Psychosocial status and economic dependence for healthcare and nonhealthcare among elderly population in rural coastal Karnataka

Rent, Priyanka Dsouza; Kumar, Sudeep; Dmello, Mackwin Kenwood; Purushotham, Jagannath

doi:10.4103/jmh.jmh_46_17

Cited by 12 publications

(11 citation statements)

References 5 publications

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“…[22] Lack of income or financial dependence on another may force elderly people to forego treatment altogether, which may cause further deterioration of their quality of life. [23] The results of present and other studies proves that financial dependency is a very crucial factor determining health and well-being at old age. [222324]…”

Section: Discussionsupporting

confidence: 58%

Sociodemographic variations in health-related quality of life (HRQOL) among elderly individuals in an urban locality in India

Medhi

Sarma

Bhattacharyya

et al. 2019

J Family Med Prim Care

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Background: Elderly population is growing rapidly in India. To direct public health actions to improve quality of life among elderly, it is important to understand the sociodemographic factors associated with quality of life. The aim of study was to assess health-related quality of life (HRQOL) among urban elderly in a setting of Assam, India, and to examine how HRQOL varied across different sociodemographic groups among the elderly populations. Materials and Methods: A cross-sectional study was carried among elderly aged ≥60 involving 300 participants. Eight domains of HRQOL of participants were measured using RAND SF-36. Analysis of variance test was used to examine sociodemographic differences in HRQOL. Results: The BP domain had highest (71.78 ± 22.25) and GH had lowest mean HRQOL score (48 ± 16.93). Males had significantly higher HRQOL score than females only in BP domain. Age gradients were observed with respect to HRQOl scores in five domains, with youngest age group having the best and oldest age group having the poorest HRQOL. Financially dependent subjects had lower HRQOL in five domains than those who were financially independent. Significant associations between education and HRQOL were found only in physical components of HRQOL, with lowest educated group being the most disadvantaged in terms of HRQOL. Marital status was found to be significantly associated with lower HRQOL scores. Conclusion: The study highlights sociodemographic inequalities in HRQOL among urban elderly in an Indian setting. The results may help reducing sociodemographic health inequalities among elderly in this region initiating public health actions paying more attention toward more vulnerable sections of populations.

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Section: Discussionsupporting

confidence: 58%

Sociodemographic variations in health-related quality of life (HRQOL) among elderly individuals in an urban locality in India

Medhi

Sarma

Bhattacharyya

et al. 2019

J Family Med Prim Care

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“…10 However, many studies have reported that the elderly advice was honoured in the family. 22,23 Financial security is another major challenge for the aging population in India. The elderly often do not have financial protection such as sufficient pensions and other forms of social security in India.…”

Section: Discussionmentioning

confidence: 99%

Assessment of functional status and daily life problems faced by elderly in a North Indian city

et al. 2019

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Background The increase in proportion of elderly implies that their problems demand more attention of the administrators. The current study was carried out to assess the functional status of the elderly and to explore the extent and pattern of routine daily life problems faced by them. Methods An integrated qualitative and quantitative research design was employed. A stratified multistage random sampling technique was used to select the respondents from various areas of Chandigarh. The houses were selected randomly from where elderly persons (> 60 years) were identified. Katz Index of Independence in activities of daily living (ADL) was used to evaluate functional ability of the respondents. Instrumental ADLs (IADLs) were assessed using Lawton and Brody scale. Focus group discussions and in‐depth interviews were conducted among the elderly to explore their problems using an interview guide. Results One thousand and eighty elderly were enrolled in the study. Their mean age was 67.22 ± 7.54 years. (range 60–102 years). The majority (70%) were independent in carrying out their daily life activities. Financially, around one‐third were completely dependent and around half were partially dependent. Major dependence was in food preparation, housekeeping and laundry. From the qualitative data, four main themes were formulated, that is general personal problems of elderly; family problems; problems faced by elderly in hospitals and at public places. A feeling of purposelessness, financial insecurity, physical dependency, problems in hospitals and so on, emerged as the main problems. Conclusions Majority of the elderly considered their lives as problematic because they were dependent physically as well as financially. The main domains of dependency were problems related to bowel continence, food preparation, housekeeping and laundry.

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“…Isolation, loneliness, sense of neglect and boredom are the common complaints of the older adults. All these factors influence the psychosocial status of the older adults [32,33], leading to differences of the willingness to use healthcare services.…”

Section: Hypothesis 1 (H1)mentioning

confidence: 99%

Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province, China

Wang

Liu

et al. 2020

Healthcare

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With the increase of the aging population and the lack of family care, home-based healthcare services have gradually become the main model to cope with aging, so local governments have invested heavily in the construction of home-based healthcare services. However, healthcare services still have problems such as low resource utilization and imbalanced development. The reason is that the supply and demand of healthcare services are not matched and the potential accessibility is low. Therefore, based on the supply and demand of healthcare services, this article pulls out the spatial and social factors that affect the potential accessibility, and tests the influence of individual factors on the potential accessibility among different groups of older adults. It is found that the perceived vulnerability of the older adults will reduce the potential accessibility of healthcare services. The psychosocial status, income and education level with the willingness to use healthcare services of the older adults are directly proportional, while residence has a negative impact on the potential accessibility. Finally, based on this finding, this article puts forward feasible suggestions from the perspective of policy content, publicity, and implementation.

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Psychosocial status and economic dependence for healthcare and nonhealthcare among elderly population in rural coastal Karnataka

Cited by 12 publications

References 5 publications

Sociodemographic variations in health-related quality of life (HRQOL) among elderly individuals in an urban locality in India

Sociodemographic variations in health-related quality of life (HRQOL) among elderly individuals in an urban locality in India

Assessment of functional status and daily life problems faced by elderly in a North Indian city

Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province, China

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