Sociodemographic determinants of mobility limitation among older adults in Canada and Nigeria

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dc.contributor.authorOnyeso, Ogochukwu K.
dc.contributor.authorUniversity of Lethbridge. Faculty of Health Sciences
dc.contributor.supervisorAwosoga, Olu A.
dc.date.accessioned2025-05-29T17:32:54Z
dc.date.available2025-05-29T17:32:54Z
dc.date.issued2025
dc.degree.levelPh.D
dc.description.abstractThis thesis explores the sociodemographic determinants of mobility limitations among older adults (≥ 65 years) using a multi-method approach. The first study is a systematic review and meta-analysis that synthesized evidence from 57 studies involving 130,060 participants to identify associations between sociodemographic factors and performance-based mobility outcomes. Older age, female gender, non-Caucasian race, and lower education were significantly associated with mobility limitations, while gaps were identified in research on marital status, religion, and socioeconomic and residential factors. The second study analyzed six-year longitudinal data from 3,882 participants in the Canadian Longitudinal Study on Ageing, revealing significant predictors of mobility decline, including older age, female gender, retirement, non-Caucasian ethnicity, lower income, lower social status, and lack of homeownership. The third study analyzed three-year longitudinal data from 837 participants in the Ibadan Study of Ageing (Nigeria). A gender-disaggregated growth curve analysis showed that gait speed decline was slower in men compared to women, with significant predictors including widowhood and chronic disease burden for women and religiosity and high socioeconomic status for men. The fourth study, a qualitative description design, explored the perspectives of 36 older adults (18 each from Canada and Nigeria) on life-course sociodemographic determinants of mobility decline and identified demographic, socioeconomic, sociocultural, and socioenvironmental factors as critical influences on mobility trajectories. Canadians highlighted disparities in rural mobility outcomes, while Nigerians noted greater challenges for women and urban dwellers, reflecting cultural nuances. Collectively, these studies provide a comprehensive understanding of the sociodemographic factors shaping mobility trajectories in diverse contexts. The findings offer valuable insights for developing culturally sensitive, equitable policies and interventions to promote healthy ageing globally.
dc.embargoYes
dc.identifier.urihttps://hdl.handle.net/10133/7040
dc.language.isoen_US
dc.publisherLethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences
dc.publisher.facultyHealth Sciences
dc.relation.ispartofseriesThesis (University of Lethbridge. Faculty of Health Sciences)
dc.subjectaging
dc.subjecthealth
dc.subjectmobility limitation
dc.subjectsociodemographic factors
dc.subjectlongitudinal studies
dc.subject.lcshDissertations, Academic
dc.subject.lcshAging--Canada--Cross-cultural studies
dc.subject.lcshAging--Nigeria--Cross-cultural studies
dc.subject.lcshOlder people--Research--Canada
dc.subject.lcshOlder people--Research--Nigeria
dc.subject.lcshOlder people--Orientation and mobility--Canada--Longitudinal studies
dc.subject.lcshOlder people--Orientation and mobility--Nigeria--Longitudinal studies
dc.subject.lcshHealth status indicators
dc.titleSociodemographic determinants of mobility limitation among older adults in Canada and Nigeria
dc.typeThesis
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