SRM School of Public Health, SRM University, Kattankulathur, Chennai, India.
Keio Business School, Keio University, Hiyoshi, Minato, Japan.
Int J Equity Health. 2017 Jun 19;16(1):104. doi: 10.1186/s12939-017-0600-4.
The tribal population of Telangana, India, lives in remote and difficult conditions. This study was carried out to find out estimate, the prevalence and progression of disability in elderly population among tribals of Khammam District, Telangana state, India.
A population based cross sectional survey was conducted in villages of Tribal Sub Plan area. Elderly people who are 60 years or older were chosen with a two stage sampling procedure: (1) probability proportion to size was used to select clusters and (2) in each selected cluster households were selected by systematic random sampling. The participants were interviewed with the 36 item Telugu version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) questionnaire. Socio- demographic information, behavioral measurements, health and social benefit indicators were also assessed. Descriptive analytical methods were used for prevalence estimation and logistic regression was used to examine the associations of progressive age over disability among elderly.
A total of 506 elderly people from 1349 households in 20 villages across 31mandals of Khammam were interviewed. Majority of elderly population among tribals were illiterate (men 88.94%; women 99.33%), used tobacco (men 81.25%; women 57.72%), consumed alcohol (men 80.77%; women 47.32%) and were hypertensive (men 53.85%; women 63.42%). The prevalence of disability was higher in women. Maximum disability in the interviewed elderly population was seen in domains of performing house hold activities, and mobility. In comparison with men, women expressed more disability for majority of domains. As age progressed, the disability for self-care domain increased to a maximum of 2.6 times in men and 6.6 times in women and for mobility domain increased to a maximum of 9.7 times in men and 7.2 times in women.
Although present disability modifying mobility Assistive Devices (AD) can help elderly in overcoming disability, these are primarily designed for built environments. As the needs, cultural sensitivities, and living environment of elderly population in tribals are unique, newer innovative assistive devices should be designed and developed.
印度特伦甘纳邦的部落人口生活在偏远和困难的环境中。本研究旨在了解印度特伦甘纳邦哈马姆区部落老年人群体残疾的患病率和进展情况。
在部落计划区的村庄进行了一项基于人群的横断面调查。选择 60 岁或以上的老年人，采用两阶段抽样程序：（1）按比例概率选择集群；（2）在每个选定的集群中，通过系统随机抽样选择家庭。使用 36 项 Telugu 版世界卫生组织残疾评估量表（WHODAS 2.0）问卷对参与者进行访谈。还评估了社会人口统计学信息、行为测量、健康和社会福利指标。使用描述性分析方法估计患病率，并使用逻辑回归检查老年人群体中随年龄增长残疾的相关性。
共对来自哈马姆 31 个 mandals 的 20 个村庄的 1349 户家庭中的 506 名老年人进行了访谈。大多数部落老年人口是文盲（男性 88.94%；女性 99.33%）、使用烟草（男性 81.25%；女性 57.72%）、饮酒（男性 80.77%；女性 47.32%）和高血压（男性 53.85%；女性 63.42%）。女性的残疾患病率更高。在所调查的老年人群中，最大的残疾发生在做家务和行动能力方面。与男性相比，女性在大多数领域表达了更多的残疾。随着年龄的增长，男性自我护理领域的残疾增加到最高 2.6 倍，女性增加到最高 6.6 倍，而男性移动能力领域的残疾增加到最高 9.7 倍，女性增加到最高 7.2 倍。
虽然目前的残疾缓解移动辅助设备（AD）可以帮助老年人克服残疾，但这些设备主要是为建筑环境设计的。由于部落老年人群体的需求、文化敏感性和生活环境是独特的，因此应该设计和开发更新的创新辅助设备。
