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Centre for Policy on Ageing | |
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Determinants of disability among the elderly population in a rural south Indian community
— the need to study local issues and context | | Author(s) | A S Duba, A P Rajkumar, M Prince |
| Journal title | International Psychogeriatrics, vol 24, no 2, February 2012 |
| Pages | pp 333-341 |
| Source | http://www.journals.cambridge.org/ipg |
| Keywords | Physical disabilities ; Depression ; Dementia ; Rural areas ; India. |
| Annotation | Disability among older people is a cause of significant burden; but there is dearth of relevant research from low- and middle-income countries. The authors aimed to establish the nature and factors associated with disability among 1000 participants aged over 65 years from a rural community in Kaniyambadi block, Vellore, in south India. Disability status, sociodemographic profile, psychiatric morbidity, cognitive functioning and anthropometrics were assessed using the following structured instruments: WHO Disability Assessment Scale II, Geriatric Mental State, Community Screening Instrument for Dementia, and Neuropsychiatric Inventory (NPI).The authors used appropriate multivariate statistics to study the factors associated with a higher level of disability, and to determine the population attributable fractions for various modifiable risk factors. Advanced age, illiteracy, hunger, poor nutrition, arthritis, hearing impairment, gastro-intestinal and respiratory diseases, dementia and travel costs to primary health facilities increased the risk of disability significantly. Hypertension, diabetes and depression were not associated with disability. Modifiable social determinants and medical diseases together contributed to disability in this population. Locally relevant social determinants combine with prevalent medical diseases to produce the disability burden among elderly. There is a need to focus on local contexts and modifiable risk factors to design locally appropriate public health policies and interventions. (RH). |
| Accession Number | CPA-120821006 A |
| Classmark | BN: ENR: EA: RL: 7FA |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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