Response to “Socioeconomic status and subclinical atherosclerosis in older adults,” by Drs. Karbakhsh and Tabrizchi

Abstract Background Lack of information exists about the use of traditional and complementary medicine (TCM) use among middle-aged and older adults in India, which led to studying the estimates of past-12-month Ayurveda/Yoga/Naturopathy/Unani/Siddha/Homeopathy (AYUSH) practitioner and traditional health practitioner (THP) utilization in India. Methods The study included 72,262 individuals (45 years and older) from the cross-sectional 2017–2018 Longitudinal Ageing Study in India (LASI) Wave 1. Results The prevalence of past 12-month AYUSH practitioner utilization was 6.5%, THP use 7.0%, and AYUSH or THP use 13.0%. The rate of AYUSH practitioner utilization was determined by older age (≥60 years) (Adjusted Odds Ratio-AOR: 1.20, 95% Confidence Interval-CI: 1.07–1.34), having pain (AOR: 1.48, 95% CI: 1.29–1.69), any bone or joint diseases (AOR: 1.57, 95% CI: 1.35–1.82), current tobacco use (AOR: 1.30, 95% CI: 1.12–1.50), male sex (AOR: 0.76, 95% CI: 0.68–0.85), high subjective socioeconomic status (AOR: 0.72, 95% CI: 0.60–0.87), urban residence (AOR: 0.71, 95% CI: 0.57–0.88), diabetes (AOR: 0.66, 95% CI: 0.55–0.81), chronic heart disease (AOR: 0.52, 95% CI: 0.37–0.73), and having a health insurance cover (AOR: 0.36, 95% CI: 0.30–0.44). The rate of THP utilization was determined by depressive symptoms (AOR: 1.17, 95% CI: 1.01–1.35), sleep problems (AOR: 1.28, 95% CI: 1.08–1.51), having pain (AOR: 1.82, 95% CI: 1.55–2.15), current tobacco use (AOR: 1.35, 95% CI: 1.22–1.51), having health insurance cover (AOR: 0.41, 95% CI: 0.33–0.51), hypertension (AOR: 0.82, 95% CI: 0.71–0.95), diabetes (AOR: 0.50, 95% CI: 0.39–0.65), urban residence (AOR: 0.25, 95% CI: 0.19–0.34), and high subjective socioeconomic status (AOR: 0.70, 95% CI: 0.58–0.85). Conclusion A moderate prevalence of AYUSH practitioner and THP use among middle-aged and older adults in India was found and several factors associated with AYUSH practitioner and THP use were identified.

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Cumulative Socioeconomic Status Across the Life Course and Subclinical Atherosclerosis

Annals of Epidemiology ◽

10.1016/j.annepidem.2006.07.009 ◽

2007 ◽

Vol 17 (4) ◽

pp. 296-303 ◽

Cited By ~ 59

Author(s):

April P. Carson ◽

Kathryn M. Rose ◽

Diane J. Catellier ◽

Jay S. Kaufman ◽

Sharon B. Wyatt ◽

...

Keyword(s):

Socioeconomic Status ◽

Life Course ◽

Subclinical Atherosclerosis ◽

The Life Course

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The Relationship between Socioeconomic Status and Emotion Regulation of Older Adults in Korea: The Mediating effect of Rumination on Financial Problems

10.31888/jkgs.2021.41.6.1019 ◽

2021 ◽

Vol 41 (6) ◽

pp. 1019-1036

Author(s):

Ahjeong Hur ◽

Hei-Rhee Ghim ◽

Moongeol Kim

Keyword(s):

Older Adults ◽

Socioeconomic Status ◽

Emotion Regulation ◽

Mediating Effect ◽

Financial Problems ◽

The Relationship

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Association between childhood socioeconomic status and subjective memory complaints among older adults: results from the Japan Gerontological Evaluation Study 2010

International Psychogeriatrics ◽

10.1017/s1041610219000814 ◽

2019 ◽

Vol 31 (12) ◽

pp. 1699-1707 ◽

Cited By ~ 3

Author(s):

Toshinori Nishizawa ◽

Ayako Morita ◽

Takeo Fujiwara ◽

Katsunori Kondo

Keyword(s):

Older Adults ◽

Socioeconomic Status ◽

Evaluation Study ◽

Community Dwelling ◽

Self Report ◽

Subjective Memory Complaints ◽

Subjective Memory ◽

Memory Complaints ◽

Childhood Socioeconomic Status ◽

Community Dwelling Older Adults

ABSTRACTBackground:Subjective memory complaints (SMC) have been suggested as an early marker of mild cognitive impairment and dementia. However, there is a paucity of evidence on the effects of early life conditions on the development of SMC in old age. This study is aimed at investigating the association between childhood socioeconomic status (SES) and SMC in community-dwelling older adults.Methods:We used the data of the Japan Gerontological Evaluation Study, a population-based cohort study of people aged 65 years or older enrolled from 28 municipalities across Japan. Childhood SES and SMC in everyday life were assessed from the self-report questionnaire administered in 2010 (n = 16,184). Poisson regression was performed to determine their association, adjusted for potential confounders and life-course mediators and examined cohort effects.Results:We identified SMC in 47.4% of the participants. After adjusting for sex, age, and number of siblings, low and middle childhood SES were associated with 29% (prevalence ratio [PR]: 1.29, 95% confidence interval [CI]: 1.22, 1.36) and 10% higher prevalence of SMC (PR: 1.10, 95%CI: 1.04, 1.17), respectively, compared with high childhood SES (p for trend <.001). The interaction terms between childhood SES and age groups were not statistically significant.Conclusion:Childhood SES is significantly associated with SMC among community-dwelling older adults. Efforts to minimize childhood poverty may diminish or delay the onset of SMC and dementia in later life.

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