scholarly journals Determinants of acquired disability and recovery from disability in Indian older adults: longitudinal influence of socio-economic and health-related factors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ronak Paul ◽  
Shobhit Srivastava ◽  
T. Muhammad ◽  
Rashmi Rashmi

Abstract Background There is a higher burden of functional disability for Indian older adults with substantial variations across different geographic regions and socioeconomic groups as compared to other ageing Asian countries. Thus, using a national sample of older adults aged 60+ years, we aim to explore how common is acquiring of disability and recovery from disability among the older population of a developing country like India, and how do the various socioeconomic and health-related conditions impact this transition in disability status. Method The current study uses two waves of the India Human Development Survey (IHDS) and is based on panel data of 10,527 older adults. Both bivariate and multiple variable regression analysis were performed using two binary outcome variables in this study – whether older adults acquired disability and recovered from disability between round-I and round-II, respectively. Results Nearly 31.5% and 4.4 % of older adults have acquired and recovered disability across the two rounds respectively. About 38.5%  and 45.8 % of female older adults’ disability status changes to disable and recovered in round-II respectively. A lesser proportion of older adults have recovered from a disability who have a chronic disease in round-I. Cataract chronic conditions among older adults in round-I had shown 1.45 times (CI: 1.07–1.97) a significantly higher likelihood of acquiring disability in round-I. Older adults who were unmarried and were not working in round-I have 1.12 times (CI: 1.01–1.25) and 1.21 times (CI: 1.06–1.39) higher likelihood of acquiring disability in round-II respectively. Recovering from disability was mostly seen among older adults who belong to the richest (OR: 2.38, CI: 1.31–4.33) and medium (OR: 2.16, CI: 1.27–3.69) wealth quintile households. Older adults residing in the central region of India have 2.72 times (CI: 2.31–3.19) significantly higher chance of acquiring disability than those who were residing in northern regions. Conclusion Appropriate measures are required to highlight the importance of chronic physical diseases and several socio-demographic factors that may negatively affect the trajectory of disability in older ages.

2021 ◽  
Author(s):  
Ronak Paul ◽  
Shobhit Srivast ◽  
Muhammad Thalil ◽  
Rashmi Rashmi

Abstract Background: While experiencing a double burden of both communicable and non-communicable diseases, three-fourth of the Indian population aged 50 and above are suffering from some form of disability. Existing studies on physical limitations highlight the determinants of late-life disabilities, however, limited evidence has shown how the socio-economic and health-related factors influence the elderly recovering or acquiring disability status in the Indian context. Method: The current study uses two waves of the India Human Development Survey (IHDS) and is based on panel data of 10527 older adults. Both bivariate and multiple variable regression analysis were performed using two binary outcome variables in this study – whether older adults acquired disability and recovered from disability between round-I and round-II, respectively.Results: Nearly 31.5% and 4.4% of older adults have acquired and recovered disability across the two rounds respectively. 38.5% and 45.8% of female older adults’ disability status changes to disable and recovered in round 2 respectively. A lesser proportion of older adults have recovered from a disability who have a chronic disease in round 1. Cataract chronic conditions among older adults in round 1 had shown 1.45 times (CI: 1.07-1.97) a significantly higher likelihood of acquiring disability in round 2. Older adults who were unmarried and were not working in round 1 have 1.12 times (CI: 1.01-1.25) and 1.21 times (CI: 1.06-1.39) a higher likelihood of acquiring disability in round 2 respectively. Recovering from disability was mostly seen among older adults who belong to the richest (OR: 2.38, CI: 1.31-4.33) and medium (OR: 2.16, CI: 1.27-3.69) wealth quintile households. Older adults residing in the central region of India have 2.72 times (CI: 2.31-3.19) significantly higher chance of acquiring disability than those who were residing in northern regions.Conclusion: Appropriate measures are required to highlight the importance of chronic physical diseases and several socio-demographic factors that may negatively affect the trajectory of disability in older ages.


2019 ◽  
Vol 68 (2) ◽  
pp. 313-320
Author(s):  
Amit Kumar ◽  
Maricruz Rivera‐Hernandez ◽  
Amol M. Karmarkar ◽  
Lin‐Na Chou ◽  
Yong‐Fang Kuo ◽  
...  

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Alfred E Yawson ◽  
Edith M Ackuaku-Dogbe ◽  
Nana A Hagan Seneadza ◽  
George Mensah ◽  
Nadia Minicuci ◽  
...  

2017 ◽  
Vol 86 (4) ◽  
pp. 415-425
Author(s):  
Yuri Jang ◽  
Soo Young Kim ◽  
Sujie Chang

The goal of the present study was to examine factors associated with the attitude toward life-sustaining treatment among older adults in South Korea. Focus was given to sociodemographic characteristics (age, gender, education, financial status, and religious affiliation), family-related variables (presence of a spouse, children, and a living parent [or in-law]), and health-related variables (chronic conditions, functional disability, and self-rated health). Using data from 6,895 participants (aged 65−97) in the 2014 Korean National Elderly Survey, logistic regression model was tested. The proportion of the sample that endorsed a strong disagreement with the provision of life-sustaining treatment was 53.2%. The increased odds of having a strong disagreement was found in those with younger age (<75), higher education, a living parent (or in-law), and more favorable ratings of health. Findings shed light on programs and services on end-of-life care planning for older adults in South Korea.


2016 ◽  
Vol 37 (2) ◽  
pp. 177-202 ◽  
Author(s):  
Therri Usher ◽  
Darrell J. Gaskin ◽  
Kelly Bower ◽  
Charles Rohde ◽  
Roland J. Thorpe

Purpose: The purpose of this article was to assess segregation’s role on race differences in hypertension among non-Hispanic Blacks and Whites aged 50 and over. Method: Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg, diastolic BP ≥ 90 mmHg, or self-reported antihypertensive medication use. Segregation measures combined race, neighborhood racial composition, and individual and neighborhood poverty level. Logistic models produced odds ratios and 95% confidence intervals (CIs) for each segregation category, adjusting for health-related factors. Results: Blacks in Black (OR = 2.54, CI = [1.61, 4.00]), White (OR = 2.56, CI = [1.24, 5.31]), and integrated neighborhoods (OR = 3.23, CI = [1.72, 6.03]) had greater odds of hypertension compared with Whites in White neighborhoods. Poor Whites in poor neighborhoods (OR = 1.74, CI = [1.09, 2.76]), nonpoor Blacks in nonpoor (OR = 3.03, CI = [1.79, 5.12]) and poor neighborhoods (OR = 4.08, CI = [2.16, 7.70]), and poor Blacks in nonpoor (OR = 4.35, CI = [2.17, 8.73]) and poor neighborhoods (OR = 2.75, CI = [1.74, 4.36]) had greater odds compared with nonpoor Whites in nonpoor neighborhoods. Conclusion: Interventions targeting hypertension among older adults should consider neighborhood compositions.


2014 ◽  
Vol 71 (1) ◽  
pp. 42-53 ◽  
Author(s):  
Su-Hui Chen ◽  
Hsin-Yi Cheng ◽  
Yeu-Hui Chuang ◽  
Jung-Hua Shao

2020 ◽  
Vol 28 (3) ◽  
pp. 399-405
Author(s):  
Brad J. Stenner ◽  
Amber D. Mosewich ◽  
Jonathan D. Buckley

Golf is a popular sport for older adults, and is therefore an important source of physical activity. This study investigated the reasons for golf participation in an older population using the Golf Participation Questionnaire for Older Adults. The participants (N = 3,262, 82.5% male) completed the questionnaire online. The most important reasons for participation were fun, a pleasant playing environment, and competition, with reasons related to health being relatively less important. The female participants rated fun, a pleasant playing environment, and a feeling that participation made them part of a community as more important reasons for participating than males. Although health-related factors were identified as important reasons for golf participation in older adults, non-health-related factors were also more important. Strategies to promote golf participation by older adults, as a means of increasing physical activity, should emphasize aspects related to fun, a pleasant playing environment, and engagement in competition.


Sign in / Sign up

Export Citation Format

Share Document