hours/day (aPRs 1.6, 1.2-2.0 and 1.6, 1.6-1.7). Severe limitations increased with increasing ill-health, with aPRs rising to 5-6 for ≥5 versus no chronic conditions. It was significantly higher in those with few vs many social contacts (aPRs 1.7, 1.4-2.0 and 1.4, 1.4-1.4) and with very high vs low psychological distress (aPRs 4.4, 3.6-5.4 and 5.7, 5.5-5.9).

Conclusions: Although the prevalence of severe physical limitation among Aboriginal people in this study is around three-fold that of non-Aboriginal people, the factors related to it are similar, indicating that Aboriginal people have higher levels of risk factors for and consequences of severe limitations. Effective management of chronic disease and reducing the prevalence of obesity and smoking are important areas for attention.

No MeSH data available.


Related in: MedlinePlus

Association between severe physical functional limitations (MOS-PF score 0–59) and chronic disease among Aboriginal and non-Aboriginal participants from the 45 and Up study.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4589378&req=5

pone.0139364.g005: Association between severe physical functional limitations (MOS-PF score 0–59) and chronic disease among Aboriginal and non-Aboriginal participants from the 45 and Up study.

Mentions: A higher prevalence of severe limitation was found among individuals diagnosed with a specific medical condition in comparison to those that did not have the condition. Absolute baseline prevalence of severe limitation was consistently high among Aboriginal people: approximately 20–25% of Aboriginal people who responded as not being diagnosed with the specific condition were severely limited. Among those who responded to not being diagnosed with any of the conditions listed, 10% of Aboriginal people were severely limited compared to 5% of non-Aboriginal people. Aboriginal and non-Aboriginal participants who had ever been told by a doctor that they had diabetes had 2.1 times the prevalence of severe limitation, respectively, compared to those that did not have diabetes (Fig 5). The prevalence of severe functional limitation among participants who had thrombosis, heart disease, depression/anxiety and stroke was also twice that of those without those conditions. Prevalence of severe limitation increased steadily with increasing number of chronic conditions; compared to those with no chronic conditions, a prevalence ratio of 2.3 (95% CI 1.7–3.3) was observed among Aboriginal participants with one to two conditions; rising to 5.9 (95% CI 3.8–9.3) among those with seven or more conditions. Significant statistical interaction with Aboriginal status was found for the relationship between severe limitation and stroke (Pinteraction = 0.01).


Physical Functional Limitations among Aboriginal and Non-Aboriginal Older Adults: Associations with Socio-Demographic Factors and Health.

Gubhaju L, Banks E, MacNiven R, McNamara BJ, Joshy G, Bauman A, Eades SJ - PLoS ONE (2015)

Association between severe physical functional limitations (MOS-PF score 0–59) and chronic disease among Aboriginal and non-Aboriginal participants from the 45 and Up study.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4589378&req=5

pone.0139364.g005: Association between severe physical functional limitations (MOS-PF score 0–59) and chronic disease among Aboriginal and non-Aboriginal participants from the 45 and Up study.
Mentions: A higher prevalence of severe limitation was found among individuals diagnosed with a specific medical condition in comparison to those that did not have the condition. Absolute baseline prevalence of severe limitation was consistently high among Aboriginal people: approximately 20–25% of Aboriginal people who responded as not being diagnosed with the specific condition were severely limited. Among those who responded to not being diagnosed with any of the conditions listed, 10% of Aboriginal people were severely limited compared to 5% of non-Aboriginal people. Aboriginal and non-Aboriginal participants who had ever been told by a doctor that they had diabetes had 2.1 times the prevalence of severe limitation, respectively, compared to those that did not have diabetes (Fig 5). The prevalence of severe functional limitation among participants who had thrombosis, heart disease, depression/anxiety and stroke was also twice that of those without those conditions. Prevalence of severe limitation increased steadily with increasing number of chronic conditions; compared to those with no chronic conditions, a prevalence ratio of 2.3 (95% CI 1.7–3.3) was observed among Aboriginal participants with one to two conditions; rising to 5.9 (95% CI 3.8–9.3) among those with seven or more conditions. Significant statistical interaction with Aboriginal status was found for the relationship between severe limitation and stroke (Pinteraction = 0.01).

Bottom Line: In both Aboriginal and non-Aboriginal participants, severe limitation was significantly associated with: being ≥70 vs <70 years old (aPRs 1.8, 1.3-2.4 and 5.3, 5.0-5.5, within Aboriginal and non-Aboriginal participants, respectively), none vs tertiary educational qualifications (aPRs 2.4, 1.7-3.3 and 3.1, 3.0-3.2), lower vs higher income (aPRs 6.6, 4.2-10.5 and 5.5, 5.2-5.8), current vs never-smoking (aPRs 2.0, 1.6-2.5 and 2.2, 2.1-2.3), obese vs normal weight (aPRs 1.7, 1.3-2.2 and 2.7, 2.7-2.8) and sitting for ≥7 vs <7 hours/day (aPRs 1.6, 1.2-2.0 and 1.6, 1.6-1.7).It was significantly higher in those with few vs many social contacts (aPRs 1.7, 1.4-2.0 and 1.4, 1.4-1.4) and with very high vs low psychological distress (aPRs 4.4, 3.6-5.4 and 5.7, 5.5-5.9).Effective management of chronic disease and reducing the prevalence of obesity and smoking are important areas for attention.

View Article: PubMed Central - PubMed

Affiliation: Aboriginal Health, Baker IDI Heart and Diabetes Institute, 99 Commercial Road, Melbourne, 3004, Victoria, Australia.

ABSTRACT

Background: Australian Aboriginal people are disproportionately affected by physical disability; the reasons for this are unclear. This study aimed to quantify associations between severe physical functional limitations and socio-demographic and health-related factors among older Aboriginal and non-Aboriginal adults.

Methods: Questionnaire data from 1,563 Aboriginal and 226,802 non-Aboriginal participants aged ≥45 years from the Sax Institute's 45 and Up Study (New South Wales, Australia) were used to calculate age- and sex-adjusted prevalence ratios (aPRs) for severe limitation [MOS-PF score <60] according to socio-demographic and health-related factors.

Results: Overall, 26% (410/1563) of Aboriginal participants and 13% (29,569/226,802) of non-Aboriginal participants had severe limitations (aPR 2.8, 95%CI 2.5-3.0). In both Aboriginal and non-Aboriginal participants, severe limitation was significantly associated with: being ≥70 vs <70 years old (aPRs 1.8, 1.3-2.4 and 5.3, 5.0-5.5, within Aboriginal and non-Aboriginal participants, respectively), none vs tertiary educational qualifications (aPRs 2.4, 1.7-3.3 and 3.1, 3.0-3.2), lower vs higher income (aPRs 6.6, 4.2-10.5 and 5.5, 5.2-5.8), current vs never-smoking (aPRs 2.0, 1.6-2.5 and 2.2, 2.1-2.3), obese vs normal weight (aPRs 1.7, 1.3-2.2 and 2.7, 2.7-2.8) and sitting for ≥7 vs <7 hours/day (aPRs 1.6, 1.2-2.0 and 1.6, 1.6-1.7). Severe limitations increased with increasing ill-health, with aPRs rising to 5-6 for ≥5 versus no chronic conditions. It was significantly higher in those with few vs many social contacts (aPRs 1.7, 1.4-2.0 and 1.4, 1.4-1.4) and with very high vs low psychological distress (aPRs 4.4, 3.6-5.4 and 5.7, 5.5-5.9).

Conclusions: Although the prevalence of severe physical limitation among Aboriginal people in this study is around three-fold that of non-Aboriginal people, the factors related to it are similar, indicating that Aboriginal people have higher levels of risk factors for and consequences of severe limitations. Effective management of chronic disease and reducing the prevalence of obesity and smoking are important areas for attention.

No MeSH data available.


Related in: MedlinePlus