Longitudinal Studies of Aging in Sub-Saharan Africa: Review, Limitations, and Recommendations in Preparation of Projected Aging Population

Author:

Akinrolie Olayinka1ORCID,Iwuagwu Anthony O23ORCID,Kalu Michael E4ORCID,Rayner Daniel5ORCID,Oyinlola Oluwagbemiga67ORCID,Ezulike Chigozie D38ORCID,Okoh Augustine C5ORCID,Makanju Adebayo O9,Ugwuodo Ebere P10,Ugwuja Immaculata A11,John Makanjuola Osuolale12,Adeleke Deborah10,Egbumike Chukwuenyegom J13,Anieto Ebuka Miracle10ORCID,Anieto Ijeoma B11,Alumona Chiedozie James1415,Onyeso Ogochukwu Kelechi15ORCID,Ojembe Blessing16,Omeje Chidinma A17,Nwachukwu Ernest C18,Ekediegwu Ezinne C19,Onyeso Kelechi M20,Adeboye Ademuyiwa21,Ibekaku Michael4,Akinrolie Omobolade22,Onyekere Chukwuebuka P1123

Affiliation:

1. Applied Health Sciences, Faculty of Graduate Studies, University of Manitoba , Winnipeg, Manitoba , Canada

2. School of Social Sciences, University of New South Wales , Sydney, New South Wales , Australia

3. Department of Social Work, University of Nigeria , Nsukka, Enugu State , Nigeria

4. School of Kinesiology and Health Science, Faculty of Health, York University , Toronto, Ontario , Canada

5. Health Research Methods, Evidence, and Impact, McMaster University , Hamilton, Ontario , Canada

6. School of Social Work, McGill University , Montreal, Quebec , Canada

7. Medical Social Services Department, University College Hospital , Ibadan, Oyo state , Nigeria

8. Department of Social and Behavioural Sciences, City University of Hong Kong , Kowloon , Hong Kong

9. Interdisciplinary Social Research Program (Aging and Health), Trent University , Peterborough, Ontario , Canada

10. School of Health and Life Sciences, Glasgow Caledonian University , Glasgow , UK

11. Department of Gerontology, Faculty of Social Sciences, University of Southampton , Southampton , UK

12. Faculty of Nursing Sciences, University of Medical Sciences , Ondo, Ondo State , Nigeria

13. Evangel University, Akaeze , Akaeze, Ebonyi State , Nigeria

14. Department of Physiotherapy, College of Basic Medical Sciences, Chrisland University , Abeokuta, Ogun State , Nigeria

15. Faculty of Health Science, University of Lethbridge , Lethbridge, Alberta , Canada

16. Faculty of Social Work, University of Manitoba , Winnipeg, Manitoba , Canada

17. Physiotherapy Unit, Asaba Specialist Hospital , Asaba, Delta State , Nigeria

18. School of Physiotherapy, Dalhousie University , Halifax, Nova Scotia , Canada

19. Department of Medical Rehabilitation (Physiotherapy), Faculty of Health Sciences and Technology, Nnamdi Azikwe University , Nnewi Campus, Anambra , Nigeria

20. Department of Estate Management, Faculty of Environmental Sciences, University of Nigeria , Nsukka, Enugu State , Nigeria

21. Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University , Ile Ife, Osun State , Nigeria

22. Department of Obstetrics and Gynecology, Health Science Centre , Winnipeg, Manitoba , Canada

23. Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, University of Nigeria , Nsukka, Enugu State , Nigeria

Abstract

Abstract Background and Objectives The United Nations has projected a 218% increase in older people in Sub-Saharan Africa (SSA) between 2019 and 2050, underscoring the need to explore changes that would occur over this time. Longitudinal studies are ideal for studying and proffering solutions to these changes. This review aims to understand the breadth and use of longitudinal studies on aging in the SSA regions, proffering recommendations in preparation for the projected aging population. Research Design and Methods This paper is the third of a four-part series paper of a previous systematic mapping review of aging studies in SSA. We updated the search (between 2021 and 2023) and screened the titles/abstracts and full-text articles by a pair of independent reviewers. Data were extracted using a standardized data-charting form, identifying longitudinal studies in SSA. Results We identified 193 studies leveraging 24 longitudinal study data sets conducted at 28 unique sites. The World Health Organization’s Study on Global AGEing and Adult Health (WHO-SAGE) (n = 59, 30.5%) and Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI) (n = 51, 26.4%) were the most used longitudinal data sets. Four studies used more than one longitudinal study data set. Eighteen of the longitudinal study data sets were used only in 1–4 studies. Most (n = 150, 77.7%) of the studies used a cross-sectional analytical approach. Discussion and Implications Longitudinal studies on aging are sparingly being utilized in SSA. Most analyses conducted across the longitudinal data set were cross-sectional, which hindered the understanding of aging changes that occurred over time that could better inform aging policy and interventions. We call for funding bodies, such as WHO-SAGE, to develop funding competitions that focus on conducting longitudinal analyses, such as structural equation modeling, highlighting changes occurring among the aging population in SSA.

Publisher

Oxford University Press (OUP)

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