Patterns and predictors of non-communicable disease multimorbidity among older adults in India: evidence from longitudinal ageing study in India (LASI), 2017–2018

Puri, Parul; Singh, Shri Kant

doi:10.1057/s41271-021-00321-x

Cited by 20 publications

(42 citation statements)

References 26 publications

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“…Findings suggest that twenty-seven and fifteen percent of the aboriginal older adult population was affected with single disease and multiple morbidity, respectively. The burden of single morbidity is similar to that reported at the national level ( 17 ). However, the prevalence of multimorbidity was lower for the aboriginal population than the national average for older adults ( 17 ).…”

Section: Discussionsupporting

confidence: 82%

“…The burden of single morbidity is similar to that reported at the national level ( 17 ). However, the prevalence of multimorbidity was lower for the aboriginal population than the national average for older adults ( 17 ). The estimates for multimorbidity were also lower than that reported in other studies ( 18 , 19 ).…”

Section: Discussionsupporting

confidence: 82%

“…Hypertension, gastrointestinal disorders, musculoskeletal disorders, and diabetes were the most prevalent NCDs among aboriginal older adults. Similar NCDs are reported to hold a higher burden among the older adult population in the country ( 17 ). Other studies conducted in India also reported preponderance of hypertension ( 17 , 19 , 22 , 23 ), a range of musculoskeletal disorders ( 17 , 19 , 22 ), gastrointestinal disorders, and diabetes ( 17 , 19 , 23 ) in India.…”

Section: Discussionsupporting

confidence: 72%

“…Similar NCDs are reported to hold a higher burden among the older adult population in the country ( 17 ). Other studies conducted in India also reported preponderance of hypertension ( 17 , 19 , 22 , 23 ), a range of musculoskeletal disorders ( 17 , 19 , 22 ), gastrointestinal disorders, and diabetes ( 17 , 19 , 23 ) in India.…”

Section: Discussionsupporting

confidence: 72%

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Exploring the Linkages Between Non-Communicable Disease Multimorbidity, Health Care Utilization and Expenditure Among Aboriginal Older Adult Population in India

Puri

2022

Int J Public Health

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Objective: The study investigates the magnitude and correlates of non-communicable disease multimorbidity and explores its linkages with health care utilization and out-of-pocket expenditure among aboriginal or tribal older adults.Methods: The study employed data on 11,365 older adults from Scheduled Tribes from the Longitudinal Ageing Study in India, 2017-18. A disease score was computed integrating sixteen non-communicable diseases. Descriptive, bivariate, and multivariable analyses were performed to identify the magnitude and correlates of multimorbidity. The study further explored the linkages between selected diseases and multimorbidity with health care utilization and expenditure.Results: The findings suggest that 27.1 and 14.5% of the aboriginal population lived with single or multiple disease, respectively. Hypertension and gastrointestinal disorders were frequent diseases. Higher age, Muslim religion, higher education, unemployment, and affluent background were the major correlates of multimorbidity. Health care utilization, mean expenditure on hospitalization, and outpatient visits increased significantly with multimorbidity.Conclusion: Multimorbidity is emerging as a health care challenge among the aboriginal population. Measures need to be taken to assess the multimorbidity burden and reduce health care expenditure, ensuring health equity among country’s vulnerable population.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 72%

Section: Discussionsupporting

confidence: 72%

See 2 more Smart Citations

Exploring the Linkages Between Non-Communicable Disease Multimorbidity, Health Care Utilization and Expenditure Among Aboriginal Older Adult Population in India

Puri

2022

Int J Public Health

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“…Probable explanations for this finding could be: 1) A high prevalence of diabetes among older adults, in general and those belonging to high Socio Economic Status [ 46 – 48 ] and because diabetic diarrheoa is a major gastrointestinal discomfort [ 49 , 50 ], older adults belonging to the richer section may have a high prevalence of diarrhoea. 2) Since multimorbidity is higher among older adults [ 51 , 52 ], older adults may be consuming medicines that may cause diarrhoea.…”

Section: Discussionmentioning

confidence: 99%

Rural-urban differentials in the prevalence of diarrhoea among older adults in India: Evidence from Longitudinal Ageing Study in India, 2017–18

et al. 2022

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Introduction Diarrhoeal diseases are common among children and older adults. Yet, majority of the scientific studies deal with children, neglecting the other vulnerable and growing proportion of the population–the older adults. Therefore, the present study aims to find rural-urban differentials in the prevalence of diarrhoea among older adults in India and its states. Additionally, the study aims to find the correlates of diarrhoea among older adults in India. The study hypothesizes that there are no differences in the prevalence of diarrhoea in rural and urban areas. Methods Data for this study was utilized from the recent Longitudinal Ageing Study in India (2017–18). The present study included eligible respondents aged 60 years and above (N = 31,464). Descriptive statistics along with bivariate analysis was presented to reveal the preliminary results. In addition, binary logistic regression analysis was used to fulfil the study objectives. Results About 15% of older adults reported that they suffered from diarrhoea in the last two years. The prevalence of diarrhoea among older adults was found to be highest in Mizoram (33.5 per cent), followed by Chhattisgarh (30.7 per cent) and Bihar (30.2 per cent). There were significant rural-urban differences in the prevalence of diarrhoea among older adults in India (difference: 7.7 per cent). The highest rural-urban differences in the prevalence of diarrhoea were observed among older adults who were 80+ years old (difference: 13.6 per cent), used unimproved toilet facilities (difference: 12.7 per cent), lived in the kutcha house (difference: 10.2 per cent), and those who used unclean source of cooking fuel (difference: 9 per cent). Multivariate results show that the likelihood of diarrhoea was 17 per cent more among older adults who were 80+ years compared to those who belonged to 60–69 years’ age group [AOR: 1.17; CI: 1.04–1.32]. Similarly, the older female had higher odds of diarrhoea than their male counterparts [AOR: 1.19; CI: 1.09–1.30]. The risk of diarrhoea had declined with the increase in the educational level of older adults. The likelihood of diarrhoea was significantly 32 per cent more among older adults who used unimproved toilet facilities than those who used improved toilet facilities [AOR: 1.32; CI: 1.21–1.45]. Similarly, older adults who used unimproved drinking water sources had higher odds of diarrhoea than their counterparts [AOR: 1.45; CI: 1.25–1.69]. Moreover, older adults who belonged to urban areas were 22 per cent less likely to suffer from diarrhoea compared to those who belonged to rural areas [AOR: 0.88; CI: 0.80–0.96]. Conclusion The findings of this study reveal that diarrhoea is a major health problem among older adults in India. There is an immediate need to address this public health concern by raising awareness about poor sanitation and unhygienic practices. With the support of the findings of the present study, policy makers can design interventions for reducing the massive burden of diarrhoea among older adults in rural India.

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Risk factors of multimorbidity among older adults in India: A systematic review and meta‐analysis

Goel,

Biswas,

Chattopadhyay

2024

Health Science Reports

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BackgroundMultimorbidity among older adults is a growing concern in India. Multimorbidity is defined as the coexistence of two or more chronic health conditions in an individual. Primary studies have been conducted on risk factors of multimorbidity in India, but no systematic review has been conducted on this topic. This systematic review aimed to synthesize the existing evidence on risk factors of multimorbidity among older adults in India.MethodsThe JBI and Preferred Reporting Items for Systematic Reviews and Meta‐Analysis guidelines were followed. Several databases were searched for published and unpublished studies until August 03, 2022. The screening of titles and abstracts and full texts, data extraction, and quality assessment were conducted by two independent reviewers. Any disagreements were resolved through discussion or by involving a third reviewer. Data synthesis was conducted using narrative synthesis and random effects meta‐analysis, where appropriate.ResultsOut of 8781 records identified from the literature search, 16 and 15 studies were included in the systematic review and meta‐analysis, respectively. All included studies were cross‐sectional, and 10 met a critical appraisal score of more than 70%. Broadly, sociodemographic, lifestyle, and health conditions‐related factors were explored in these studies. The pooled odds of multimorbidity were higher in people aged ≥70 years compared to 60‐69 years (odds ratio (OR) 1.51; 95% confidence interval (CI) 1.20–1.91), females compared to males (1.38; 1.09–1.75), single, divorced, separated, and widowed compared to married (1.29; 1.11–1.49), economically dependent compared to economically independent (1.54; 1.21–1.97), and smokers compared to non‐smokers (1.33; 1.16–1.52) and were lower in working compared to not working (0.51; 0.36–0.72).ConclusionThis systematic review and meta‐analysis provided a comprehensive picture of the problem by synthesizing the existing evidence on risk factors of multimorbidity among older adults in India. These synthesized sociodemographic and lifestyle factors should be taken into consideration when developing health interventions for addressing multimorbidity among older adults in India.

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Patterns and predictors of non-communicable disease multimorbidity among older adults in India: evidence from longitudinal ageing study in India (LASI), 2017–2018

Cited by 20 publications

References 26 publications

Exploring the Linkages Between Non-Communicable Disease Multimorbidity, Health Care Utilization and Expenditure Among Aboriginal Older Adult Population in India

Exploring the Linkages Between Non-Communicable Disease Multimorbidity, Health Care Utilization and Expenditure Among Aboriginal Older Adult Population in India

Rural-urban differentials in the prevalence of diarrhoea among older adults in India: Evidence from Longitudinal Ageing Study in India, 2017–18

Risk factors of multimorbidity among older adults in India: A systematic review and meta‐analysis

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