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Racial or Ethnic Health Disparities among Older Adults in Four Population Groups in South Africa Cover

Racial or Ethnic Health Disparities among Older Adults in Four Population Groups in South Africa

Open Access
|Apr 2018

Figures & Tables

Table 1

Exposure variables by population group (N = 3284).

VariableBlack African n = 1982White African n = 253Multi-Ancestry n = 637Indian/Asian African n = 287p-Value
M (SD)M (SD)M (SD)M (SD)
Age61.3 (9.5)62.8 (9.0)61.7 (9.6)62.3 (8.1)0.261
n (%)n (%)n (%)n (%)
Gender
  Female1250 (60.0)137 (53.6)423 (63.2)171 (61.1)0.522
  Male803 (40.0)132 (46.4)232 (36.8)136 (38.9)
Education
  < 7 years1241 (60.5)12 (3.7)318 (42.1)111 (34.5)< 0.001
  8–11536 (29.2)112 (38.2)265 (44.3)134 (37.3)
  12 or more195 (10.3)131 (58.1)34 (13.7)51 (28.2)
Wealth
  Low1055 (50.6)8 (3.0)212 (24.8)23 (13.1)< 0.001
  Medium416 (21.0)14 (4.3)165 (18.3)53 (14.9)
  High570 (28.4)245 (92.7)277 (56.9)230 (72.1)
Residence
  Urban1131 (56.5)218 (84.9)545 (89.6)285 (86.2)0.003
  Rural920 (43.5)51 (15.1)110 (10.4)22 (13.8)
Marital status
  Not married, single1059 (49.7)82 (31.5)333 (46.2)115 (45.5)0.018
  Married, cohabiting952 (50.3)181 (68.5)313 (53.8)191 (54.5)
Daily tobacco use378 (17.7)58 (21.8)205 (34.1)56 (19.3)0.006
Problem drinking91 (4.0)7 (4.5)33 (4.5)9 (1.8)0.706
Physical inactivity1207 (57.7)169 (55.7)518 (76.9)182 (52.3)0.005
Inadequate fruit and vegetable consumption1580 (72.3)158 (47.7)511 (73.7)185 (54.6)0.007
Table 2

Prevalence of health status and chronic conditions by population group.

VariableBlack African n (%)White African n (%)Multi-Ancestry n (%)Indian/Asian African n (%)p-Value
Health status
Poor self-rated health362 (19.6)21 (4.0)99 (10.0)57 (23.7)< 0.001
Grip strength1472 (78.5)204 (81.1)417 (55.3)178 (71.4)< 0.001
ADL-severe85 (4.7)12 (4.4)29 (5.0)33 (11.6)0.409
IADL-severe346 (19.7)27 (7.8)97 (20.1)67 (29.1)0.007
Cognitive functioning798 (44.5)211 (80.1)342 (60.5)176 (64.7)< 0.001
Chronic conditions
Arthritis536 (27.3)52 (18.7)214 (39.1)111 (43.5)< 0.001
Asthma192 (11.8)15 (8.4)62 (11.2)46 (12.8)0.654
Lung disease124 (6.0)15 (7.1)37 (6.4)29 (6.2)0.961
Hypertension1550 (77.3)193 (79.6)545 (85.0)214 (76.8)0.147
Obesity843 (45.3)110 (46.7)245 (46.8)104 (38.7)0.814
Diabetes149 (7.8)23 (12.0)68 (10.5)69 (24.4)0.021
Stroke and/or angina138 (7.1)28 (9.0)73 (15.0)48 (11.5)< 0.001
Depression57 (3.2)9 (2.1)21 (1.3)14 (3.3)0.319
Edentulism90 (4.1)54 (18.0)145 (26.8)33 (5.1)< 0.001
Low vision769 (41.2)92 (39.2)323 (50.6)123 (41.5)0.148
Table 3

Odds ratios for health status and chronic conditions by population group.

Black African (n = 1982)White (n = 253)Coloured (n = 637)Indian or Asian (n = 287)
OR (95% CI)P valueOR (95% CI)P valueOR (95% CI)P value
Health status
Poor self-rated health
Unadjusted1 (Reference)0.17 (0.07, 0.39)<0.0010.46 (0.23, 0.89)0.0231.27 (0.76, 2.12)0.346
Adjusted11 (Reference)0.24 (0.11, 0.57)0.0020.50 (0.29, 0.87)0.0161.70 (0.89, 3.24)0.1.08
Grip strength
Unadjusted1 (Reference)1.18 (0.57, 2.41)0.6420.34 (0.21, 0.56)<0.0010.68 (0.43, 1.10)0.112
Adjusted11 (Reference)1.02 (0.47, 2.22)0.9500.36 (0.22, 0.61)<0.0010.68 (0.42, 1.11)0.118
ADL-severe
Unadjusted1 (Reference)0.95 (0.34, 2.61)0.9151.08 (0.25, 4.60)0.9142.68 (0.94, 7.68)0.065
Adjusted11 (Reference)1.04 (0.42, 2.58)0.9271.08 (0.34, 3.46)0.8893.27 (1.09, 9.80)0.035
IADL-severe
Unadjusted1 (Reference)0.34 (0.17, 0.69)0.0031.02 (0.61, 1.71)0.9251.67 (1.07, 2.59)0.025
Adjusted11 (Reference)0.32 (0.14, 0.72)0.0070.97 (0.58, 1.61)0.9021.87 (1.09, 3.22)0.025
Cognitive functioning
Unadjusted1 (Reference)5.04 (2.13, 11.91)<0.0011.92 (1.18, 3.11)0.0102.28 (1.28, 4.05)0.006
Adjusted11 (Reference)3.92 (1.63, 9.41)0.0032.14 (1.21, 3.78)0.0101.81 (0.86, 3.80)0.113
Chronic conditions
Arthritis
Unadjusted1 (Reference)0.61 (0.37, 1.00)0.0501.71 (1.20, 2.42)0.0042.05 (1.16.3.61)0.015
Adjusted11 (Reference)0.54 (0.31, 0.93)0.0271.42 (0.98, 2.04)0.0611.91 (1.01, 3.59)0.046
Asthma
Unadjusted1 (Reference)0.68 (0.27, 1.71)0.4100.94 (0.66, 1.35)0.7511.09 (0.51, 2.36)0.814
Adjusted11 (Reference)0.60 (0.22, 1.61)0.3020.87 (0.61, 1.24)0.4360.99 (0.43, 2.26)0.978
Lung disease
Unadjusted1 (Reference)1.20 (0.51, 2.79)0.6691.07 (0.55, 2.08)0.8481.04 (0.34, 3.15)0.949
Adjusted11 (Reference)1.10 (0.47, 2.59)0.8230.99 (0.50, 2.00)0.9870.92 (0.27, 3.22)0.900
Hypertension
Unadjusted1 (Reference)1.44 (0.64, 2.05)0.6401.66 (1.08, 2.56)0.0220.97 (0.59, 1.60)0.913
Adjusted11 (Reference)0.99 (0.51, 1.92)0.9641.71 (1.14, 2.55)0.0100.84 (0.56, 1.25)0.376
Obesity
Unadjusted1 (Reference)1.06 (0.64, 1.75)0.8241.10 (0.69, 1.77)0.6820.75 (0.48, 1.18)0.209
Adjusted11 (Reference)0.72 (0.43, 1.22)0.2200.80 (0.52, 1.22)0.2820.55 (0.33, 0.92)0.024
Diabetes
Unadjusted1 (Reference)1.60 (0.64, 3.99)0.3021.37 (0.74, 2.56)0.3073.80 (1.96, 7.36)<0.001
Adjusted11 (Reference)1.12 (0.50, 2.53)0.7830.99 (0.62, 1.57)0.9642.65 (1.45, 4.83)0.002
Stroke and/or angina
Unadjusted1 (Reference)1.30 (0.67, 2.51)0.4302.32 (1.73, 3.12)<0.0011.71 (0.93, 3.13)0.083
Adjusted11 (Reference)0.91 (0.47, 1.76)0.7711.74 (1.36, 2.22)<0.0011.36 (0.69, 2.71)0.367
Depression
Unadjusted1 (Reference)0.72 (0.30, 1.72)0.4580.63 (0.34, 1.17)0.1401.02 (0.36, 2.87)0.976
Adjusted11 (Reference)0.73 (0.23, 2.29)0.5790.49 (0.23, 1.02)0.0561.04 (0.33, 3.23)0.947
Edentulism
Unadjusted1 (Reference)5.16 (2.49, 10.07)<0.0018.56 (5.01, 14.70)<0.0011.27 (0.63, 2.55)0.492
Adjusted11 (Reference)4.13 (1.73, 9.87)0.0026.51 (4.07, 10.41)<0.0011.03 (0.50, 2.09)0.944
Low vision
Unadjusted1 (Reference)0.92 (0.53, 1.61)0.7681.46 (1.06, 2.02)0.0211.01 (0.81, 1.27)0.901
Adjusted11 (Reference)1.05 (0.56, 1.96)0.8731.68 (1.29, 2.19)<0.0011.11 (0.82, 1.51)0.482

[i] OR = Odds Ratio, CI = Confidence Interval; 1Adjusted for age, gender, education, wealth, residence, tobacco use, alcohol use, physical inactivity and fruit and vegetable consumption.

DOI: https://doi.org/10.29024/aogh.13 | Journal eISSN: 2214-9996
Language: English
Published on: Apr 30, 2018
Published by: Levy Library Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2018 Nancy Phaswana-Mafuya, Karl Peltzer, published by Levy Library Press
This work is licensed under the Creative Commons Attribution 4.0 License.