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Exploring the priorities of ageing populations in Pakistan, comparing views of older people in Karachi City and Thatta.

التفاصيل البيبلوغرافية
العنوان: Exploring the priorities of ageing populations in Pakistan, comparing views of older people in Karachi City and Thatta.
المؤلفون: Usmani BA; Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.; Department of Biomedical Engineering, NED University of Engineering and Technology, Karachi, Pakistan., Lakhdir MPA; Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Sameen S; Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan., Batool S; Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.; BSc Medical Bioscience Monash University Malaysia, School of Science, Subang Jaya, Malaysia., Odland ML; Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.; Department of Obstetrics and Gynecology, St Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.; Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom.; Malawi-Liverpool-Wellcome Trust Research Institute, Blantyre, Malawi.; Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway., Goodman-Palmer D; Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom., Agyapong-Badu S; School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom., Hirschhorn LR; Department of Medical Social Sciences and Havey Institute of Global Health, Feinberg School of Medicine, Northwestern University, Evanston, IL, United States of America., Greig C; School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom.; NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, United Kingdom.; MRC-Versus Arthritis Centre for Musculoskeletal Ageing Research, University of Birmingham, Birmingham, United Kingdom., Davies J; Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.; Department of Global Health, Centre for Global Surgery, Stellenbosch University, Cape Town, South Africa.
المصدر: PloS one [PLoS One] 2024 Jul 05; Vol. 19 (7), pp. e0304474. Date of Electronic Publication: 2024 Jul 05 (Print Publication: 2024).
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Rural Population* , Urban Population* , Aging*, Humans ; Pakistan ; Aged ; Male ; Female ; Middle Aged ; Aged, 80 and over ; Health Priorities
مستخلص: As a lower middle-income country, Pakistan faces multiple issues that influence the course of healthy ageing. Although there is some understanding of these issues and the objective health outcomes of people in Pakistan, there is less knowledge on the perceptions, experiences, and priorities of the ageing population and their caretakers (hereafter, "stakeholders"). The aim of the study was to identify the needs and priorities of older adults and stakeholders across both urban and rural locations. We sought to explore the views of two groups of people, older adults and stakeholders on topics including the definition of ageing as well as areas of importance, services available, and barriers to older people living well. Two-day workshops were conducted in one rural city, Thatta and one urban city, Karachi. The workshops were designed using the Nominal Group Technique, which included plenary and roundtable discussions. The responses were ranked through rounds of voting and a consensus priority list was obtained for each topic and group. Responses were categorized using the socio-ecological framework. Responses were compared between stakeholders and older people and between different geographical areas. 24 urban and 26 rural individuals aged over 60 years and 24 urban and 26 rural stakeholders attended the workshops. There were few areas of agreement with respect to both geographical region and participant group. Comparing older adults' definition of ageing, there was no overlap between the top five ranked responses across urban and rural locations. With respect to areas of importance, there was agreement on free health care as well as financial support. In terms of barriers to healthy ageing, only nation-wide inflation was ranked highly by both groups. In addition, there were relatively few areas of congruence between stakeholder and older adult responses, irrespective of location, although engagement with family, adequate nutrition and monetary benefits were responses ranked by both groups as important for healthy ageing. Both groups ranked issues with the pension system and financial difficulties as barriers. When categorized using the socio-ecological model, across all questions, societal factors were prioritized most frequently (32 responses), followed by individual (27), relationship (15), and environment (14). Overcoming barriers to facilitate healthy ageing will require a multi-faceted approach and must incorporate the priorities of older individuals. Our results may serve as a guide for researchers and policymakers for future engagement and to plan interventions for improving the health of the ageing population in Pakistan.
Competing Interests: NO: The authors have declared that no competing interests exist.
(Copyright: © 2024 Usmani et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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تواريخ الأحداث: Date Created: 20240705 Date Completed: 20240705 Latest Revision: 20240707
رمز التحديث: 20240707
مُعرف محوري في PubMed: PMC11226073
DOI: 10.1371/journal.pone.0304474
PMID: 38968322
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0304474