Department of Health, Government of Mizoram, Aizawl, India.
Department of Humanities and Social Sciences, Indian Institute of Technology (IIT), Roorkee, Haridwar, India.
BMC Public Health. 2022 Apr 14;22(1):746. doi: 10.1186/s12889-022-13181-1.
Health at older ages is a key public health challenge especially among the developing countries. Older adults are at greater risk of vulnerability due to their physical and functional health risks. With rapidly rising ageing population and increasing burden of non-communicable diseases older adults in India are at a greater risk for multimorbidities. Therefore, to understand this multimorbidity transition and its determinants we used a sample of older Indian adults to examine multimorbidity and its associated risk factors among the Indian older-adults aged 45 and above.
Using the sample of 72,250 older adults, this study employed the multiple regression analysis to study the risk factors of multimorbidity. Multimorbidity was computed based on the assumption of older-adults having one or more than one disease risks.
Our results confirm the emerging diseases burden among the older adults in India. One of the significant findings of the study was the contrasting prevalence of multimorbidity among the wealthiest groups (AOR = 1.932; 95% CI = 1.824- 2.032). Similarly women were more likely to have a multimorbidity (AOR = 1.34; 95% CI = 1.282-1.401) as compared to men among the older adults in India.
Our results confirm an immediate need for proper policy measures and health system strengthening to ensure the better health of older adults in India.
老年健康是一个主要的公共卫生挑战，尤其是在发展中国家。由于身体和功能健康风险，老年人更容易受到伤害。随着人口老龄化的迅速增加和非传染性疾病负担的增加，印度的老年人面临着更多的多种疾病风险。因此，为了了解这种多种疾病的转变及其决定因素，我们使用了印度老年人的样本，研究了印度 45 岁及以上老年人的多种疾病及其相关危险因素。
本研究使用了 72250 名老年人的样本，采用多元回归分析研究了多种疾病的危险因素。多种疾病是根据老年人存在一种或多种疾病风险的假设来计算的。
我们的研究结果证实了印度老年人新兴疾病负担的存在。研究的一个重要发现是，最富有群体的多种疾病患病率存在显著差异（AOR=1.932；95%可信区间=1.824-2.032）。同样，与男性相比，印度的老年女性更有可能患有多种疾病（AOR=1.34；95%可信区间=1.282-1.401）。
我们的研究结果证实，印度急需采取适当的政策措施和加强卫生系统，以确保印度老年人的健康状况得到改善。
