Burden of communicable and non-communicable diseases-related inequalities among older adults in India: a study based on LASI survey
Abstract Background A rising proportion of elderly in India has infused notable challenges to the healthcare system, which is already underdeveloped. On one side, NCDs are increasing among the elderly in India; however, on the other side, CDs are also a cause of concern among the elderly in India. W...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03481-x |
| _version_ | 1811182269817159680 |
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| author | Shekhar Chauhan Shubham Kumar Ratna Patel David Jean Simon Aradhana Kumari |
| author_facet | Shekhar Chauhan Shubham Kumar Ratna Patel David Jean Simon Aradhana Kumari |
| author_sort | Shekhar Chauhan |
| collection | DOAJ |
| description | Abstract Background A rising proportion of elderly in India has infused notable challenges to the healthcare system, which is already underdeveloped. On one side, NCDs are increasing among the elderly in India; however, on the other side, CDs are also a cause of concern among the elderly in India. While controlling the outbreak of communicable diseases (CDs) remained a priority, non-communicable diseases (NCDs) are placing an unavoidable burden on the health and social security system. India, a developing nation in South Asia, has seen an unprecedented economic growth in the past few years; however, it struggled to fight the burden of communicable and non-communicable diseases. Therefore, this study aimed at examining the burden of CDs and NCDs among elderly in India. Methods Data from Longitudinal Ageing Study in India (LASI Wave-I, 2017–18) were drawn to conduct this study. The LASI is a large-scale nationwide scientific study of the health, economics, and social determinants and implications of India's aged population. The LASI is a nationally representative survey of 72,250 aged 45 and over from all Indian states and union territories. Response variables were the occurrence of CDs and NCDs. The bi-variate and binary logistic regression were used to predict the association between communicable and non-communicable diseases by various socio-demographic and health parameters. Furthermore, to understand the inequalities of communicable and non-communicable diseases in urban and rural areas, the Fairlie decomposition technique was used to predict the contribution toward rural–urban inequalities in CDs and NCDs. Results Prevalence of communicable diseases was higher among uneducated elderly than those with higher education (31.9% vs. 17.3%); however, the prevalence of non-communicable diseases was higher among those with higher education (67.4% vs. 47.1%) than uneducated elderly. The odds of NCDs were higher among female elderly (OR = 1.13; C.I. = 1–1.27) than their male counterparts. Similarly, the odds of CDs were lower among urban elderly (OR = 0.70; C.I. = 0.62–0.81) than rural elderly, and odds of NCDs were higher among urban elderly (OR = 1.85; C.I. = 1.62–2.10) than their rural counterparts. Results found that education (50%) contributes nearly half of the rural–urban inequality in the prevalence of CDs among the elderly. Education status and current working status were the two significant predictors of widening rural–urban inequality in the prevalence of NCDs among the elderly. Conclusion The burden of both CD and NCD among the elderly population requires immediate intervention. The needs of men and women and urban and rural elderly must be addressed through appropriate efforts. In a developing country like India, preventive measures, rather than curative measures of communicable diseases, will be cost-effective and helpful. Further, focusing on educational interventions among older adults might bring some required changes. |
| first_indexed | 2024-04-11T09:29:58Z |
| format | Article |
| id | doaj.art-38fe7b9baced4b178b925096e44c2a9b |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-11T09:29:58Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-38fe7b9baced4b178b925096e44c2a9b2022-12-22T04:31:55ZengBMCBMC Geriatrics1471-23182022-10-0122111210.1186/s12877-022-03481-xBurden of communicable and non-communicable diseases-related inequalities among older adults in India: a study based on LASI surveyShekhar Chauhan0Shubham Kumar1Ratna Patel2David Jean Simon3Aradhana Kumari4Department of Family and Generations, International Institute for Population SciencesDepartment of Survey Research and Data Analytics, International Institute for Population SciencesResearch Scholar, Department of Public Health and Mortality Studies, International Institute for Population SciencesResearch Scholar, Paris 1 Pantheon Sorbonne UniversityResearch Scholar, Jawaharlal Nehru UniversityAbstract Background A rising proportion of elderly in India has infused notable challenges to the healthcare system, which is already underdeveloped. On one side, NCDs are increasing among the elderly in India; however, on the other side, CDs are also a cause of concern among the elderly in India. While controlling the outbreak of communicable diseases (CDs) remained a priority, non-communicable diseases (NCDs) are placing an unavoidable burden on the health and social security system. India, a developing nation in South Asia, has seen an unprecedented economic growth in the past few years; however, it struggled to fight the burden of communicable and non-communicable diseases. Therefore, this study aimed at examining the burden of CDs and NCDs among elderly in India. Methods Data from Longitudinal Ageing Study in India (LASI Wave-I, 2017–18) were drawn to conduct this study. The LASI is a large-scale nationwide scientific study of the health, economics, and social determinants and implications of India's aged population. The LASI is a nationally representative survey of 72,250 aged 45 and over from all Indian states and union territories. Response variables were the occurrence of CDs and NCDs. The bi-variate and binary logistic regression were used to predict the association between communicable and non-communicable diseases by various socio-demographic and health parameters. Furthermore, to understand the inequalities of communicable and non-communicable diseases in urban and rural areas, the Fairlie decomposition technique was used to predict the contribution toward rural–urban inequalities in CDs and NCDs. Results Prevalence of communicable diseases was higher among uneducated elderly than those with higher education (31.9% vs. 17.3%); however, the prevalence of non-communicable diseases was higher among those with higher education (67.4% vs. 47.1%) than uneducated elderly. The odds of NCDs were higher among female elderly (OR = 1.13; C.I. = 1–1.27) than their male counterparts. Similarly, the odds of CDs were lower among urban elderly (OR = 0.70; C.I. = 0.62–0.81) than rural elderly, and odds of NCDs were higher among urban elderly (OR = 1.85; C.I. = 1.62–2.10) than their rural counterparts. Results found that education (50%) contributes nearly half of the rural–urban inequality in the prevalence of CDs among the elderly. Education status and current working status were the two significant predictors of widening rural–urban inequality in the prevalence of NCDs among the elderly. Conclusion The burden of both CD and NCD among the elderly population requires immediate intervention. The needs of men and women and urban and rural elderly must be addressed through appropriate efforts. In a developing country like India, preventive measures, rather than curative measures of communicable diseases, will be cost-effective and helpful. Further, focusing on educational interventions among older adults might bring some required changes.https://doi.org/10.1186/s12877-022-03481-xCommunicable diseasesNon-communicable diseasesOlder populationDouble burdenIndia |
| spellingShingle | Shekhar Chauhan Shubham Kumar Ratna Patel David Jean Simon Aradhana Kumari Burden of communicable and non-communicable diseases-related inequalities among older adults in India: a study based on LASI survey BMC Geriatrics Communicable diseases Non-communicable diseases Older population Double burden India |
| title | Burden of communicable and non-communicable diseases-related inequalities among older adults in India: a study based on LASI survey |
| title_full | Burden of communicable and non-communicable diseases-related inequalities among older adults in India: a study based on LASI survey |
| title_fullStr | Burden of communicable and non-communicable diseases-related inequalities among older adults in India: a study based on LASI survey |
| title_full_unstemmed | Burden of communicable and non-communicable diseases-related inequalities among older adults in India: a study based on LASI survey |
| title_short | Burden of communicable and non-communicable diseases-related inequalities among older adults in India: a study based on LASI survey |
| title_sort | burden of communicable and non communicable diseases related inequalities among older adults in india a study based on lasi survey |
| topic | Communicable diseases Non-communicable diseases Older population Double burden India |
| url | https://doi.org/10.1186/s12877-022-03481-x |
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