Prevalence and Factors Associated With Healthy Aging in a Large Representative Community Sample of Older Ethiopians

Abstract

Objectives: To examine the prevalence and predictors of healthy aging among community-dwelling older adults living in Bahir Dar, Ethiopia. Methods: A community-based cross-sectional study included older adults aged 60 and above (n = 845; M_age = 71 years; 56.4% females). Poisson regression estimated the Relative Risk (RR) of factors associated with healthy aging status. Results: 36.7% of respondents were classified as healthy agers. Factors associated with an increased likelihood of healthy aging included reporting not being lonely, adequate nutrition, no multimorbidity, good self-rated health, financial independence, and engaging in at least 1 hour of moderate physical activity per week. Discussion: The proportion of healthy agers in this study was substantially lower compared to developed countries but comparable to the prevalence reported in similar developing nations. Enhancing physical activity, ensuring proper nutrition, interventions to foster social participation engagement, and networking, and managing chronic diseases were identified as promising strategies to promote healthy aging.

Keywords

healthy aging predictors older adults Bahir Dar Ethiopia

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References

Abate

Mengistu

Atnafu

Derso

(2020). Malnutrition and its determinants among older adults people in Addis Ababa, Ethiopia. BMC Geriatrics, 20(1), 1–9.

Abud

Kounidas

Martin

K. R.

Werth

Cooper

Myint

P. K.

(2022). Determinants of healthy ageing: A systematic review of contemporary literature. Aging Clinical and Experimental Research, 34(6), 1215–1223.

Adamek

M. E.

Kotecho

M. G.

Teshome

A. Z.

(2023). Promoting the well-being of older people in Ethiopia: Lost opportunities due to the poverty of policy. Innovation in Aging, p. igad120.

Anantanasuwong

Pengpid

Peltzer

(2022). Prevalence and associated factors of successful ageing among people 50 years and older in a national community sample in Thailand. International Journal of Environmental Research and Public Health, 19(17), 10705.

Atinafu

B. T.

Tarekegn

F. N.

Kebede

W. M.

(2023). Assessment of the level of social support and associated factors among cancer patients in the comprehensive cancer center at Ethiopia: Ordinal logistic regression analysis level of social support and associated factors among cancer patients. Heliyon, 9(5).

Baron

Riva

Fletcher

(2019). The social determinants of healthy ageing in the Canadian Arctic. International Journal of Circumpolar Health, 78(1), 1630234. https://doi.org/10.1080/22423982.2019.1630234

Barros

A. J.

Hirakata

V. N.

(2003). Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio. BMC Medical Research Methodology, 3(1), 1–13.

Beghi

Butera

Cerri

C. G.

Cornaggia

C. M.

Febbo

Mollica

Berardino

Piscitelli

Resta

Logroscino

(2021). Suicidal behavior in older age: A systematic review of risk factors associated with suicide attempts and completed suicides. Neuroscience & Biobehavioral Reviews, 127, 193–211.

Belay

G. J.

Fentanew

Belay

Gobezie

Bekele

Getie

Shiferaw

K. B.

Takele

M. D.

Cherkos

Zemariam

A. B.

(2023). Physical activity and its associated factors among patients with hypertension at Amhara region comprehensive specialised hospitals, northwest Ethiopia: An institutional-based cross-sectional study. BMJ Open, 13(9), Article e073018.

10.

Cherbuin

Kumar

Sachdev

P. S.

Anstey

K. J.

(2014). Dietary mineral intake and risk of mild cognitive impairment: The PATH through life project. Frontiers in Aging Neuroscience, 6, 4.

11.

Chithra

N. K.

Harbishettar

Gowda

G. S.

Srinivasa

Gowda

(2021). Assessment of the financial capacity in elderly: Approach and challenges in Indian scenario. Indian Journal of Psychological Medicine, 43(5_suppl), S19–S24.

12.

CSA . (2016). Ethiopia demographic and health survey 2016. CSA. https://dhsprogram.com›publications

13.

Daskalopoulou

Stubbs

Kralj

Koukounari

Prince

Prina

A. M.

(2017). Physical activity and healthy ageing: A systematic review and meta-analysis of longitudinal cohort studies. Ageing Research Reviews, 38, 6–17.

14.

Elashoff

J. D.

Lemeshow

(2005). Sample size determination in epidemiologic studies. In Handbook of epidemiology (pp. 559–594). Springer.

15.

Fekadu

Tareke

Tadesse

Anbesaw

(2022). Neurocognitive impairment and associated factors among elderly in the Bahir dar city administration, northwest Ethiopia. Frontiers in Aging Neuroscience, 14, 888704.

16.

Flemmen

A. B.

Zenebe

(2016). Religious mahbär in Ethiopia: Ritual elements, dynamics, and challenges. Journal of Religion in Africa, 46(1), 3–31.

17.

Fong

J. H.

(2019). Disability incidence and functional decline among older adults with major chronic diseases. BMC Geriatrics, 19(1), 1–9.

18.

Fonta

C. L.

Nonvignon

Aikins

Nwosu

Aryeetey

G. C.

(2017). Predictors of self-reported health among the elderly in Ghana: A cross-sectional study. BMC Geriatrics, 17(1), 1–15.

19.

Gazeta

F. N.

(2011). A proclamation to provide for the public servants’ pension, proclamation No. 714/2011. Addis Ababa: Federal Democratic Republic Ethiopia.

20.

Gelaye

Williams

M. A.

Lemma

Deyessa

Bahretibeb

Shibre

Wondimagegn

Lemenhe

Fann

J. R.

Vander Stoep

(2013). Validity of the patient health questionnaire-9 for depression screening and diagnosis in East Africa. Psychiatry Research, 210(2), 653–661.

21.

Girma

Jira

Girma

(2011). Health services utilization and associated factors in Jimma zone, Southwest Ethiopia. Ethiopian Journal of Health Sciences.

22.

Gugssa

S. A.

Davey

Ejigu

A. A.

Metaferia

G. Z.

Medhin

Kelkile

T. S.

(2011). Population norms for the mini-mental state examination in Ethiopia. Ethiopian Medical Journal, 49(3), 239–247.

23.

Gureje

Oladeji

B. D.

Abiona

Chatterji

(2014). Profile and determinants of successful aging in the ibadan study of ageing. J ama Geriatric Society, 62(5), 836–842. https://doi.org/10.1111/jgs.12802

24.

Habtamu

Madoro

(2022) Psychometric properties of alcohol use disorder Identification test screening tool among medical outpatients in Dilla University referral hospital, southern Ethiopia, 2020 (10). Sage Open Medicine.

25.

Help Age International in

Ethiopia.

(2013, November 2023). The state of health and ageing in Ethiopia: A survey of health needs and challenges of service provisions. https://www.helpage.org/silo/files/the-state-of-health-and-ageing-in-ethiopia-the-health-needs-and-challenges-of-service-providers.pdf.

26.

Hodge

A. M.

English

D. R.

Giles

G. G.

Flicker

(2013). Social connectedness and predictors of successful ageing. Maturitas, 75(4), 361–366.

27.

Kaiser

M. J.

Bauer

J. M.

Ramsch

Uter

Guigoz

Cederholm

Thomas

D. R.

Anthony

Charlton

K. E.

Maggio

Tsai

A. C.

Grathwohl

Vellas

Sieber

C. C.

Group

M. N.-I.

(2009). Validation of the mini nutritional assessment short-form (MNA®-SF): A practical tool for identification of nutritional status. JNHA - The Journal of Nutrition, Health and Aging, 13(9), 782. https://doi.org/10.1007/s12603-009-0214-7

28.

Katz

(1983). Assessing self maintenance: Activities of daily living, mobility, and instrumental activities of daily living. Journal of the American Geriatrics Society, 31(12), 721–727. https://doi.org/10.1111/j.1532-5415.1983.tb03391.x

29.

Kocalevent

R.-D.

Berg

Beutel

M. E.

Hinz

Zenger

Härter

Nater

Brähler

(2018). Social support in the general population: Standardization of the Oslo social support scale (OSSS-3). BMC Psychology, 6(1), 1–8. https://doi.org/10.1186/s40359-018-0249-9

30.

Latunji

Akinyemi

(2018). Factors influencing health-seeking behavior among civil servants in Ibadan, Nigeria. Annals of Ibadan Postgraduate Medicine, 16(1), 52–60.

31.

C.-I.

Lin

C.-H.

Lin

W.-Y.

Liu

C.-S.

Chang

C.-K.

Meng

N.-H.

Lee

Y.-D.

T.-C.

Lin

C.-C.

(2014). Successful aging is defined by health-related quality of life and its determinants in community-dwelling elders. BMC Public Health, 14(1), 1–8.

32.

Lin

Y. H.

Chen

Y. C.

Tseng

Y. C.

Tsai

S. T.

Tseng

Y. H.

(2020). Physical activity and successful aging among middle-aged and older adults: A systematic review and meta-analysis of cohort studies. Aging (Albany NY), 12(9), 7704–7716. https://doi.org/10.18632/aging.103057

33.

Liu

Byles

J. E.

Zhang

Hall

J. J.

(2017). Evaluation of successful aging among older people in China: Results from China health and retirement longitudinal study. Geriatrics and Gerontology International, 17(8), 1183–1190.

34.

Pikhart

Sacker

(2019). Domains and measurements of healthy aging in epidemiological studies: A review. The Gerontologist, 59(4), e294–e310.

35.

Manstead

A. S.

(2018). The psychology of social class: How socioeconomic status impacts thought, feelings, and behavior. British Journal of Social Psychology, 57(2), 267–291.

36.

McDonough

Walters

(2001). Gender and health: Reassessing patterns and explanations. Social Science & Medicine, 52(4), 547–559.

37.

Mefteh

K. Y.

(2022). Circumstances precipitating rural older adults for co-residential family care arrangements in Central Ethiopia. Gerontology and Geriatric Medicine, 8, 3337214221113100.

38.

Michel

J.-P.

Graf

Ecarnot

(2019). Individual healthy aging indices, measurements and scores. Aging Clinical and Experimental Research, 31(12), 1719–1725.

39.

Norman

Haß

Pirlich

(2021). Malnutrition in older adults—recent advances and remaining challenges. Nutrients, 13(8), 2764.

40.

Oksuzyan

Brønnum-Hansen

Jeune

(2010). In Gender gap in health expectancy (7, pp. 213–218). Springer.

41.

Pac A

T.-A. B.

Błędowski

Skalska

Szybalska

Zdrojewski

Więcek

Chudek

Michel

J. P.

Grodzicki

(2019). Influence of sociodemographic, behavioral and other health-related factors on healthy ageing based on three operative definitions. The Journal of Nutrition, Health & Aging, 23(9), 862–869.

42.

Pengpid

Peltzer

(2021). Ethnic and gender disparities in healthy ageing among people 50 Years and older in South Africa. Geriatrics, 6(3), 79.

43.

Pitisuttithum

(2017). Prevalence of healthy aging and factors associated in Thai urban elderly Bangkok Thailand Chulalongkorn University.

44.

Plugge

(2021). Successful ageing in the oldest old: Objectively and subjectively measured evidence from a population-based survey in Germany. European Journal of Ageing, 18(4), 537–547.

45.

Puspitasari

M. D.

Rahardja

M. B.

Gayatri

Kurniawan

(2021). The vulnerability of rural elderly Indonesian people to disability: An analysis of the national socioeconomic survey. Rural and Remote Health, 21(3), 1–10. [Article] https://doi.org/10.22605/RRH6695

46.

Quinlan

Rattray

Pryor

Northey

J. M.

Nicolas Cherbuin 4 . (2023). Physical activity and cognitive function in middle-aged adults: A cross-sectional analysis of the PATH through life study physical activity and cognitive function in middle-aged adults. Frontiers in Psychology, 14, 1022868.

47.

Rivadeneira

M. F.

Mendieta

M. J.

Villavicencio

Caicedo

Buendía

(2021). A multidimensional model of healthy ageing: Proposal and evaluation of determinants based on a population survey in Ecuador. BMC Geriatrics, 21, 1–11.

48.

Rowe

J. W.

Kahn

R. L.

(1997). Successful aging. The Gerontologist, 37(4), 433–440.

49.

Rudnicka

Napierała

Podfigurna

Męczekalski

Smolarczyk

Grymowicz

(2020). The World Health Organization’s (WHO) approach to healthy ageing. Maturitas, 139, 6–11.

50.

Saka

Oosthuizen

Nlooto

(2019). National policies and older people’s healthcare in sub-saharan Africa: A scoping review. Annals of Global Health, 85(1).

51.

Sanchez-Niubo

Forero

C. G.

Y.-T.

Gine-Vazquez

Prina

De La Fuente

Daskalopoulou

Critselis

De La Torre-Luque

Panagiotakos

(2021). Development of a common scale for measuring healthy aging across the world: Results from the ATHLOS consortium. International Journal of Epidemiology, 50(3), 880–892.

52.

Shiferaw

Letebo

Misganaw

Feleke

Gelibo

Getachew

Defar

Assefa

Bekele

Amenu

(2018). Non-communicable Diseases in Ethiopia: Disease burden, gaps in health care delivery and strategic directions. The Ethiopian Journal of Health Development, 32(3).

53.

Shiferaw

K. B.

Yalew

E. S.

Zemed

Yitayal

M. M.

Belay

G. J.

Alie

Kibret

A. K.

Takele

M. D.

Abich

Gashaw

(2024). Prevalence of physical inactivity and associated factors among older adults in gondar town, northwest Ethiopia: A community-based cross-sectional study. BMC Geriatrics, 24(1), 106.

54.

Sowa

Tobiasz-Adamczyk

Topór-Mądry

Poscia

La Milia

D. I.

(2016). Predictors of healthy ageing: Public health policy targets. BMC Health Services Research, 16(5), 441–453.

55.

Steptoe

Shankar

Demakakos

Wardle

(2013). Social isolation, loneliness, and all-cause mortality in older men and women. Proceedings of the National Academy of Sciences, 110(15), 5797–5801. https://doi.org/10.1073/pnas.1219686110

56.

Szychowska

Drygas

(2022). Physical activity as a determinant of successful aging: A narrative review article. Aging Clinical and Experimental Research, 34(6), 1209–1214.

57.

Tesfaye

B. T.

Yizengaw

M. A.

Birhanu

T. E.

Bosho

D. D.

(2024). Nutritional status of hospitalized elderly patients in Ethiopia: A cross-sectional study of an important yet neglected problem in clinical practice. Frontiers in Nutrition, 10, 1227840.

58.

United Nations Department of Economic Social Affairs , Population Division (2015). World Population Ageing 2015 (ST/ESA/SER.A/390). https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Report.pdf>

59.

Wagg

Blyth

F. M.

Cumming

R. G.

Khalatbari-Soltani

(2021). Socioeconomic position and healthy aging: A systematic review of cross-sectional and longitudinal studies [review]. Aging Research Reviews, 69, 101365. https://doi.org/10.1016/j.arr.2021.101365

60.

Wan He

I. A.

Adjaye-Gbewonyo

(2020). Africa Aging. https://www.census.gov›newsroom›press-releases›2020›aging-in-africa.html

61.

Wasserstein

R. L.

Lazar

N. A.

(2016). The ASA statement on p-values: Context, process, and purpose. The American Statistician, 70(2), 129–133. https://doi.org/10.1080/00031305.2016.1154108

62.

Whalley

L. J.

Starr

J. M.

Deary

I. J.

(2004). Diet and dementia. British Menopause Society Journal, 10(3), 113–117.

63.

WHO . (2018). Ageing and health. WHO. Retrieved 13-July from.https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

64.

WHO . (2021). Reducing social isolation and loneliness among older people. World Health Organization, 13, 2023.

65.

Woldekidan

M. A.

Haile

Shikur

Gebreyesus

S. H.

(2021). Validity of mini nutritional assessment tool among an elderly population in Yeka sub-city, Addis Ababa, Ethiopia. South African Journal of Clinical Nutrition, 34(3), 103–109.

66.

World Health Organization . (2020). Healthy ageing and functional ability. Reterived from https://www.who.int/news-room/questions-and-answers/item/healthy-ageing-and-functional-ability. November 2023.

67.

Zenu

Abebe

Dessie

Debalke

Berkessa

Reshad

(2021). Co-Occurrence of behavioral risk factors of non-communicable diseases and social determinants among adults in urban centers of southwestern Ethiopia in 2020: A community-based cross-sectional study. Journal of Multidisciplinary Healthcare, 14, 1561–1570.

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