Document Detail

Social gradients in self-reported health and well-being among adults aged 50 and over in Pune District, India.
MedLine Citation:
PMID:  20975980     Owner:  NLM     Status:  PubMed-not-MEDLINE    
BACKGROUND: India's older population is projected to increase up to 96 million by 2011 with older people accounting for 18% of its population by 2051. The Study on Global Ageing and Adult Health aims to improve empirical understanding of health and well-being of older adults in developing countries.
OBJECTIVES: To examine age and socio-economic changes on a range of key domains in self-reported health and well-being amongst older adults.
DESIGN: A cross-sectional survey of 5,430 adults aged 50 and over using a shortened version of the SAGE questionnaire to assess self-reported assessments (scales of 1-5) of performance, function, disability, quality of life and well-being. Self-reported responses were calibrated using anchoring vignettes in eight key domains of mobility, self-care, pain, cognition, interpersonal relationships, sleep/energy, affect, and vision. WHO Disability Assessment Schedule Index and WHO health scores were calculated to examine for associations with socio-demographic variables.
RESULTS: Disability in all domains increased with increasing age and decreasing levels of education. Females and the oldest old without a living spouse reported poorer health status and greater disability across all domains. Performance and functionality self-reports were similar across all SES quintiles. Self-reports on quality of life were not significantly influenced by socio-demographic variables.
DISCUSSION: The study provides standardised and comparable self-rated health data using anchoring vignettes in an older population. Though expectations of good health, function and performance decrease with age, self-reports of disability severity significantly increased with age, more so if female, if uneducated and living without a spouse. However, the presence or absence of spouse did not significantly alter quality of life self-reports, suggesting a possible protective effect provided by traditional joint family structures in India, where older people are social if not financial assets for their children.
Siddhivinayak Hirve; Sanjay Juvekar; Pallavi Lele; Dhiraj Agarwal
Publication Detail:
Type:  Journal Article     Date:  2010-09-27
Journal Detail:
Title:  Global health action     Volume:  3     ISSN:  1654-9880     ISO Abbreviation:  Glob Health Action     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-26     Completed Date:  2012-10-02     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101496665     Medline TA:  Glob Health Action     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  -    
Vadu Rural Health Program, KEM Hospital Research Centre, Pune, Maharashtra, India.
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