Disability and care-giving in old age in a Nigerian community.
OBJECTIVE
To describe the pattern of disability and care for older community residents in a selected Nigerian location.


METHODS
Older persons living at home in Okporo Community were first identified through the traditional ruler and his assistant. The socio demographic profiles and any present diseases of these older subjects were obtained through a face- to face interview and they were subsequently assessed with the modified World Health Organization Disability Assessment Schedule Short version (WHO DAS-S). The primary care givers of the older subjects were interviewed to obtain their actual care giving role. A summarized Zarit Burden Interview and the twelve item General Health Questionnaire (GHQ-12) were used to measure the emotional impact on the caregivers.


RESULTS
A total of 102 older subjects were recruited, with about 47% having some form of disability. Many comorbid physical diseases were reported. Most of the older subjects' children had left the community and females were the main care providers. Help with self-care was the greatest problem reported by the carers and care giving was regarded as very heavy burden associated with high emotional distress.


CONCLUSIONS
Disability is high in community elderly subjects. Care giving is proving a great challenge in the face of children disserting their parents, and increasing harsh economy. There is need for a systematic, realistic plan to implement qualitative care policy for older Nigerians.
Department of Mental Health, Nnamdi Azikiwe University Teaching Hospital, Nnewi Anambra State Nigeria. ruwakwe2001@yahoo.com
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D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D003153:Community Health Services / Q000706:statistics & numerical data*; D003710:Demography; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D016330:Frail Elderly / Q000706:statistics & numerical data*; D015577:Geriatric Assessment; D019538:Health Care Surveys; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D006701:Home Nursing / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D012111:Residence Characteristics; D011795:Surveys and Questionnaires