Soren Santosh Kumar, Sunderam Shalini, Deo Manish, Kujur Anit, Singh Shashi Bhushan, Kachhap Atul
Department of Preventive and Social Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
J Family Med Prim Care. 2022 May;11(5):2179-2186. doi: 10.4103/jfmpc.jfmpc_2429_21. Epub 2022 May 14.
Ageing is defined as a process of deterioration in the functional capacity of an individual that results from structural changes, with the advancement of age. Globally the geriatric population has increased from 8% in 2012 to 8.5% in 2015 and expected to rise by 22% in 2050. Hence we planned to study morbidity profiles and predictors of health-seeking behaviour among the elderly population in Ormanjhi, Ranchi.
A community based cross sectional study was conducted in Ormanjhi, Ranchi, Jharkhand for a period of six months (March-August 2018). The study was done among 206 geriatric populations fulfilling the eligibility criteria, selected by cluster sampling and those not giving their consent were excluded from the study. Data collected were entered in Microsoft Excel and analysis was done on Statistical Package for Social Sciences (SPSS) version 20.0.
A total of 206 geriatric populations fulfilling the study criteria, were enrolled during the study. The majority of the age group was found between 60-69 years (71.8%). Around 202 (98.1%) of which resided in rural areas, nearly half 102 (49.5%) depended on pension for livelihood and 108 (52.4%) were illiterate. Two-fifth of the study subjects (40.3%) consulted a government doctor if any health problems occurred followed by 30.5% preferred a private doctor and 20.1% consulted unqualified practitioners. Most of the study participants (64.5%) did not seek medical care due to financial reasons followed by 14.5% considered it a minor illness than 13% complained that health facility far away and 8.1% considered that old age itself as a disease. Non tribal ethnicity, participants who had their own source of income and co-morbidity were significantly associated with health seeking behaviour.
Most participants in this study suffered from morbidities which also affect their quality of life. It was also observed that most of them were not dependent on others for their daily activities. Health seeking behaviour was found to be appropriate in nearly two third (70%) of elderly subjects in Ranchi, Jharkhand.
衰老被定义为随着年龄增长，个体由于结构变化导致功能能力衰退的过程。全球老年人口比例已从2012年的8%增至2015年的8.5%，预计到2050年将上升22%。因此，我们计划研究兰契奥尔曼吉老年人群的发病情况及就医行为预测因素。
在贾坎德邦兰契的奥尔曼吉开展了一项为期六个月（2018年3月至8月）的基于社区的横断面研究。该研究针对206名符合入选标准的老年人群进行，通过整群抽样选取，不同意参与的被排除在研究之外。收集的数据录入微软Excel，采用社会科学统计软件包（SPSS）20.0版进行分析。
研究期间共纳入206名符合研究标准的老年人群。发现大多数年龄组在60 - 69岁之间（71.8%）。其中约202人（98.1%）居住在农村地区，近一半102人（49.5%）依靠养老金维持生计，108人（52.4%）为文盲。五分之二的研究对象（40.3%）如有健康问题会咨询政府医生，其次30.5%倾向于咨询私人医生，20.1%咨询不合格从业者。大多数研究参与者（64.5%）因经济原因未就医，其次14.5%认为是小病，13%抱怨医疗机构距离远，8.1%认为老年本身就是一种疾病。非部落族裔、有自己收入来源的参与者以及合并症与就医行为显著相关。
本研究中的大多数参与者患有影响其生活质量的疾病。还观察到他们大多数在日常活动中不依赖他人。在贾坎德邦兰契，近三分之二（70%）的老年受试者的就医行为是恰当的。
