{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:34:01Z","timestamp":1790357641897,"version":"4.1.0"},"reference-count":32,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T00:00:00Z","timestamp":1624924800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000996","name":"Department of Foreign Affairs and Trade, Australian Government","doi-asserted-by":"publisher","award":["LSHTM grant number: 71687"],"award-info":[{"award-number":["LSHTM grant number: 71687"]}],"id":[{"id":"10.13039\/501100000996","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The International Initiative for Impact Evaluation","award":["LSHTM Grant Number PW3.11.MDV.IE"],"award-info":[{"award-number":["LSHTM Grant Number PW3.11.MDV.IE"]}]},{"name":"United States Department of State\u2019s Bureau of Population, Refugees, and Migration","award":["LSHTM grant number: ITCRZJ84"],"award-info":[{"award-number":["LSHTM grant number: ITCRZJ84"]}]},{"DOI":"10.13039\/501100013839","name":"CBM International","doi-asserted-by":"publisher","award":["LSHTM grant number: ITCRRH71"],"award-info":[{"award-number":["LSHTM grant number: ITCRRH71"]}],"id":[{"id":"10.13039\/501100013839","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>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\u201311.8) in Nepal to 39.2% in India (95% CI 34.1\u201344.5%). 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 &lt; 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.<\/jats:p>","DOI":"10.3390\/ijerph18136962","type":"journal-article","created":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T10:52:46Z","timestamp":1624963966000},"page":"6962","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5275-8644","authenticated-orcid":false,"given":"Josephine E.","family":"Prynn","sequence":"first","affiliation":[{"name":"International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK"},{"name":"UCL Institute of Cardiovascular Science, Gower Street, London WC1E 6BT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Polack","sequence":"additional","affiliation":[{"name":"International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6287-0384","authenticated-orcid":false,"given":"Islay","family":"Mactaggart","sequence":"additional","affiliation":[{"name":"International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4585-1103","authenticated-orcid":false,"given":"Lena Morgon","family":"Banks","sequence":"additional","affiliation":[{"name":"International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2723-1709","authenticated-orcid":false,"given":"Shaffa","family":"Hameed","sequence":"additional","affiliation":[{"name":"International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6069-7669","authenticated-orcid":false,"given":"Carlos","family":"Dionicio","sequence":"additional","affiliation":[{"name":"National Council on Disability, Guatemala City 01001, Guatemala"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailes","family":"Neupane","sequence":"additional","affiliation":[{"name":"Valley Research Group, Kathmandu 44600, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GVS","family":"Murthy","sequence":"additional","affiliation":[{"name":"Indian Institute of Public Health, Hyderabad 122002, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Oye","sequence":"additional","affiliation":[{"name":"Sightsavers Cameroon, Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4821-6030","authenticated-orcid":false,"given":"Jonathan","family":"Naber","sequence":"additional","affiliation":[{"name":"National Council on Disability, Guatemala City 01001, Guatemala"},{"name":"Range of Motion Project, P.O. Box 100915, Dever, CO 80250, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Kuper","sequence":"additional","affiliation":[{"name":"International Centre for Evidence in Disability, Clinical Research Department, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,29]]},"reference":[{"key":"ref_1","unstructured":"World Health Organisation (2015). World Report on Ageing and Health, World Health Organisation."},{"key":"ref_2","unstructured":"United Nations Population Division (2016). Population Facts: Sub-Saharan Africa\u2019s Growing Population of Older Persons, United Nations Population Division."},{"key":"ref_3","unstructured":"Ritchie, H., Ortiz-Ospina, E., Beltekian, D., Mathieu, E., Hasell, J., Macdonald, B., Giattino, C., Appel, C., Rod\u00e9s-Guirao, L., and Roser, M. (2021, April 24). Coronavirus Pandemic (COVID-19). Our World in Data. Available online: https:\/\/ourworldindata.org\/coronavirus."},{"key":"ref_4","first-page":"m1052","article-title":"Bearing the brunt of covid-19: Older people in low and middle income countries","volume":"368","author":"Ebrahim","year":"2020","journal-title":"BMJ"},{"key":"ref_5","unstructured":"World Health Organisation, and World Bank (2011). World Report on Disability, World Health Organisation."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.1016\/S0140-6736(14)61602-0","article-title":"Older people\u2019s health in sub-Saharan Africa","volume":"385","author":"Aboderin","year":"2015","journal-title":"Lancet"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1136\/jech-2011-200078","article-title":"Modelling the association of disability according to the WHO International Classification of Functioning, Disability and Health (ICF) with mortality in the British Women\u2019s Heart and Health Study","volume":"66","author":"Dale","year":"2011","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"184","DOI":"10.2174\/1874609811104030184","article-title":"Development of Physical Disability in Older Adults","volume":"4","author":"Manini","year":"2011","journal-title":"Curr. Aging Sci."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1674","DOI":"10.1016\/j.socscimed.2011.03.025","article-title":"Participation among adults with disability: The role of the urban environment","volume":"72","author":"Clarke","year":"2011","journal-title":"Soc. Sci. Med."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Maierhofer, S., Almaz\u00e1n-Isla, J., Alcalde-Cabero, E., and De Pedro-Cuesta, J. (2011). Prevalence and features of ICF-disability in Spain as captured by the 2008 National Disability Survey. BMC Public Health, 11.","DOI":"10.1186\/1471-2458-11-897"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1093\/ageing\/afs054","article-title":"The prevalence of disability in older people in Hai, Tanzania","volume":"41","author":"Dewhurst","year":"2012","journal-title":"Age Ageing"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/S0140-6736(14)61347-7","article-title":"The burden of disease in older people and implications for health policy and practice","volume":"385","author":"Prince","year":"2015","journal-title":"Lancet"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2126","DOI":"10.3402\/gha.v3i0.2126","article-title":"Assessing health and well-being among older people in rural South Africa","volume":"3","author":"Thorogood","year":"2010","journal-title":"Glob. Health Action"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Kuper, H., and Shakespeare, T. (2021). Are older people with disabilities neglected in the COVID-19 pandemic?. Lancet Public Health.","DOI":"10.1016\/S2468-2667(21)00077-3"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.3109\/09638288.2014.956186","article-title":"Disability in post-earthquake Haiti: Prevalence and inequality in access to services","volume":"37","author":"Danquah","year":"2014","journal-title":"Disabil. Rehabil."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"MacTaggart, I., Kuper, H., Murthy, G.V.S., Oye, J., and Polack, S. (2016). Measuring Disability in Population Based Surveys: The Interrelationship between Clinical Impairments and Reported Functional Limitations in Cameroon and India. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0164470"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1057\/s41287-019-0194-3","article-title":"Access to Social Protection Among People with Disabilities: Mixed Methods Research from Tanahun, Nepal","volume":"31","author":"Banks","year":"2019","journal-title":"Eur. J. Dev. Res."},{"key":"ref_18","unstructured":"International Centre for Evidence in Disability (ICED) (2020, December 10). Guatemala National Disability Study (ENDIS 2016) Survey Report. Available online: https:\/\/www.lshtm.ac.uk\/sites\/default\/files\/2019-06\/Guatemala-national-disability-study-Full-Report.pdf."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Banks, L.M., Hameed, S., Usman, S.K., and Kuper, H. (2020). No One Left Behind? Comparing Poverty and Deprivation between People with and without Disabilities in the Maldives. Sustainability, 12.","DOI":"10.3390\/su12052066"},{"key":"ref_20","unstructured":"Statistics WGoD (2020, June 01). Analytic Guidelines: Creating Disability Identifiers Using the Washington Group Extended Set (WG-ES) SPSS Syntax. Available online: http:\/\/www.washingtongroup-disability.com\/wp-content\/uploads\/2016\/12\/WG-Document-6-Analytic-Guidelines-for-the-Washington-Group-Extended-Set.pdf."},{"key":"ref_21","unstructured":"World Health Organisation (2020, June 01). Monitoring Sustainable Development Goals\u2013Indicator 3.8.2. Available online: https:\/\/www.who.int\/health_financing\/topics\/financial-protection\/monitoring-sdg\/en\/."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e020077","DOI":"10.1136\/bmjopen-2017-020077","article-title":"Access to water and sanitation among people with disabilities: Results from cross-sectional surveys in Bangladesh, Cameroon, India and Malawi","volume":"8","author":"MacTaggart","year":"2018","journal-title":"BMJ Open"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Bright, T., and Kuper, H. (2018). A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15091879"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Banks, L.M., Kuper, H., and Polack, S. (2017). Poverty and disability in low- and middle-income countries: A systematic review. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0189996"},{"key":"ref_25","first-page":"1088","article-title":"SDGs, Inclusive Health and the path to Universal Health Coverage","volume":"4","author":"Hashemi","year":"2017","journal-title":"Disabil. Glob. South"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1093\/heapol\/czl029","article-title":"Constructing socio-economic status indices: How to use principal components analysis","volume":"21","author":"Vyas","year":"2006","journal-title":"Health Policy Plan."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Liu, J.Y.W. (2017). The severity and associated factors of participation restriction among community-dwelling frail older people: An application of the International Classification of Functioning, Disability and Health (WHO-ICF). BMC Geriatr., 17.","DOI":"10.1186\/s12877-017-0422-7"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1093\/ageing\/aft111","article-title":"Predicting participation restriction in community-dwelling older men: The Concord Health and Ageing in Men Project","volume":"43","author":"Fairhall","year":"2014","journal-title":"Age Ageing"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2208","DOI":"10.3109\/09638288.2011.563818","article-title":"Participation frequency and perceived participation restrictions at older age: Applying the International Classification of Functioning, Disability and Health (ICF) framework","volume":"33","author":"Arnadottir","year":"2011","journal-title":"Disabil. Rehabil."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e365","DOI":"10.1016\/S2468-2667(21)00069-4","article-title":"Mental health and social interactions of older people with physical disabilities in England during the COVID-19 pandemic: A longitudinal cohort study","volume":"6","author":"Steptoe","year":"2021","journal-title":"Lancet Public Health"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Mayston, R., Lloyd-Sherlock, P., Gallardo, S., Wang, H., Huang, Y., De Oca, V.M., Ezeah, P., Guerra, M., Sosa, A.L., and Liu, Z. (2017). A journey without maps\u2014Understanding the costs of caring for dependent older people in Nigeria, China, Mexico and Peru. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0182360"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/S2215-0366(21)00025-0","article-title":"COVID-19 mental health impact and responses in low-income and middle-income countries: Reimagining global mental health","volume":"8","author":"Kola","year":"2021","journal-title":"Lancet Psychiatry"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/13\/6962\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:26:49Z","timestamp":1760164009000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/13\/6962"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,29]]},"references-count":32,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2021,7]]}},"alternative-id":["ijerph18136962"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18136962","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,29]]}}}