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Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries

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  • Josephine E. Prynn

    (International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK
    UCL Institute of Cardiovascular Science, Gower Street, London WC1E 6BT, UK)

  • Sarah Polack

    (International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

  • Islay Mactaggart

    (International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

  • Lena Morgon Banks

    (International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

  • Shaffa Hameed

    (International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

  • Carlos Dionicio

    (National Council on Disability, Guatemala City 01001, Guatemala)

  • Shailes Neupane

    (Valley Research Group, Kathmandu 44600, Nepal)

  • GVS Murthy

    (Indian Institute of Public Health, Hyderabad 122002, Telangana, India)

  • Joseph Oye

    (Sightsavers Cameroon, Yaoundé, Cameroon)

  • Jonathan Naber

    (National Council on Disability, Guatemala City 01001, Guatemala
    Range of Motion Project, P.O. Box 100915, Dever, CO 80250, USA)

  • Hannah Kuper

    (International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

Abstract

This analysis of surveys from six low- and middle-income countries (LMICs) aimed to (i) estimate the prevalence of disability among older adults and (ii) compare experiences and participation in key life areas among older people with and without disabilities which may show vulnerability during the COVID-19 pandemic. Data were analysed from district-level or national surveys in Cameroon, Guatemala, Haiti, India, Nepal and the Maldives, which across the six databases totalled 3499 participants aged 60 years and above including 691 people with disabilities. Disability was common among adults 60+, ranging from 9.7% (8.0–11.8) in Nepal to 39.2% in India (95% CI 34.1–44.5%). Mobility was the most commonly reported functional difficulty. In each setting, older people with disabilities were significantly less likely to be working and reported greater participation restrictions and environmental barriers in key life areas compared to people in the same age categories without disabilities ( p < 0.05). Disability is common in this population, and older people with disabilities may have greater difficulties participating in COVID-19 responses and have high economic vulnerabilities. It is imperative to prioritise the needs of older people with disabilities in the COVID-19 pandemic, including ensuring accessibility of both health services and the community in general.

Suggested Citation

  • Josephine E. Prynn & Sarah Polack & Islay Mactaggart & Lena Morgon Banks & Shaffa Hameed & Carlos Dionicio & Shailes Neupane & GVS Murthy & Joseph Oye & Jonathan Naber & Hannah Kuper, 2021. "Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries," IJERPH, MDPI, vol. 18(13), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:6962-:d:584748
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    References listed on IDEAS

    as
    1. Tess Bright & Hannah Kuper, 2018. "A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries," IJERPH, MDPI, vol. 15(9), pages 1-29, August.
    2. Lena Morgon Banks & Matthew Walsham & Shailes Neupane & Saurav Neupane & Yogendra Pradhananga & Mahesh Maharjan & Karl Blanchet & Hannah Kuper, 2019. "Access to Social Protection Among People with Disabilities: Mixed Methods Research from Tanahun, Nepal," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 31(4), pages 929-956, September.
    3. Lena Morgon Banks & Shaffa Hameed & Sofoora Kawsar Usman & Hannah Kuper, 2020. "No One Left Behind? Comparing Poverty and Deprivation between People with and without Disabilities in the Maldives," Sustainability, MDPI, vol. 12(5), pages 1-13, March.
    4. Lena M. Banks & Matthew Walsham & Hoang Van Minh & Doan Thi Thuy Duong & Tran Thu Ngan & Vu Quynh Mai & Karl Blanchet & Hannah Kuper, 2019. "Access to social protection among people with disabilities: Evidence from Viet Nam," International Social Security Review, John Wiley & Sons, vol. 72(1), pages 59-82, January.
    5. Lena Morgon Banks & Hannah Kuper & Sarah Polack, 2017. "Poverty and disability in low- and middle-income countries: A systematic review," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-19, December.
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    1. Islay Mactaggart & Ammar Hasan Bek & Lena Morgon Banks & Tess Bright & Carlos Dionicio & Shaffa Hameed & Shailes Neupane & GVS Murthy & Ahmed Orucu & Joseph Oye & Jonathan Naber & Tom Shakespeare & An, 2021. "Interrogating and Reflecting on Disability Prevalence Data Collected Using the Washington Group Tools: Results from Population-Based Surveys in Cameroon, Guatemala, India, Maldives, Nepal, Turkey and ," IJERPH, MDPI, vol. 18(17), pages 1-14, August.

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