scholarly journals Prevalence of cognitive dysfunction, psychological morbidity and abuse in the community-based elderly population in India

2020 ◽  
Vol 33 (5) ◽  
pp. e100207
Author(s):  
Manjeet Singh Bhatia ◽  
Shruti Srivastava ◽  
Vishali Moond
Keyword(s):  
Social Support ◽  
Cognitive Dysfunction ◽  
Emotional Abuse ◽  
Elderly Population ◽  
General Health Questionnaire ◽  
Rapid Test ◽  
The Elderly ◽  
Psychological Morbidity ◽  
Community Based ◽  
Cross Sectional

BackgroundThe elderly population in India is expected to grow enormously by 2050 owing to an increase in life expectancy. Community-based data on the prevalence of psychological morbidity, abuse and cognitive dysfunction are scarce.AimsTo determine the prevalence of cognitive dysfunction, psychological morbidity and abuse in the elderly population in a resettlement colony from East Delhi, India.MethodsA cross-sectional study was conducted on the elderly population of a resettlement colony, in East Delhi, comprising 5 blocks and 12 subblocks with a total population of 65 000. The study was carried out within 2 months from April to August 2017. The self-reported questionnaires were administered to detect cognitive dysfunction, psychological morbidity, social support and pattern of abuse.ResultsThe mean age of the study subjects was 70.29 years (53.8% were males, 78.8% were married, 86.9% were Hindus and 75% were living with children). A total of 106 subjects (66.6%) belonged to the lower socioeconomic strata with 120 (75%) living with children. Most of the subjects (70.6%) studied below the primary level of education. As detected on Goldberg General Health Questionnaire-12, 56.9% of the subjects had psychological morbidity. On Dementia Assessment by Rapid Test, 33.1% of subjects were screened positive. The pattern of abuse reported was as follows: emotional abuse (16.9%), physical abuse (7.5%), sexual abuse (1.9%) and social neglect (18.1%). The social support score was found to be 46.22 (12.22).ConclusionThe results of this community-based study signify that appropriate steps at the policy level need to be undertaken so that abuse as well as neglect can be prevented. In addition, screening the elderly population helps to detect early cognitive dysfunction, psychological morbidity, abuse victims and individuals with poor support.

scholarly journals Psychological morbidity in Nepali cross-border migrants in India: a community based cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Raja Ram Dhungana ◽  
Nirmal Aryal ◽  
Pratik Adhikary ◽  
Radheshyam Krishna KC ◽  
Pramod Raj Regmi ◽  
...  
Keyword(s):  
General Health Questionnaire ◽  
Work Conditions ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Psychological Morbidity ◽  
Sectional Study ◽  
Community Based ◽  
Religious Minority ◽  
Cross Sectional ◽  
Cross Border

Abstract Background Since Nepali cross-border migrants can freely enter, work and stay in India, they are largely undocumented. The majority is involved in semi-skilled or unskilled jobs with limited labour rights and social security, a fact which predisposes them to psychological distress. We aimed to assess the prevalence of and factors associated with psychological morbidity among Nepali migrants upon their return from India. Methods A community based cross-sectional study was conducted in six districts of Nepal between September 2017 and February 2018. A total of 751 participants who had worked at least six months in India and returned to Nepal were interviewed from 24 randomly selected clusters. The General Health Questionnaire (GHQ)-12 was used to measure the psychological morbidity. Data were analysed using Poisson regression analysis. Results The majority was younger than 35 years (64.1%), male (96.7%), married (81.8%), had at least a primary education (66.6%), and belonged to Dalit, Janajati and religious minorities (53.7%). The prevalence of psychological morbidity was 13.5% (CI: 11.2–16.1%). Participants aged 45 years and above (adjusted prevalence ratio (aPR) = 2.74), from the Terai (aPR = 3.29), a religious minority (aPR = 3.64), who received no sick leave (aPR = 2.4), with existing health problems (aPR = 2.0) and having difficulty in accessing health care (aPR = 1.88) were more likely than others to exhibit a psychological morbidity. Conclusion This study demonstrated that psychological morbidity was prevalent in the study participants and varied significantly with individual characteristics, work conditions and health. Multifaceted approaches including psychological counselling for returnees and protection of labour and health rights in the workplace are recommended to help reduce psychological morbidity.

scholarly journals Health of elderly tribes: a community based clinico-epidemiological study in West Bengal, India

2018 ◽  
Vol 5 (3) ◽  
pp. 970
Author(s):  
Gandhari Basu ◽  
Poulomi Mondal ◽  
Suman K. Roy
Keyword(s):  
General Health Questionnaire ◽  
The Elderly ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Tobacco Addiction ◽  
High Prevalence ◽  
Lower Social Class ◽  
Demographic Attributes ◽  
High Degree

Background: Reported literatures suggested that health of elderly, mainly tribes, still remains unsatisfactory. They are the most neglected and highly vulnerable to diseases with high degree of morbidity and mortality. The present study was conducted to measure the overall health status and awareness of any beneficial scheme and also associated factors among the elderly tribes. Methods: A community based, cross sectional survey was conducted among 120 elderly tribes, for three months. Data on socio-demographic attributes, self-reported morbidities and mental health parameters was collected by direct interview with a predesigned, structured proforma. Clinical examination was done to find out any systematic morbidity. Anthropometric measurements, blood pressure were recorded by standardized instruments. Prevalence of stress was assessed by general health questionnaire (GHQ-12). Data was analysed by licensed SPSS 20.0. Results: Out of 120 elderly tribes, majorities were female (61.7%), aged between 60 to 69 years. The mean (SE) age was 64.50 (0.421) years. Ninety nine subjects were illiterate. Tobacco addiction was noted in 84.3% elderly. Common cold (80.0), low back pain and joint pain (73.3%), alcohol addiction (63.3), smoking (56.0), problems of vision (50.0) were also common. Overweight, hypertension and pallor was noted in nearly half. Women were more affected. One in every four felt unhappy or depressed. Severe distress was found among one in every five respondents. Distress was more in persons aged more than 70 years, illiterate and in lower social class (p<0.05). Conclusions: There is a high prevalence of social problems like illiteracy, unemployment, financial dependence, morbidities and stress among the elderly tribes. 

scholarly journals Emotional and Instrumental Social Support as Determinants of Happiness: A Cross-Sectional Study of Malaysian Elderly

2020 ◽  
Author(s):  
Shamsul Azhar Shah ◽  
Nazarudin Safian ◽  
Saharuddin Ahmad ◽  
Wan Abdul Hannan Wan Ibadullah ◽  
Zulkefley Mohammad ◽  
...  
Keyword(s):  
Social Support ◽  
Rural Areas ◽  
Urban Areas ◽  
Elderly Population ◽  
Multiple Logistic Regression Analysis ◽  
The Elderly ◽  
Evaluation Study ◽  
Instrumental Support ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background: Happiness is an essential component for experience healthy ageing. Hence, understanding the factors that contribute to happiness is essential for a better quality of life. This study aimed to determine the factors associated with happiness among the elderly population in Malaysia.Methods: In this study, 1204 respondents were recruited from urban and rural areas in Selangor. The face-to-face interview was conducted using the Bahasa Malaysian version of the Japan Gerontological Evaluation Study questionnaire. The inclusion criteria include Malaysians who are 60 years old and above and can converse in the Malaysian language. Those who encounter less than seven scores for the Abbreviated Mental Test were excluded from the study.Result: Among the 1204 respondents, 953 (79.2%) of them were happy. In terms of sociodemographic characteristics, men who were happy, 60 to 74 years old and live in urban areas were significantly associated with happiness. Multiple logistic regression analysis showed that the significant factors associated with happiness among the elderly include the social support they receive, both emotional support (adjusted OR 2.33) and instrumental support (adjusted OR 1.59); the locality they reside in (adjusted OR 1.65); how they self-rated themselves in terms of their health status (adjusted OR 1.58); their educational level (adjusted OR 4.20) and their household income (adjusted OR 0.77).Conclusion: Thus, ensuring the elderly population in receiving emotional and instrumental support can enhance their happiness level.

scholarly journals An overview of health concerns among elderly population

2014 ◽  
Vol 2 (04) ◽  
pp. 30-31
Author(s):  
Santosh M. Biradar ◽  
Mallikarjun K. Biradar ◽  
V. S. Kamble ◽  
Shrinivas Reddy
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Family Migration ◽  
Health Issues ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Study Results ◽  
The Government

Background: Urbanisation, nuclearisation of family, migration, and dual career families are making care of the elderly more and more of a personal and social problem in India. Objective: Assess the concerns about health issues among elderly people. Methodology: Community based cross-sectional study. Results: 64.4% of the elders were treated well and about 22.9% were treated very well during illness. 86.3% were consulted during illness. Son was the care taker in 55.6% of study subjects. 70.6% of elderly were consulted to allopathic practitioners / Govt Hospitals. Conclusion: It is the responsibility of family to look after elderly in respectful manner, especially during illness. The government should frame policies and provide social and economical security to elders.

scholarly journals Unmet health needs of elderly: a community based cross-sectional study in rural areas of Kancheepuram District, Tamil Nadu

2020 ◽  
Vol 7 (5) ◽  
pp. 1812
Author(s):  
N. Kalusivalingam ◽  
Prateek Bobhate ◽  
A. Kalaivani ◽  
R. Karnaboopathy
Keyword(s):  
Rural Areas ◽  
Tamil Nadu ◽  
Elderly Population ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Health Needs ◽  
Community Based ◽  
Cross Sectional ◽  
Unmet Health Needs ◽  
Study Participants

Background: The proportion of elderly population is on the increasing trend in India. Morbidity was found higher among the elderly population. About 10% increased risk of mortality was found among elderly people with unmet needs. The objective of the study was to assess the morbidity pattern and unmet health needs among elderly population in rural areas of Kancheepuram district, Tamil Nadu.Methods: This community based cross-sectional study was conducted for a period of 18 months in four selected villages in Kancheepuram district, Tamil Nadu, among 390 participants. EASY care standard (2010) questionnaire was used for assessment of health care needs. Frequency distribution of study variables and association using chi-square test were done using SPSS software version 23.Results: Out of 390 study participants, 51% were females. The most common morbidity was arthritis (40.5%), followed by diabetes and difficulty in hearing (29.5% each). Psycho-social issues such as loneliness (36.7%), little interest in doing things (30.8%), feeling hopelessness (30%) were noted among the study participants. The highest unmet health need was 11.8% for difficulty in hearing. The unmet health needs were associated with older age, widowhood, lower educational status, inability to work, low socio-economic status, absence of individual income, and absence of care taker of the study participants.Conclusions: The health needs of elderly are multi-faceted viz., medical, psycho-social, financial, etc. Since, family characteristics play a major role in meeting the health needs of elderly population, community-oriented services mainly involving family members will help for addressing the unmet needs of the elderly. 

scholarly journals Prevalence of depression in the elderly population of rural Puducherry: a community based cross sectional study

2017 ◽  
Vol 4 (11) ◽  
pp. 4315 ◽  
Author(s):  
Kanimozhi S. ◽  
Mohan A. Darbastwar
Keyword(s):  
Public Health ◽  
Elderly Population ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Rural Setting ◽  
Health Concern ◽  
Geriatric Depression ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Background: Geriatric mental health is an important emerging public health concern. Although India is the second most populated country in the world in terms of elderly population it is yet to perceive geriatric depression as a public health problem. In spite of considerable disability and morbidity there is a dearth of community studies investigating geriatric depression and its associated risk factors from India. Considering this back ground, a community based cross sectional study was conducted in a rural setting of Puducherry to find out the disease burden of geriatric depression and to study the correlates of depression among the elderly in the community.Methods: A community based cross sectional study was done in a rural field practicing area of Sri Lakshmi Narayana Institute of Medical Science, Puducherry. The study was conducted in 640 elderly and geriatric depression was assessed with The Geriatric depression Scale – Short form.Results: Of the total elderly, only 42.34% were found to be normal while the remaining 57.66% of the elderly were suffering from some forms of depression. The major associated factors contributing to geriatric depression were found to be female sex, widowhood, illiteracy, living alone, presence of chronic diseases, lesser physical activity and inadequate sleep.Conclusions: A major proportion of the elderly in the study population were found to be suffering from depression. This high prevalence indicates an urgent need, both for great awareness of depression among the community members and to ensure availability and accessibility of appropriate health services to manage it. 

scholarly journals Prevalence of disabilities and non-communicable diseases in an elderly population in the Telangana state, India: a population-based cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041755
Author(s):  
Srinivas Marmamula ◽  
Satya Brahmanandam Modepalli ◽  
Thirupathi Reddy Kumbham ◽  
Rajesh Challa ◽  
Jill E Keeffe
Keyword(s):  
Elderly Population ◽  
Self Care ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Self Report ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Communicable Diseases

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.

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