Older adults’ psychological and subjective well-being as a function of household decision making role: Evidence from cross-sectional survey in India

Srivastava, Shobhit; Chauhan, Shekhar; Muhammad, T.; Simon, Denys; Kumar, Pradeep; Patel, Ratna; Singh, Saurabh

doi:10.1016/j.cegh.2020.100676

Cited by 38 publications

(40 citation statements)

References 23 publications

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“…Moreover, in some cases, the adult children become household heads but prefer a separate living arrangement and move away from their older parents. Determining the proportion of these cases in the Indian context is important and its impact on older adults’ wellbeing is subject to further investigation [ 36 , 37 ]. The loss of headship in nuclear and joint/extended family was high probably because as evidence suggests, when the son gets economically dependent or gets married, then the probability of loss of headship increases among older adults [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Association of family structure with gain and loss of household headship among older adults in India: Analysis of panel data

et al. 2021

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Background Despite huge changes in demographic behaviors, the family continues to be the major source of psychosocial support for older adults in India. The loss of household headship can be a cause of disregard for the aged and is associated in a very fundamental way with other status losses. Our study used the two rounds of the India Human Development Survey to understand the association of family structure on the gain or loss status of household headship among 10,527 older adults. Method Bivariate analysis was done using the chi-square test for association. Equivalently, the multivariate analysis involved estimating multivariable logistic regression models. Multicollinearity did not affect the estimates from the regression models. For examining headship transition, we performed two complete sets of analysis, by taking gain in headship and loss in headship as the outcome variable respectively. Results Across two rounds, a major shift in family structure was noticed as 6.8% of households moved from extended to a single generation. Results indicate that family structure was significantly associated with gaining and losing headship among older adults. Headship loss was more common among nuclear [OR: 2.16; CI: 1.28, 3.65] and extended [OR: 2.76; CI: 1.64, 4.66] family structures. Moreover, gaining headship was found to be significantly associated with married, educated, and working older adults. Conclusion Since living in single generation household may preferably be encouraged among older adults than their living in a complex household without headship and value they deserve, the public intervention may support the independent living within the older population through housing policies that create additional choices presented to older adults making residential decisions.

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Section: Discussionmentioning

confidence: 99%

Association of family structure with gain and loss of household headship among older adults in India: Analysis of panel data

et al. 2021

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“…These tasks are necessary for independent functioning in the community. Respondents were asked if they were having any difficulties that were expected to last more than three months, such as preparing a hot meal, shopping for groceries, making a telephone call, taking medications, doing work around the house or garden, managing money (such as paying bills and keeping track of expenses), and getting around or finding an address in unfamiliar places [ 34 ]. The monthly per capita consumption expenditure (MPCE) quintile was assessed using household consumption data.…”

Section: Methodsmentioning

confidence: 99%

Association of late-life depression with cognitive impairment: evidence from a cross-sectional study among older adults in India

Muhammad

Meher

2021

BMC Geriatr

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Background Late-life depression (LLD) is considered as a prodrome to dementia and plays a major role in the development of long-term cognitive disabilities. We aimed to estimate the prevalence and correlates of LLD and cognitive impairment and to explore their associations among older adults in India. Methods Data for this study was derived from the Longitudinal Ageing Study in India (LASI) Wave 1 (2017-18). The total sample included 31,464 (15,098 male and 16,366 female) older individuals aged 60 years and above. Cognitive impairment measured from various domains derived from the cognitive module of the Health and Retirement Study (HRS), and major depression measured by the CIDI-SF (Composite International Diagnostic Interview- Short Form) were the outcome variables. Descriptive, bivariate, and multivariable analyses were performed to fulfill the objectives of the study. Results The overall prevalence of LLD and cognitive impairment for the current sample was 8.7% and 13.7 % respectively. Among older individuals who have rated their health status as poor were 2.59 times more likely to suffer from LLD [OR: 2.59, CI: 2.24–2.99] as compared to their counterparts. The older adults who had difficulty in activities of daily living (ADL) and instrumental activities of daily living (IADL) were 74% and 69 % more likely to suffer from LLD. Similarly, older adults who were depressed had higher odds of cognitive impairment [OR: 1.22, CI: 1.01–1.48] compared to their counterparts. Also, older adults who were depressed and belonged to rural areas were 2.58 times [AOR: 2.58, CI: 1.95–3.41] more likely to be cognitively impaired than those who were not depressed and resided in urban areas. Conclusions Depression is linked to an increased risk of cognitive decline and dementia; therefore, failing to diagnose and treat LLD in later life may have significant health implications. Moreover, treatment under the care of a cognitive neurologist or geriatric psychiatrist is recommended for people with LLD and cognitive disability due to both the disorders' complex existence.

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“…A recent study also found that older adults who prefer a shared living arrangement among their adult children tend to report negative health outcomes [ 8 ]. Studies have also investigated the effects of the residential environment on the subjective well-being of older adults [ 9 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

Feeling about living arrangements and associated health outcomes among older adults in India: a cross-sectional study

et al. 2021

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Introduction Advancement in the field of gerontology has been concerned with the well-being of older adults in a family setup that is associated with caregiving and support. While family life and well-being are defined by emotion, caregiving, and support activities, dissatisfaction/discontent with living arrangements is a public health concern, which is increasing with a rise in the proportion of the older population in the country. The study examines the association of dissatisfaction with living arrangements with health outcomes among older men and women in India. Methods The present research used data from the 'Building a Knowledge Base on Population Aging in India'. The effective sample size for the analysis was 9181 older adults. Descriptive statistics and bivariate analysis were performed to present the preliminary estimates. For finding the association between various health outcomes over explanatory variables, binary logistic regression model was used separately for men and women. Results About 22.8% of men and 30.8% of women who were living alone were dissatisfied with their present living arrangement. It was revealed that both men and women who were dissatisfied with their present living arrangements had significantly higher odds of experiencing poor self-rated health [OR:4.45, 3.25 ~ 6.09 and OR:3.32, 2.54 ~ 4.34], low psychological health [OR: 2.15, 1.61 ~ 2.86 and OR: 1.99, 1.57 ~ 2.53], low subjective well-being [OR: 3.37, 2.54 ~ 4.45 and OR: 3.03, 2.36 ~ 3.38], low ADL [OR: 1.77, 1.2 ~ 2.62 and OR: 1.59, 1.17 ~ 2.18, low IADL] [OR: 1.32, 1.03 ~ 1.69 and OR: 1.57, 1.24 ~ 1.98] and low cognitive ability [OR: 1.26, 0.98 ~ 1.61 and OR:1.44, 1.13 ~ 1.82] in comparison to their counterpart from men and women respectively. Conclusion It is found that dissatisfaction with the living arrangement of older men and women is negatively associated with major health outcomes. Hence, appropriate policies and programs must be developed to promote increased family care and support and an improved residential environment that would create a feeling of comfort and happiness among older individuals.

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Older adults’ psychological and subjective well-being as a function of household decision making role: Evidence from cross-sectional survey in India

Cited by 38 publications

References 23 publications

Association of family structure with gain and loss of household headship among older adults in India: Analysis of panel data

Association of family structure with gain and loss of household headship among older adults in India: Analysis of panel data

Association of late-life depression with cognitive impairment: evidence from a cross-sectional study among older adults in India

Feeling about living arrangements and associated health outcomes among older adults in India: a cross-sectional study

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