Background and Aim:
The multi-morbidity in the elderly is a major public health challenge in most of developing countries. The elderly suffer from multiple chronic health conditions due to differential socioeconomic and demographic conditions in the household. The present study examines the prevalence and pattern of triad morbidity among the elderly in the Bankura district of West Bengal.
Materials and Methods:
A cross-sectional study was conducted among elderly men and women aged 55 years and above in five blocks of Bankura district. The multi-stage random sampling designed was developed to select the requisite number of elderly. The blocks were selected in the first stage, and then the village was selected in the second stage, followed by a selection of the target population in the third stage. The pretested, predesigned, and semi-structured questionnaires were developed for collecting the self-reported morbidity information. Descriptive statistics was used to identify the prevalence of disease-specific burden of triad morbidity. Multivariate logistic regression forms of odds ratio with a 95% confidence interval were used to explore the factors associated with morbidities.
Results:
Out of the 462 elderly persons, 222 (48.05%) were males and 240 (51.95%) were females; 360 (77.9%) were affected by more than one disease. The mean age of affecting triad morbidity among the elderly was 61 years. The highest prevalence of triad morbidity among the elderly was arthritis, hypertension, and heart disease (79.6%), followed by diabetes, hypertension, and depression (78%). The overall disease prevalence was more prominent among the female elderly than males. The prevalence of triad morbidities was strongly correlated with key lifestyle factors such as excess intake of alcohol, smoking, and tobacco consumption and higher food choices of nonvegetarians.
Conclusion:
The health problems of the elderly are aggravated by the no education, lack of physical work, poor socioeconomic condition, and Western types of lifestyle. There is an urgent need to develop comprehensive public health strategies to address the high burden of NCDs in Bankura.