Background Although there has been a range of studies that focused on physical frailty and associated fall outcomes within developed countries, similar studies from developing countries have been limited. This study aimed to examine the relationship between physical frailty and the prevalence of falls, multiple falls and fall-related injuries among the ageing population within the Indian context. Methods Individual-level data from the first wave of the Longitudinal Aging Study in India (LASI) with 28,285 older adults aged 60 years and above (male 48.9%) was used for this study. Physical frailty was assessed through the physical frailty phenotype adapted from Fried’s criteria. Multivariable logistic regression was employed to examine the association of frailty status with falls, multiple falls, and fall-related injuries among Indian older adults. Results The prevalence of frailty was found to be 29.94% within the sample and frail older adults had a higher prevalence of falls (15.43% vs 11.85%), multiple falls (7.73% vs 5.25%), and fall related injuries (6.68% vs 5.29%). The odds of falling among frail older adults were significantly higher in reference to the odds of falling among non-frail older adults [aOR: 1.24; CI: 1.09–1.41]. Similarly, the odds of multiple falls among frail older adults were significantly higher in reference to the odds of multiple falls among non-frail older adults [aOR: 1.24; CI: 1.05–1.48]. Moreover, the odds of fall-related injury among frail older adults were significantly higher in reference to the odds of fall-related injury among non-frail older adults [aOR: 1.21; CI: 1.01–1.45]. Falls, multiple falls and fall-related injuries were found to be significantly associated with employment and poor self-rated health, whereas, females and lone living older adults had a significantly higher likelihood of suffering from falls and multiple falls. Conclusion Older individuals with physical frailty were found to be at increased risk of falls, multiple falls and fall-related injuries in India. The findings of our study also have important clinical implications in the measures undertaken to reduce falls and enable future healthcare practitioners and policymakers to factor in the key determinant of physical frailty.
The "Gulabi Gang" (Pink Gang), a name with which everyone in the Indian context is familiar, has steadily acquired prominence and fame over the past decade. This extraordinary women's movement has been nationally acclaimed for its initiatives and efforts to improve the lives of rural women in contemporary India. Whereas, on one hand, this movement was largely perceived in relation to "revolt" for change during its inception in the popular Indian context, this paper, on the other, aims at re-centering the role of art through the color "pink" by the gang members in feminist subversions. It identifies the movement with a novel perspective by exploring how the movement has made dual impacts -firstly, resisting oppression against women and secondly, the utilization of "pink" as an art which remained an inadvertent yet crucial offshoot of their movement in subversion. This paper offers an alternative way of viewing this movement where the role of art in redefining the color "pink" by the rural women in the "Gulabi Gang" remains widely unaddressed.Furthermore, it explores how art acts as a crucial medium to exert one's agency and is simultaneously utilized as a means of securing livelihood and self-sufficiency for many rural women in contemporary India.
Addressing the problem of suicidal thoughts in adolescents requires understanding the associated risk factors. Multiple studies have shown that risky sexual behavior affected the adolescents’ psychological health that leads to their suicidal thoughts, behaviors and attempts. This study aimed to identify the association between various risky sexual behaviours and suicidal thoughts among unmarried adolescents in India. We used data collected from 4221 unmarried adolescent boys and 5987 unmarried adolescent girls aged 10–19 years, from the two rounds of the Understanding the Lives of Adolescents and Young Adults (UDAYA) survey. Descriptive analysis was done to observe changes in the selected variables from wave-1 to wave-2. Random effect regression analysis was used to estimate the association of suicidal thoughts among unmarried adolescents with their risky sexual behaviours. The percentage of adolescent boys having suicidal thoughts increased from 1.35% in wave 1 to 2.19% in wave 2. Among adolescent girls, the percentage increased from 2.92% in wave 1 to 5.05% in wave 2. A proportion of 3.26% adolescent boys had more than one sexual partner during wave 1 whereas in wave 2, it rose to 8.71%, while in case of adolescent girls, the estimates only increased from 0.26% at wave 1 to 0.78% at wave 2. Nearly 4.55% boys and 1.37% girls had early sexual debut. Almost five percentage boys were sexually active at wave 1 whereas in wave 2, it rose to 13.56%, while among adolescent girls, the estimates decreased from 1.54% at wave 1 to 1.51% at wave 2. Contraceptive use increased over time among both adolescent boy and girls. Also, a large proportion of adolescent boys reported watching pornography (27.08% at waive 1 and 49.39% at wave 2) compared to adolescent girls (4.46% at wave 1 and 13.10% at wave 2). Adolescents who had more than one sexual partner [Coef: 0.04; p < 0.001], exposed to early sexual debut [Coef; 0.019; p < 0.01], sexually active [Coef: 0.058; p < 0.001] and reported watching pornography [Coef: 0.017; p < 0.001] were more likely to have suicidal thoughts. Adolescent boys and girls with risky sexual behaviors are likely to be at a higher risk of suicidal ideation, and thus, they should be treated with special care and attention by local healthcare practitioners.
Women paid domestic workers (PDWs) form an integral part of the informal labour population constituting two thirds of the total domestic workforce in contemporary India. The sector of domestic work is largely stigmatized and is often synonymous with low occupational prestige, servitude and being ‘dirty’ and menial. Thus, women PDWs are often exposed to unpleasant working conditions in their employers’ homes as well as social surroundings. Further, many of these women are also victims of domestic violence (DV) in their own homes. This study shares the lived experiences of work-employer relationships, hostile work conditions and DV through the lenses of women PDWs’ narratives. The article also chronicles the women’s hardships, suggesting the exploitative nature of domestic work and how it exposes women PDWs to additional adversities in the form of discrimination and harassment in employers’ homes and DV within their own domestic setting. It concludes by showing a pattern of survival among these women who endure countless challenges within both the workplace and home and employ coping strategies to navigate hostile domestic environments. The findings offer crucial insights into the limits and capacities of women PDWs’ struggles.
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