Evidence map›Paper›PMID 35487710›Full record

ArticleBMJ open2022

Multivariate decomposition analysis of sex differences in functional difficulty among older adults based on Longitudinal Ageing Study in India, 2017-2018.

Shobhit Srivastava, T Muhammad, Ronak Paul, Arya Rachel Thomas

Abstract read
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Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Shobhit SrivastavaInternational Institute for Population Sciences, Mumbai, Maharashtra, India.ORCID 0000-0002-7138-4916
T MuhammadInternational Institute for Population Sciences, Mumbai, Maharashtra, India muhammad.iips@gmail.com.ORCID 0000-0003-1486-7038
Ronak PaulInternational Institute for Population Sciences, Mumbai, Maharashtra, India.ORCID 0000-0001-6752-2549
Arya Rachel ThomasIndian Institute of Technology Madras, Thiruvalla, Kerala, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study investigates the gender disparities in difficulty in activities of daily living (ADL) and instrumental activities of daily living (IADL) and explores its contributing factors among older adults in India.

designA cross-sectional study was conducted using country representative survey data. SETTING AND

participantsThe present study uses the data from the Longitudinal Ageing Study in India, 2017-2018. Participants included 15 098 male and 16 366 female older adults aged 60 years and above in India. PRIMARY AND SECONDARY OUTCOME MEASURES: Difficulty in ADL and IADL were the outcome variables. Descriptive statistics and bivariate analysis were carried out to present the preliminary results. Multivariate decomposition analysis was used to identify the contributions of covariates that explain the group differences to average predictions.

resultsThere was a significant gender differential in difficulty in ADL (difference: 4.6%; p value<0.001) and IADL (difference: 17.3%; p value<0.001). The multivariate analysis also shows significant gender inequality in difficulty in ADL (coefficient: 0.046; p value<0.001) and IADL (coefficient: 0.051; p value<0.001). The majority of the gender gap in difficulty in ADL was accounted by the male-female difference in levels of work status (18%), formal education (15% contribution), marital status (13%), physical activity (9%), health status (8%) and chronic morbidity prevalence (5%), respectively. Equivalently, the major contributors to the gender gap in difficulty in IADL were the level of formal education (28% contribution), marital status (10%), alcohol consumption (9%), health status (4% contribution) and chronic morbidity prevalence (2% contribution).

conclusionDue to the rapidly increasing ageing population, early detection and prevention of disability or preservation of daily functioning for older adults and women in particular should be the highest priority for physicians and health decision-makers.

Indexed as

Activities of Daily LivingSex CharacteristicsAgedAgingCross-Sectional StudiesFemaleHumansIndiaMaleMultivariate AnalysisEPIDEMIOLOGYGERIATRIC MEDICINEPublic health

Identifiers

PMID35487710
PMCPMC9058763

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