ArticleBMJ open2019
Socioeconomic determinants of chronic health diseases among older Indian adults: a nationally representative cross-sectional multilevel study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Efficacy of Medical-Legal Partnerships to Address Health-Harming Legal Needs: A Systematic Review of Experimental Studies in the Field.American journal of lifestyle medicine · 2025Review
- Understanding economic disparities in elderly health outcomes: a decomposition analysis in Bankura district.BMC public health · 2025Article
- Exploring the intersectional dynamics of co-morbidities and risk factors among the older population in India.Archives of public health = Archives belges de sante publique · 2025Article
- Healthy lifestyle and its change attenuated the risk of hypertension among rural population: evidence from a prospective cohort study.Frontiers in public health · 2025Article
- Association between household air pollution due to unclean fuel use and depression among older adults in India: A cross-sectional study.Indian journal of psychiatry · 2024Article
- Determinants of self-reported chronic disease diagnoses among older persons in South Africa.African journal of primary health care & family medicine · 2024Article
- Case-control study on risk factors for in-hospital mortality in patients with severe COVID-19.Frontiers in public health · 2024Observational
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- Evaluating smoking cessation interventions in China's primary care facility networks for hypertensive patients aged 45 years and older: A retrospective cohort study.Tobacco induced diseases · 2023Article
- Socioeconomic Inequalities in the Prevalence of Non-Communicable Diseases among Older Adults in India.Geriatrics (Basel, Switzerland) · 2022Article
- Risk factors and clustering of mortality among older adults in the India Human Development Survey.Scientific reports · 2022Article
- Prevalence and potential determinants of chronic disease among elderly in India: Rural-urban perspectives.PloS one · 2022Article
- Relationship Between Dietary Patterns and Chronic Diseases in Rural Population: Management Plays an Important Role in the Link.Frontiers in nutrition · 2022Article
- Predictors of Mortality in Hospitalized COVID-19 Patients Complicated With Hypotension and Hypoxemia: A Retrospective Cohort Study.Frontiers in medicine · 2021Article
- Multimorbidity Patterns of Chronic Diseases among Indonesians: Insights from Indonesian National Health Insurance (INHI) Sample Data.International journal of environmental research and public health · 2020Article
- Towards the Development of an Intervention to Address Social Determinants of Non-Communicable Disease in Kerala, India: A Mixed Methods Study.International journal of environmental research and public health · 2020Article
- Social and behavioural risk factors in the prevention and management of cardiovascular disease in Kerala, India: a catchment area population survey.BMC cardiovascular disorders · 2020Article
- Relationship between multimorbidity and composite lifestyle status in Shenzhen, China.Journal of multimorbidity and comorbidityArticle
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5 authors.
Funding
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Abstract
objectiveStudy uses multilevel modelling to examine the effect of individual, household and contextual characteristics on chronic diseases among older Indian adults.
designNationally representative cross-sectional study.
participantsData from the nationally representative, India Human Development Survey conducted in 2011-2012 was used in this study. The survey asked information related to the diagnosed chronic illnesses such as cataract, tuberculosis, hypertension, heart disease and others. The sample size of this study comprised 39 493 individuals who belonged to the age group 50 years and above. MEASURES: Self-reported diagnosed chronic illness.
methodConsidering the hierarchal structure of the data multilevel logistic regression analysis was applied to attain the study objective.
resultsOlder adults aged 80 years and older were found with three times more chances (OR: 3.99, 95% CI 2.91 to 5.48) of suffering from a chronic ailment than 50-54 years old. Lifestyle risk factors such as alcohol and tobacco (smoked and smokeless) consumption were noted to be significantly associated with the presence of chronic illness whereas older adults who have never consumed smokeless tobacco stood 20% fewer chances (OR: 0.80, 95% CI 0.68 to 0.94) of having any chronic illness. Contextual level variables such as older adults residing in the rural areas were found with 17% fewer chances (OR: 0.83, 95% CI 0.70 to 0.97) of suffering from a chronic illness.
conclusionEven after controlling for various characteristics at the individual, household and contextual levels, significant variations in chronic illness remain unexplained at the community and state level, respectively. The findings of this study could effectively be utilised to consider more contextual variables to examine the chronic health status among the growing older population of India.
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