Volume 7, Issue 1 (June 2021)                   Elderly Health Journal 2021, 7(1): 18-25 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Pengpid S, Peltzer K. Prevalence and Correlates of Functional Disability among Community-Dwelling Older Adults in India: Results of a National Survey in 2017-2019. Elderly Health Journal. 2021; 7 (1) :18-25
URL: http://ehj.ssu.ac.ir/article-1-223-en.html
Department of Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan , kfpeltzer@gmail.com
Abstract:   (253 Views)
Introduction: Aging may increase physical or functional limitations, and India has a rapidly aging population. This study aimed to assess the prevalence and correlates of difficulties with Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) among older adults in India.
Methods: The cross-sectional sample consisted of 31,477 individuals (≥ 60 years) from the Longitudinal Aging Study in India, Wave 1 in 2017-2019. Functional disability was measured with 6 items of ADL and 7 items of IADL.
Results: The prevalence of at least one ADL difficulty was 23.8%, at least one IADL difficulty was 48.4%, and at least one ADL/IADL difficulty was 52.0% (43.2% among men, and 60.0% among women). In the adjusted logistic regression analysis, older age, and food insecurity were positively and male sex and having a health insurance were negatively associated with both ADL and IADL difficulty. No formal education was positively and urban residence and married were negatively associated with IADL difficulty. Poor or faith self-rated health status, chronic conditions, insomnia symptoms, major depressive disorder, physical pain, poor distant vision, poor near vision and poor word recall were positively associated with both ADL and IADL difficulty. Body underweight and hearing or ear problem increased the odds for IADL difficulty. In univariate analysis, vigorous physical activity and higher social network were protective against both ADL and IADL difficulty.
Conclusion: Almost one in four older adults in India had ADL difficulty and almost half had IADL difficulty and several associated factors were identified that can be targeted in interventions.
Full-Text [PDF 818 kb]   (120 Downloads) |   |   Full-Text (HTML)  (160 Views)  
Type of Study: Research | Subject: General
Received: 2021/03/23 | Accepted: 2021/05/2 | Published: 2021/06/27

1. Hosseinpoor AR, Williams JS, Jann B, Kowal P, Officer A, Posarac A, et al. Social determinants of sex differences in disability among older adults: a multi-country decomposition analysis using the World Health Survey. International Journal for Equity in Health. 2012; 11(1): 1-8.
2. Arokiasamy P, Uttamacharya U, Jain K, Biritwum RB, Yawson AE, Wu F, et al. The impact of multimorbidity on adult physical and mental health in low- and middle-income countries: what does the study on global ageing and adult health (SAGE) reveal?. BioMed Central Medicine. 2015; 13(1):1-16.
3. Connolly D, Garvey J, McKee G. Factors associated with ADL/IADL disability in community-dwelling older adults in the Irish longitudinal study on ageing (TILDA). Disability and Rehabilitation. 2017; 39(8): 809-16.
4. Ćwirlej-Sozańska A, Wiśniowska-Szurlej A, Wilmowska-Pietruszyńska A, Sozański B. Determinants of ADL and IADL disability in older adults in southeastern Poland. BMC Geriatrics. 2019; 19(1): 1-13.
5. Ma L, Li Z, Tang Z, Sun F, Diao L, Li J, et al. Prevalence and socio-demographic characteristics of disability in older adults in China: Findings from China Comprehensive Geriatric Assessment Study. Archives of Gerontology and Geriatrics. 2017; 73: 199-203.
6. Drummond A, Pimentel WRT, Pagotto V, Menezes RL. Disability on performing daily living activities in the elderly and history of falls: an analysis of the National Health Survey, 2013. Revista Brasileira de Epidemiologia. 2020; 23(22): 1-12.
7. Mahmud NA, Shahein NA, Yoep N, Mahmud MAF, Maw Pin T, Paiwai F, et al. Influence of social support on limitation in daily living among older persons in Malaysia. Geriatrics Gerontology International. 2020; 20(52): 26-32.
8. Sharma D, Parashar A, Mazta SR. Functional status and its predictor among elderly population in a hilly state of North India. International Journal of Health & Allied Sciences. 2014; 3(3): 159-63.
9. Burman J, Sembiah S, Dasgupta A, Paul B, Pawar N, Roy A. Assessment of poor functional status and its predictors among the elderly in a rural area of West Bengal. Journal of Mid-life Health. 2019; 10(3): 123-30.
10. Fried LP, Guralnik JM. Disability in older adults: evidence regarding significance, etiology, and risk. Journal of the American Geriatrics Society. 1997; 45(1): 92-100.
11. Phaswana-Mafuya N, Peltzer K, Ramlagan S, Chirinda W, Kose Z. Social and health determinants of gender differences in disability amongst older adults in South Africa. Health SA Gesondheid. 2013; 18(1): 1-9.
12. Whitney DG, Hurvitz EA, Peterson MD. Cardiometabolic disease, depressive symptoms, and sleep disorders in middle-aged adults with functional disabilities: NHANES 2007-2014. Disability and Rehabilitation. 2020; 42(15): 2186-91.
13. International Institute for Population Sciences. Longitudinal Ageing Study in India (LASI) Wave 1, 2017-18, India Report. 2020 [cited 2021 March 10].Available from: https://www.iipsindia.ac.in/sites/default/files/LASI_India_Report_2020_compressed.pdf
14. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. the index of adl: a standardized measure of biological and psychosocial function. The Journal of the American Medical Association. 1963; 185: 914-9.
15. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist. 1969; 9(3): 179-86.
16. Singh S, Multani S, Verma N. Development and validation of geriatric assessment tools: a preliminary report from Indian population. Journal of Exercise Science and Physiotherapy. 2007; 3(2): 103-10.
17. Cho E, Chen TY. The bidirectional relationships between effort-reward imbalance and sleep problems among older workers. Sleep Health. 2020; 6(3): 299-305.
18. Kessler RC, Andrews A, Mroczek D, Ustun B, Wittchen HU. The world health organization composite international diagnostic interview short-form (CIDI-SF). International Journal of Methods in Psychiatric Research. 1998; 7: 171–85.
19. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (5th edn). Washington, DC: American Psychiatric Publishing, 2013.
20. Steffick D. Documentation of affective functioning measures in the health and retirement study [Internet]. Ann Arbor, Michigan: Institute for Social Research, University of Michigan; 2000 [cited 2021 March 3]. Available from: https://hrs.isr.umich.edu/sites/default/files/biblio/dr-005.pdf
21. Wen CP, David Cheng TY, Tsai SP, Chan HT, Hsu HL, Hsu CC, et al. Are Asians at greater mortality risks for being overweight than Caucasians? redefining obesity for Asians. Public Health Nutrition. 2009; 12(4): 497-506.
22. Lübs L, Peplies J, Drell C, Bammann K. Cross-sectional and longitudinal factors influencing physical activity of 65 to 75-year-olds: a pan European cohort study based on the survey of health, ageing and retirement in Europe (SHARE). BMC Geriatrics. 2018; 18(1): 94.
23. Kulkarni RS, Shinde RL. Depression and its associated factors in older Indians: a study based on study of global aging and adult health (SAGE)-2007. Journal of Aging and Health. 2015; 27(4): 622-49.
24. Verma R, Khanna P. National program of health-care for the elderly in India: a hope for healthy ageing. International Journal of Preventive Medicine. 2013 ;4(10): 1103-7.
25. Stewart Williams J, Norström F, Ng N. Disability and ageing in China and India - decomposing the effects of gender and residence. Results from the WHO study on global AGEing and adult health (SAGE). BMC Geriatrics. 2017; 17(197): 1-13.
26. Gupta P, Mani K, Rai SK, Nongkynrih B, Gupta SK. Functional disability among elderly persons in a rural area of Haryana. Indian Journal of Public Health. 2014; 58(1): 11-16.
27. Geerlings SW, Beekman AT, Deeg DJ, Twisk JW, Van Tilburg W. The longitudinal effect of depression on functional limitations and disability in older adults: an eight-wave prospective community-based study. Psychological Medicine. 2001; 31(8): 1361-71.
28. Vaish K, Patra S, Chhabra P. Functional disability among elderly: A community-based cross-sectional study. Journal of Family Medicine and Primary Care. 2020; 9(1): 253-8.

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2021 CC BY-NC 4.0 | Elderly Health Journal

Designed & Developed by : Yektaweb