ArticleBMC public health2021
Socio-economic inequality in functional disability and impairments with focus on instrumental activity of daily living: a study on older adults in India.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Functional disability in basic and instrumental activities of daily living among older adults globally: a systematic review and meta-analysis.BMC geriatrics · 2025Pooled it
- Multidimensional determinants of depression and non-depression in older adults: evidence from national data.BMC geriatrics · 2026Article
- Determination of post-pandemic impact on activities of daily living and instrumental activities of daily living factors affecting daily living activities of the elderly.Revista da Associacao Medica Brasileira (1992) · 2026Article
- Development and validation of a self-reported scale for difficulty in activities of daily living among older adults.Scientific reports · 2025Article
- Does caring for grandchildren influence life satisfaction? A national-level analysis among older adults in India using a propensity score matching approach.BMC public health · 2025Article
- Interaction effect between sleep duration and dynapenic abdominal obesity for predicting functional disability: A longitudinal study.The journal of nutrition, health & aging · 2025Article
- Examining the factors associated with disabilities among hypertensive patients in India.Narra J · 2025Article
- Article
- Effect of depression combined with cognitive impairment on dependency risk in rural older adults: analysis of data from the China health and retirement longitudinal study (CHARLS 2020).BMC psychology · 2025Article
- Functioning of chronically ill patients receiving long-term care in Poland.Frontiers in public health · 2025Article
- Socioeconomic status and depression in later life: longitudinal mediation effects of activities of daily living.BMC psychiatry · 2024Article
- Socioeconomic and geographic variations of disabilities in India: evidence from the National Family Health Survey, 2019-21.International journal of health geographics · 2024Article
- Loneliness among older Chinese individuals: the status quo and relationships with activity-related factors.BMC geriatrics · 2024Article
- Inequalities in health-related quality of life and functional health of an aging population: A Canadian community perspective.PloS one · 2024Article
- Social capital and well-being of the elderly 'left-behind' by their migrant children in India.BMC public health · 2023Article
- Subjective social status and functional and mobility impairments among older adults: life satisfaction and depression as mediators and moderators.BMC geriatrics · 2023Article
- Exploring the association of lifestyle behaviors and healthy ageing among the older adults in India: evidence from LASI survey.BMC geriatrics · 2023Article
- Dimensionality and invariance of ADL, IADL, BI-M2/WG-SS, and GALI in large surveys in France (2008-2014) and implications for measuring disability in epidemiology.Archives of public health = Archives belges de sante publique · 2023Article
- Cross-country comparison of income-related inequality in physical functional disability among middle-aged and older adults: Evidence from 33 countries.Journal of global health · 2023Article
- Factors Explaining the Change in Socioeconomic Inequality of Disability in Iran: A Repeated Cross-sectional Study.Medical journal of the Islamic Republic of Iran · 2023Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies have examined functional disability among older adults by combining Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL). This study adds another dimension to ADL and IADL by combining various impairments such as hearing, vision, walking, chewing, speaking, and memory loss among older adults. This study examines functional disability among older adults in India as measured by ADL, IADL, along with various impairments.
methodsThis study utilized data from Building a Knowledge Base on Population Aging in India (BKPAI), a national-level survey and conducted across seven states of India. The study utilized three outcome variables, namely, ADL, IADL, and Impairments. Descriptive and bivariate analyses were used along with multivariate analysis to fulfil the objectives of the study. The concentration index was calculated for ADL, IADL, and impairments, and further, decomposition analysis was carried out for IADL.
resultsThe results observed that nearly 7.5% of older adults were not fully independent for ADL. More than half (56.8%) were not fully independent for IADL, and nearly three-fourths (72.6%) reported impairments. Overall, ADL, IADL, and impairments were higher among older adult's aged 80+ years, older adults with poor self-rated health, and those suffering from chronic diseases. The likelihood of ADL (AOR = 6.42, 95% CI: 5.1-8.08), IADL (AOR = 5.08, 95% CI: 4.16-6.21), and impairment (AOR = 3.50, 95% CI: 2.73-4.48) were significantly higher among older adults aged 80+ years compared to 60-69 years. Furthermore, older adults who had poor self-rated health and suffered from chronic diseases were more likely to report ADL (AOR = 2.95, 95% CI: 2.37-3.67 and AOR = 2.70, 95% CI: 2.13-3.43), IADL (AOR = 1.74, 95% CI: 1.57-1.92 and AOR = 1.15, 95% CI: 1.04-1.15), and impairment (AOR = 2.36, 95% CI: 2.11-2.63 and AOR = 2.95, 95% CI: 2.65-3.30), respectively compared to their counterparts. Educational status and wealth explained most of the socio-economic inequality in the prevalence of IADL among older adults.
conclusionIt is recommended that the government advise older adults to adopt health-promoting approaches, which may be helpful. Further, there is a pressing need to deliver quality care to older adults suffering from chronic conditions.
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