Self reported health status and its determinants among elderly widows in Puducherry, India

Narayanasamy, Nirmala Saravanan; Das, Arindam; Narayanasamy, Audinaraya; Prusty, Ranjan Kumar

doi:10.4103/ijcm.ijcm_253_20

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…With the rapid development of an aging population, the health problems of the widowed elderly had attracted the attention of the international community. Widowhood not only means losing a spouse, but also has negative impacts on health [26] and emotional cognition [27]. There is considerable consistency in the study of widowhood, the widowed elderly have lower morale and a higher incidence of mental problems when compared with the married elderly [28].…”

Section: Discussionmentioning

confidence: 99%

“…Chronic diseases also lead to a decline of body function and significantly affect quality of life for the elderly, especially stroke and have been found to be important predictors of poor health [43]. An Indian study confirmed older widows with two or more chronic diseases and older widows with any one disease were somewhat more likely to believe that their health was poor or average [44]. With a lower number or no chronic disease, the optimistic health assessment index of the widowed elderly would be increased [45].…”

Section: Discussionmentioning

confidence: 99%

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Health of Widowed Elderly and Related Factors in China

Hua¹,

Chen²

2022

JOMH

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Background:The widowed elderly are in poor health, but studies mainly focus on their mental health, physiological response, chronic disease, or death. The aim of this study was to investigate the health of the widowed elderly and related factors in China from the three dimensions of self-reported health, objective physical health and mental health. Methods: Data were obtained from the Chinese Longitudinal Health Longevity Survey (CLHLS-2018). 3320 participants aged 65 years and older were selected, included 1573 widowed elderly and 1747 non-widowed elderly. A simplified version of the center for epidemiological research depression scale (CES-D-10) was used to assess depressive symptoms. The differences of depression and chronic diseases between widows and widowers were tested by independent sample t-test. A fully aligned polygonal graphical indexing method and binary logistic regression analysis were used to explore health and related factors of the widowed elderly. Results: Of the 1573 widowed elderly 70.88% were female, 59.19% were aged 80-99, 48.00% and 36.75% were from rural and urban areas respectively, and 92.05% lived with their families. Depressive symptoms were found in 20.15% of widowers and 49.33% of widows, and 60.26% of widowers and 64.75% of widows had more than one chronic disease. Statistically significant differences were found between widowers and widows in the above two. Self-reported health and mental health were slightly better than that of non-widowed elderly, with the exception of objective physical health. The variables of life restriction, physical exercise, life satisfaction and depressive symptoms were significant factors that influenced the widowed elderly health. Conclusions: Strengthening the monitoring and management of negative emotions and physiological functions of the widowed elderly, improving their awareness of physical and mental health and then promoting communication were found to be effective intervention measures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Health of Widowed Elderly and Related Factors in China

Hua¹,

Chen²

2022

JOMH

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“…Among the aging Indian population, poor health status was reported by 15-26% elderly [15,16]. One study assessed the incidence of any disease and hospitalization among the Indian elderly which were 31% and 6% respectively [17].…”

Section: Discussionmentioning

confidence: 99%

Determinants and Economic Consequences of Self Reported Illness Among Indian Construction Workers – A Multicentre Study

Soundararajan

Viramgami

Sheth

et al. 2022

Preprint

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Background Construction workers have health hazards inherent to the nature of work and at further risk for poverty due to poor living conditions. We investigated perceived illness among workers and family members in the past year and the economic consequences of morbidities in terms of Catastrophic Health Expenditure (CHE). Methods In this cross-sectional multicenter study, we recruited construction workers of both sexes from construction sites of two Indian cities. We collected details on illnesses requiring a healthcare visit in the past year, expenditure and related details. Results Of 1263 participants recruited, data on illness during the past year were reported by 1110 participants; 37% (n = 302) reported illness among themselves or family members requiring a healthcare visit. We constructed a regression model to ascertain demographic and living condition determinants of illness (R^2 = 54%, p < 0.001). We observed kitchen in the living space (OR = 1.87), and using unhygienic smoky cooking fuels (OR = 1.87) were associated with an increased likelihood of reporting illness. More than a quarter of those who reported illness incurred CHE. Both CHE incurred and non-incurred groups displayed similar trends of health-seeking behaviors. Conclusion We conclude that both prevalence of self reported illness and CHE were relatively high, especially among the migratory group. Our results demonstrate that poor living conditions add to the burden of morbidity in construction workers and families. Providing medical coverage for this population vulnerable to economic hardships, engaging and educating about affordable healthcare are important future steps to prevent further economic consequences.

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“…Another study suggested that older adults having limitations in activities of daily living, worse chronic and mental health conditions, poorer self-reported memory have lower SRH in the United States and China [23]. Another studies in India revealed that older adults' physical and functional activities had been the strong predictors in self-assessments of health [18, 19,22]. Further, SRH is a multidimensional construct that also predicts the other health outcome such as primary health care that includes the amount of doctor visits, hospitalizations and medical tests [14,24].…”

Section: Introductionmentioning

confidence: 99%

“…Many studies emphasized that the social determinants of health outcomes, which empirically demonstrate that women, lower socioeconomic classes and low educational level have poorer health outcomes [10][11][12][13][14][15][16][17][18]. Apart from this, SRH also re ects psychosocial, lifestyle conditions, functional status, chronic diseases among older adults [19][20][21][22]. Another study suggested that older adults having limitations in activities of daily living, worse chronic and mental health conditions, poorer self-reported memory have lower SRH in the United States and China [23].…”

Section: Introductionmentioning

confidence: 99%

Self-rated health among older adults in India: Gender specific findings from National Sample Survey

Akhtar

Saikia

Muhammad

2022

Preprint

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Background: This study examined whether and what determinants of gender disparity exist current self-rated health (SRHcurrent) and change in SRH (SRHchange) among older adults in Indian setting. Methods: We used cross-sectional data from the 75th National Sample Survey Organizations (NSSO), collected from July 2017 to June 2018. The analytical sample constitutes 42,759 older individuals aged 60 years or older with 21,902 older men and 20,857 older women (eliminating two non-binary individuals). Outcome measures include two variables of poor/worse SRH status (SRHcurrent and SRHchange). We have calculated absolute gaps in the prevalence of poor SRHcurrent and worse SRHchange by background characteristics. We carried out binary logistic regression models to examine the predictors of poor SRHcurrent and worse SRHchange among older adults.Results: The overall absolute gender gap in poor SRHcurrent was 3.27% and it was 0.58% in worse SRHchange. Older women had significantly higher odds of poor SRHcurrent [AOR=1.09; CI=0.99, 1.19] and worse SRHchange [AOR=1.09; CI=1.02, 1.16] compared to older men. Older adults belonging to middle-aged, oldest-old, economically dependent, not working, physically immobile, suffering from chronic diseases, hospitalized, belonging to Muslim religion, and Eastern region have found to have poor SRHcurrent and worse SRHchange. While educational attainments showed glaring lower significant odds of have poor SRHcurrent and worse SRHchange compared to those with no education. Respondents belonging to richest income quintile and not covered by any health insurance, belonging to Schedule caste, OBC, Western and Southern regions are found to have poor SRHcurrent and worse SRHchange. Compared to those in the urban residence, respondents from rural residence [AOR=1.09; CI=1.02, 1.16] has higher odds of worse SRHchange.Conclusions: There is a clear gender gap observed in poor current SRH and worse change in SRH among older adults in India. This study addressed the significant public health concern, which is crucial to address the challenge of the older people’s health and their perception of well-being.

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Self reported health status and its determinants among elderly widows in Puducherry, India

Cited by 7 publications

References 17 publications

Health of Widowed Elderly and Related Factors in China

Health of Widowed Elderly and Related Factors in China

Determinants and Economic Consequences of Self Reported Illness Among Indian Construction Workers – A Multicentre Study

Self-rated health among older adults in India: Gender specific findings from National Sample Survey

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