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Global disparities in activity limitations and use of assistive devices
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Journal Article
Global disparities in activity limitations and use of assistive devices
2024
Overview
Approximately 16% of the global population were estimated to have a disability in 2023, and this number is expected to increase mainly due to longer life expectancy and a rise in non-communicable diseases.1 Some studies also suggest that the number of years lived with a disability is increasing in younger cohorts.2,3 The interactions between individuals and society affect whether a person's health experience is considered a disability.4 According to WHO, activity limitations, such as sensory and mobility difficulties, are one of three domains of disability, with the other two being bodily or mental impairment and participation restrictions.5 In a prospective cohort study published in The Lancet, Raed A Joundi and colleagues6 included 175 584 individuals (aged 35–70 years) from 25 high-income, middle-income, and low-income countries, providing important insight into global differences in the prevalence of activity limitations and the use of assistive devices. The prevalence of dementia is expected to increase by 50% in high-income countries and by 80% in low-income and middle-income countries by 2030.10 Additionally, as many as 14% of older adults live with a mental disorder, accounting for 8·8% of the total years lived with disability in older adults.11 According to the WHO Mental Health Atlas, there are substantial global disparities in mental health services. [...]the median number of mental health hospital beds ranges from below two per 100 000 people in low-income countries to more than 25 per 100 000 people in high-income countries.12 The study by Joundi and colleagues6 highlights marked differences in activity limitations between world regions, providing an important basis for further research on global disparities in health and disability and for public health interventions worldwide.
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