Utilization of complementary and traditional medicine practitioners among older adults in India: results of a national survey in 2016-2017

Peltzer, Pengpid; Peltzer, Karl

doi:10.21203/rs.3.rs-265487/v1

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…However, the scoring was reversed in the case of positive symptoms. The composite score ranged from 0 to 10, and those with a score of four or more were considered to have depression symptoms [ 45 , 46 ]. Cronbach’s alpha indicated that CES-D-10 has excellent reliability (0.8).…”

Section: Methodsmentioning

confidence: 99%

Multimorbidity and depression among older adults in India: Mediating role of functional and behavioural health

2022

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Researchers have long been concerned about the association between depression and the prevalence of multiple chronic diseases or multimorbidity in older persons. However, the underlying pathway or mechanism in the multimorbidity-depression relationship is still unknown. Data were extracted from a baseline survey of the Longitudinal Ageing Survey of India (LASI) conducted during 2017–18 (N = 31,464; aged ≥ 60 years). Depression was assessed using the 10-item Centre for Epidemiological Studies Depression Scale (CES-D-10). Multivariable logistic regression was used to examine the association. The Karlson–Holm–Breen (KHB) method was adopted for mediation analysis. The prevalence of depression among older adults was nearly 29% (men: 26% and women 31%). Unadjusted and adjusted estimates in binary logistic regression models suggested an association between multimorbidity and depression (UOR = 1.28; 95% CIs 1.27–1.44 and AOR = 1.12; 95% CIs 1.12–1.45). The association was particularly slightly strong in the older men. In addition, the association was mediated by functional health such as Self Rated Health (SRH) (proportion mediated: 40%), poor sleep (35.15%), IADL disability (22.65%), ADL disability (21.49%), pain (7.92%) and by behavioral health such as physical inactivity (2.28%). However, the mediating proportion was higher among older women as compared to older men. Physical inactivity was not found to be significant mediator for older women. The findings of this population-based study revealed that older people with multimorbidity are more likely to suffer depressive symptoms in older ages, suggesting the need for more chronic disease management and research. Multimorbidity and depression may be mediated by certain functional health factors, especially in older women. Further longitudinal research is needed to better understand the underlying mechanisms of this association so that future preventive initiatives may be properly guided.

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Section: Methodsmentioning

confidence: 99%

Multimorbidity and depression among older adults in India: Mediating role of functional and behavioural health

2022

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Are Informal Older Workers Utilizing Less Healthcare Services? Evidence from the Longitudinal Ageing Study in India, Wave-1

Chowdhury,

Singh

2024

Population Ageing

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India’s informal sector employs many workers without social security benefits, such as pension support and health insurance. Many older workers continue to work in this sector beyond the retirement age (60 + years) due to financial and health needs. Given the vulnerable position of informal older workers in terms of their social and economic stature, as well as the increasing burden of non-communicable diseases, it becomes important to study healthcare utilization. The present research aims to investigate variations in healthcare visits by type of work in India for older workers. The first wave of LASI (2017-18) data has been used in this study. The overall healthcare visits, consisting of inpatient and outpatient care, are considered as the outcome variable for the analysis. Zero-inflated Poisson regression is applied to study the relationship between type of work and healthcare visits while controlling for other covariates. The results of zero-inflated Poisson regression shows that informal workers have fewer healthcare visits than formal workers (P < 0.01). However, the relationship between type of work and healthcare visits is influenced by health conditions, including chronic health conditions (CHC), depression as well as both CHC and depression. Informal workers with depression visit 0.892 times less (P < 0.05) than formal workers with depression. Informal workers with CHC and depression visit 0.847 times less (P < 0.0001) than formal workers with CHC and depression. The present study underscores the importance of proper economic support and healthcare provision to financially encourage older workers belonging to poor social-economic status to seek for healthcare services.

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Utilization of complementary and traditional medicine practitioners among older adults in India: results of a national survey in 2016-2017

Cited by 2 publications

References 31 publications

Multimorbidity and depression among older adults in India: Mediating role of functional and behavioural health

Multimorbidity and depression among older adults in India: Mediating role of functional and behavioural health

Are Informal Older Workers Utilizing Less Healthcare Services? Evidence from the Longitudinal Ageing Study in India, Wave-1

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