Health needs of older populations affected by humanitarian crises in low- and middle-income countries: a systematic review.


Massey, E; Smith, J; Roberts, B; (2017) Health needs of older populations affected by humanitarian crises in low- and middle-income countries: a systematic review. Conflict and health, 11. p. 29. ISSN 1752-1505 DOI: https://doi.org/10.1186/s13031-017-0133-x

[img]
Preview
Text - Published Version
License:

Download (734kB) | Preview

Abstract

The combination of global demographic changes and a growing number of humanitarian crises in middle-income countries that have a higher life expectancy has led to an increase in the number of older populations affected by humanitarian crises. The aim of this review was to systematically examine evidence on the health needs of older populations in humanitarian crises, including both armed conflicts and natural disasters, in low- and middle-income countries (LMICs). A systematic review methodology was used. The search strategy used terms related to older populations and humanitarian crises in LMICs. Five bibliographic databases were used, along with relevant grey literature sources. Descriptive analysis was used, and a quality assessment conducted using the Newcastle-Ottawa Scale and CASP instruments. A total of 36 studies were eligible for review. The majority of the studies were cross-sectional, three were cohort studies, and four used qualitative methodologies. The main health outcomes were mental health, physical health, functioning, and nutrition. Vulnerability factors included older age, female gender, being widowed, increased exposure to traumatic events, prior mental health problems, low income and education, and rural residency. Ten studies addressed the responsiveness of health systems and access to such services. The quality of the included studies was generally low. There is an urgent need to strengthen the evidence base on the health needs of older populations in humanitarian crises.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Research Centre: Health in Humanitarian Crises Centre
Related URLs:
PubMed ID: 29238401
Web of Science ID: 417611300001
URI: http://researchonline.lshtm.ac.uk/id/eprint/4645914

Statistics


Download activity - last 12 months
Downloads since deposit
6Downloads
20Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item