Prevalence and determinants of self-reported functional status among older adults residing in the largest refugee camp of the world

Abstract Background The older adults of refugee camps might be vulnerable to exhibiting limited functional abilities because of the limited resources available to create a supportive environment for older population in the camps. This study aims to explore the prevalence and determinants of self-rep...

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Main Authors: Afsana Anwar, Uday Narayan Yadav, Md. Nazmul Huda, M. A. Rifat, ARM Mehrab Ali, Probal Kumar Mondal, Abu Ansar Md. Rizwan, Suvasish Das Shuvo, Sabuj Kanti Mistry
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-023-04067-x
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author Afsana Anwar
Uday Narayan Yadav
Md. Nazmul Huda
M. A. Rifat
ARM Mehrab Ali
Probal Kumar Mondal
Abu Ansar Md. Rizwan
Suvasish Das Shuvo
Sabuj Kanti Mistry
author_facet Afsana Anwar
Uday Narayan Yadav
Md. Nazmul Huda
M. A. Rifat
ARM Mehrab Ali
Probal Kumar Mondal
Abu Ansar Md. Rizwan
Suvasish Das Shuvo
Sabuj Kanti Mistry
author_sort Afsana Anwar
collection DOAJ
description Abstract Background The older adults of refugee camps might be vulnerable to exhibiting limited functional abilities because of the limited resources available to create a supportive environment for older population in the camps. This study aims to explore the prevalence and determinants of self-reported functional status among the older adults residing in the Rohingya refugee camp in Bangladesh. Methods This cross-sectional study was conducted on 864 older adults aged 60 years and above living in five selected sub-camps of Rohingya refugee camp in Cox’s Bazar, Bangladesh. Data were collected through face-to-face interviews of the participants between November-December 2021. Functional status was measured using the Barthel Index. Information on participants’ sociodemographic characteristics, self-reported chronic diseases and lifestyle characteristics were also collected. A multiple logistic regression model was used to assess the factors associated with self-reported functional abilities among the participants. Results The overall percentage of people having limited self-reported functional ability was 26.5% (male: 22.6% and female: 31.5%) with inability most found in grooming (33.2%), bathing (31.8%), stair using (13.2%) and mobility (10.7%). In the final adjusted model, having age of 80 years or more (aOR = 2.01,95% CI: 1.08,3.75), being female (aOR = 1.44, 95% CI: 1.04,2.0), having low memory or concentration (aOR = 1.83, 95% CI: 1.30,2.56), loneliness (aOR = 2.89, 95% CI:1.74,4.80) and living with aid alone (aOR = 2.89, 95% CI: 1.74,4.80) were found to be associated with self-reported limited functional ability. Conclusion The findings of this study highlight the need for attention from policymakers and public health practitioners on addressing functional limitations among older adults residing in the Rohingya refugee camp. Our findings emphasize the need for the development of comprehensive interventions that can address the wider unmet needs (e.g., ensuring family/caregiver support, engaging in social and physical activities, providing nutritional support packages, etc.) to improve the health and well-being of older Rohingya adults.
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spelling doaj.art-f293ba33b3a742889ddab092c08ab5c92023-06-04T11:37:57ZengBMCBMC Geriatrics1471-23182023-06-012311910.1186/s12877-023-04067-xPrevalence and determinants of self-reported functional status among older adults residing in the largest refugee camp of the worldAfsana Anwar0Uday Narayan Yadav1Md. Nazmul Huda2M. A. Rifat3ARM Mehrab Ali4Probal Kumar Mondal5Abu Ansar Md. Rizwan6Suvasish Das Shuvo7Sabuj Kanti Mistry8Social Assistance and Rehabilitation for the Physically Vulnerable (SARPV)National Centre for Epidemiology and Population Health, The Australian National UniversityTranslational Health Research Institute, School of Health Science, Western Sydney UniversityDepartment of Global Public Health, Karolinska InstitutetARCED FoundationSocial Assistance and Rehabilitation for the Physically Vulnerable (SARPV)Social Assistance and Rehabilitation for the Physically Vulnerable (SARPV)Department of Nutrition and Food Technology, Jashore University of Science and TechnologyCentre for Primary Health Care and Equity, University of New Sotuh WalesAbstract Background The older adults of refugee camps might be vulnerable to exhibiting limited functional abilities because of the limited resources available to create a supportive environment for older population in the camps. This study aims to explore the prevalence and determinants of self-reported functional status among the older adults residing in the Rohingya refugee camp in Bangladesh. Methods This cross-sectional study was conducted on 864 older adults aged 60 years and above living in five selected sub-camps of Rohingya refugee camp in Cox’s Bazar, Bangladesh. Data were collected through face-to-face interviews of the participants between November-December 2021. Functional status was measured using the Barthel Index. Information on participants’ sociodemographic characteristics, self-reported chronic diseases and lifestyle characteristics were also collected. A multiple logistic regression model was used to assess the factors associated with self-reported functional abilities among the participants. Results The overall percentage of people having limited self-reported functional ability was 26.5% (male: 22.6% and female: 31.5%) with inability most found in grooming (33.2%), bathing (31.8%), stair using (13.2%) and mobility (10.7%). In the final adjusted model, having age of 80 years or more (aOR = 2.01,95% CI: 1.08,3.75), being female (aOR = 1.44, 95% CI: 1.04,2.0), having low memory or concentration (aOR = 1.83, 95% CI: 1.30,2.56), loneliness (aOR = 2.89, 95% CI:1.74,4.80) and living with aid alone (aOR = 2.89, 95% CI: 1.74,4.80) were found to be associated with self-reported limited functional ability. Conclusion The findings of this study highlight the need for attention from policymakers and public health practitioners on addressing functional limitations among older adults residing in the Rohingya refugee camp. Our findings emphasize the need for the development of comprehensive interventions that can address the wider unmet needs (e.g., ensuring family/caregiver support, engaging in social and physical activities, providing nutritional support packages, etc.) to improve the health and well-being of older Rohingya adults.https://doi.org/10.1186/s12877-023-04067-xFunctional statusOlder adultsRohingyaBangladesh
spellingShingle Afsana Anwar
Uday Narayan Yadav
Md. Nazmul Huda
M. A. Rifat
ARM Mehrab Ali
Probal Kumar Mondal
Abu Ansar Md. Rizwan
Suvasish Das Shuvo
Sabuj Kanti Mistry
Prevalence and determinants of self-reported functional status among older adults residing in the largest refugee camp of the world
BMC Geriatrics
Functional status
Older adults
Rohingya
Bangladesh
title Prevalence and determinants of self-reported functional status among older adults residing in the largest refugee camp of the world
title_full Prevalence and determinants of self-reported functional status among older adults residing in the largest refugee camp of the world
title_fullStr Prevalence and determinants of self-reported functional status among older adults residing in the largest refugee camp of the world
title_full_unstemmed Prevalence and determinants of self-reported functional status among older adults residing in the largest refugee camp of the world
title_short Prevalence and determinants of self-reported functional status among older adults residing in the largest refugee camp of the world
title_sort prevalence and determinants of self reported functional status among older adults residing in the largest refugee camp of the world
topic Functional status
Older adults
Rohingya
Bangladesh
url https://doi.org/10.1186/s12877-023-04067-x
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