Gender differences in cognitive impairment and mobility disability in old age: A cross-sectional study in Ouagadougou, Burkina Faso
Gender differences in cognitive impairment and mobility disability in old age: A cross-sectional study in Ouagadougou, Burkina Faso
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DOI：
10.1016/j.archger.2013.06.007
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发表时间：
2013-11-01
影响因子：
4
通讯作者：
Zunzunegui, Maria-Victoria
中科院分区：
文献类型：
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作者：
Onadja, Yentema;Atchessi, Nicole;Zunzunegui, Maria-Victoria
本研究旨在研究布基纳法索瓦加杜古老年男女在认知障碍和行动不便方面的差异，并评估这些差异在多大程度上可归因于生命过程中社会和健康条件方面的两性不平等。2010年在瓦加杜古卫生和人口监测系统进行的一项横断面健康调查中收集了981名50岁及以上的男性和女性的数据。使用莱加内斯认知测试评估认知损害。行动不便者自我报告在没有帮助的情况下行走400米有任何困难。我们使用逻辑回归来评估认知障碍和行动障碍的性别差异。认知障碍的患病率在妇女中为27.6%，在男子中为7.7%，51.7%的妇女和26.5%的男子存在行动障碍。在调整了观察到的生活过程中的社会和健康状况后，认知障碍和行动障碍的女性与男性的比值比（95%置信区间）分别为3.52（1.98-6.28）和3.79（2.47-5.85）。妇女人数过多的部分原因是营养状况、婚姻状况以及教育方面的两性不平等，但程度较轻。在男子和妇女中，年龄、童年饥饿、缺乏教育、没有伴侣和体重不足是认知障碍的独立风险因素，而年龄、童年健康状况不佳、粮食不安全和超重是行动不便的风险因素。在整个生命周期中改善营养状况和教育机会，可以预防认知障碍和行动能力残疾，并在一定程度上减少女性在这些残疾方面的过剩。(C)2013爱思唯尔爱尔兰有限公司版权所有。
This study aims to examine differences in cognitive impairment and mobility disability between older men and women in Ouagadougou, Burkina Faso, and to assess the extent to which these differences could be attributable to gender inequalities in life course social and health conditions. Data were collected on 981 men and women aged 50 and older in a 2010 cross-sectional health survey conducted in the Ouagadougou Health and Demographic Surveillance System. Cognitive impairment was assessed using the Leganes cognitive test. Mobility disability was self-reported as having any difficulty walking 400 m without assistance. We used logistic regression to assess gender differences in cognitive impairment and mobility disability. Prevalence of cognitive impairment was 27.6% in women and 7.7% in men, and mobility disability was present in 51.7% of women and 26.5% of men. The women to men odds ratio (95% confidence interval) for cognitive impairment and mobility disability was 3.52 (1.98-6.28) and 3.79 (2.47-5.85), respectively, after adjusting for the observed life course social and health conditions. The female excess was only partially explained by gender inequalities in nutritional status, marital status and, to a lesser extent, education. Among men and women, age, childhood hunger, lack of education, absence of a partner and being underweight were independent risk factors for cognitive impairment, while age, childhood poor health, food insecurity and being overweight were risk factors for mobility disability. Enhancing nutritional status and education opportunities throughout life span could prevent cognitive impairment and mobility disability and partly reduce the female excess in these disabilities. (C) 2013 Elsevier Ireland Ltd. All rights reserved.