Functional disability in activities of daily living and instrumental activities of daily living among Nepalese Newar elderly

Chalise, Hom Nath; Saito, Tami; Kai, Ichiro

doi:10.1016/j.puhe.2007.07.015

Cited by 47 publications

(48 citation statements)

References 9 publications

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“…The results of descriptive analysis revealed that elderly widow had slightly more functional impairment than married elderly as reported in other studies. 16,17 Furthermore, in our study, women showed higher functional impairment than men as reported similarly in other studies and is comparable to the report given by India Ageing 2017, which found out that there is higher impairment of IADL with older women than men. All this indicates a high care burden considering the sheer number of the older persons in the country.…”

Section: Discussionsupporting

confidence: 91%

Functional impairments of elderly in rural areas of east Sikkim, India: cross-sectional study

Engheepi¹,

Sonowal²,

Mehta³

et al. 2018

Int J Community Med Public Health

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Background: Ageing is a universal, biological reality, which affects every individual on this earth.India, being the second largest country with 8.4% of the total population belonging to the age group of 60 years and above faces challenges of population ageing. The major concern now being the health care of the elderly as functional ability decreases with age leading to avoidance of challenging situations, restricted activity and further decline in health. The objective of this study was to find out the functional impairments of elderly in rural areas of East Sikkim using Lawton’s instrumental activities of daily living scale.Methods: Cross-sectional study was carried out with 324 elderly people aged 60 years and above. The study sample was obtained using multistage random sampling method. Out of total 52 GPU’s in rural areas of east Sikkim, 18 GPU’s were selected using random generation number method and then the list of all the elderly were obtained from each selected GPU. From this list, 18 elderlies in each GPU were randomly selected for the study thus the total sample size was 324. The study was conducted using Lawton’s instrumental activities of daily living (IADL) scale.Results: There was significant difference between the IADL score of both the genders (p=0.0001). There was no significant relationship in IADL score with age (r=-0.072). However, 2.5% of the elderly were totally dependent for IADL activity.Conclusions: Developing multidisciplinary approaches for improving quality of life might be a fruitful approach in elderly and thus enhancing the policy makers for forming a comprehensive geriatric rehabilitation services to provide health care accessibility for every elderly.

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Section: Discussionsupporting

confidence: 91%

Functional impairments of elderly in rural areas of east Sikkim, India: cross-sectional study

Engheepi¹,

Sonowal²,

Mehta³

et al. 2018

Int J Community Med Public Health

View full text Add to dashboard Cite

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“…31 A study in Nepal showed that gender was related to functional disability, travelling, and taking medicine. 32 With regard to socioeconomic status (income and education), in the present study respondents with higher education levels were more likely to be living independently than respondents with no formal education. Consistently, Chinese elders with higher education levels performed ADL better than their less educated peers.…”

Section: Discussionmentioning

confidence: 51%

Influence of Socioeconomic Factors on Daily Life Activities and Quality of Life of Thai Elderly

Somrongthong

Wongchalee

Ramakrishnan

et al. 2017

Journal of Public Health Research

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BackgroundThe increasing number of older people is a significant issue in Thailand, resulted in growing demands of health and social welfare services. The study aim was to explore the influence of socioeconomic factors on activities of daily living and quality of life of Thai seniors.Design and methodsUsing randomised cluster sampling, one province was sampled from each of the Central, North, Northeast and South regions, then one subdistrict sampled in each province, and a household survey used to identify the sample of 1678 seniors aged 60 years and over. The Mann-Whitney U-test and binary logistic regression were used to compare and determine the association of socioeconomic variables on quality of life and activities of daily living.ResultsThe findings showed that sociodemographic and socioeconomic factors were significantly related to functional capacity of daily living. Education levels were strongly associated with daily life activities, with 3.55 adjusted ORs for respondents with secondary school education. Gender was important, with females comprising 61% of dependent respondents but only 47% of independent respondents. Seniors with low incomes were more likely to be anxious in the past, present and future and less likely to accept death in the late stage, with 1.40 Adjusted ORs (95%CI: 1.02-1.92), and 0.72 (95%CI: 0.53-0.98), respectively. However, they were more likely to engage in social activities.ConclusionsWhile socioeconomic factors strongly indicated the functional capacity to live independently, a good quality of life also required other factors leading to happiness and life satisfaction.Significance for public healthIncreasing numbers of ageing population raise a public health concern in Thai society due to the increasing demands of medical and health services regarding chronic diseases and disability. Unfortunately, few studies have mentioned socioeconomic factors on daily living activities and quality of life and none has taken place across regions in Thailand. Epidemiological population-based studies are necessary to identify social determinants and potential contributing factors that influence quality of life and disability which in turn, may utilise information shaping the policy through better support and care.

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“…Disability affects health status and quality of life and is a significant public health issue world wide (Lin and Lave, ). Because of the clear effect that disability and dependence have on social and health systems, it is essential to study their prevalence, causes and effects to formulate a suitable plan for public health policy (Chalise et al ., ). According to the statistical results of this paper, the design of social policies for taking care of these individuals should consider the differences between such individuals.…”

Section: Discussionmentioning

confidence: 97%

Dependence Evolution in the Spanish Disabled Population: A Functional data Analysis Approach

Albarrán

Alonso-González

Arribas-Gil

2016

Journal of the Royal Statistical Society Series A: Statistics in Society

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In a health context, dependence is defined as a lack of autonomy in performing the basic activities of daily living and requiring care giving or significant help from another person. However, this contingency, if present, changes over one's lifetime. Empirical evidence shows that, once this situation occurs, it is almost impossible to return to the previous state and in most cases increases in intensity. In the paper, the evolution of the intensity of this situation is studied for the Spanish population affected by this contingency. Evolution in dependence can be seen as sparsely observed functional data, where we obtain a curve for each individual that is observed at only those points where changes in his or her condition of dependence occur. We use functional data analysis techniques, such as curve registration, functional data depth and distance-based clustering, to analyse this type of data. This approach proves to be useful in this context because it considers the dynamics of the dependence process and provides more meaningful conclusions than simple pointwise or multivariate analysis.We use the sample statistics obtained to predict the future evolution of dependence.The database analysed originates from the 'Survey on disability, personal autonomy and dependence situations' in Spain in 2008. The survey is the largest and most complete survey to be made available in Europe for the study of disability. In addition, the Spanish legislation is one of the most recent in Europe and provides a detailed quantitative scale to assess dependence. In the paper, the scale value according to this legislation has been calculated for each individual included in the survey. Differences between sex, age and the time of first appearance were considered, and a prediction of the future evolution of dependence is obtained.

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Functional disability in activities of daily living and instrumental activities of daily living among Nepalese Newar elderly

Cited by 47 publications

References 9 publications

Functional impairments of elderly in rural areas of east Sikkim, India: cross-sectional study

Functional impairments of elderly in rural areas of east Sikkim, India: cross-sectional study

Influence of Socioeconomic Factors on Daily Life Activities and Quality of Life of Thai Elderly

Dependence Evolution in the Spanish Disabled Population: A Functional data Analysis Approach

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