Attitude towards ageing and perceived Health Status of Community-Dwelling Older Persons in a low resource setting: A rural-urban comparison [post]

Eniola Olubukola Cadmus, Lawrence Adekunle Adebusoye, Eme Theodora Owoaje
2020 unpublished
Background: Ageing is a personal experience peculiar to each individual and is influenced by several demographic and social factors. Individuals, however, have different ways of coping with the challenges experienced during this process which affects their quality of life and health-related outcomes. Despite the increasing number of older persons in sub-Saharan Africa, there is limited information about their experience. This study examines the experience and attitude of older persons in
more » ... r persons in Nigeria regarding the ageing processMethods: A descriptive cross-sectional study was carried out among older persons aged 60 years and above in a selected rural and an urban community in Oyo State, south-western Nigeria. Using a multistage sampling technique, data were collected with the aid of an interviewer-administered, semi-structured questionnaire. The Attitude to Ageing Questionnaire (AAQ) was used to measure participants' perception of ageing in three domains of psychosocial loss, physical changes and psychological growth. Data were analysed using Stata version 14 at a level of significance p<0.05. Results: A total of 1,180 participants (588 rural vs 592 urban) were recruited for the study. The mean age was 73.2 ±9.3 years. The majority (69.7%) were females and still working (50.5%) Overall, urban-dwelling participants had a better attitude to the ageing process in all the domains compared with rural-dwelling participants (psychological growth 32.5±3.4 vs 32.4±3.3, p=0.30; physical change 27.5±5.1 vs 26.9±5.0, p=0.03; and psychosocial loss 25.3±5.7 vs 25.0±5.3, p=0.60. The predictors for having a positive attitude to ageing especially among the urban-dwelling older persons were having a formal education, being employed and good self-rated health. While among the rural-dwelling older participants good self-rated health was the only predictor of having a positive attitude to ageing in the psychosocial loss and physical change domains. Conclusion: Older persons residing in urban communities had a better attitude to ageing process compared with their rural older counterparts. The common predictor of positive attitude to ageing in both groups was good self-rated health. This information can be used for the planning of targeted interventions and informing policy formation for improved provisions for community-dwelling older persons in Nigeria and other sub-Saharan African countries
doi:10.21203/ fatcat:4ed3bj7y6bbqtab6gm2anwqe4y