School of Humanities and Social Sciences, Indian Institute of Technology Indore, Khandwa Road, Simrol, 453552, Indore, India.
Institute of Medical Sciences & Sum Hospital, Siksha "O" Anusandhan, Bhubaneswar, 751030, Odisha, India.
BMC Geriatr. 2023 May 22;23(1):316. doi: 10.1186/s12877-023-04002-0.
Migrant status with mobility impairment becomes a double burden for health and wellbeing of older adults. This study examined the independent relationships and multitude effects between migrant status, functional and mobility impairments and poor self-rated health (SRH) among older Indian adults.
This study utilised nationally representative Longitudinal Ageing Study in India wave-1 (LASI) data, including a sample of 30,736 individuals aged 60 years and above. The main explanatory variables were migrant status, difficulty in activities of daily living (ADL), difficulty in instrumental activities of daily living (IADL) and mobility impairments; and the outcome variable was poor-SRH. Multivariable logistic regression and stratified analyses were used to fulfil the study objectives.
Overall, about 23% of older adults reported poor-SRH. Reporting poor-SRH was more prevalent (28.03%) among recent migrants (less than ten years). The prevalence of reporting poor-SRH was significantly higher among older adults who had mobility impairment (28.65%), difficulty in ADL or IADL (40.82% & 32.57%). Migrant older adults (regardless of duration) who had mobility impairment had significantly greater odds of reporting poor-SRH compared with non-migrant older adults who did not have mobility impairment. Similarly, older respondents who had problems in ADL and IADL with migration status had higher odds of reporting poor-SRH than their non-migrant counterparts with no such problems.
The study revealed the vulnerability of migrant older adults with functional and mobility disability, as well as those with limited socioeconomic resources and suffering from multimorbidity on rating their perceived health. The findings can be utilised to target outreach programmes and provision of services for migrating older individuals with mobility impairments and enhance their perceived health and ensure active ageing.
移民身份和行动障碍会给老年人的健康和福祉带来双重负担。本研究考察了移民身份、功能和行动障碍以及较差的自我报告健康状况（SRH）之间的独立关系和多重影响，对象为印度老年成年人。
本研究利用印度全国代表性纵向老龄化研究（LASI）第 1 波的数据，其中包括 30736 名年龄在 60 岁及以上的个体样本。主要解释变量为移民身份、日常生活活动（ADL）困难、工具性日常生活活动（IADL）困难和行动障碍；因变量为较差的 SRH。使用多变量逻辑回归和分层分析来实现研究目标。
总体而言，约有 23%的老年人报告较差的 SRH。近期移民（少于 10 年）报告较差的 SRH 的比例更高（28.03%）。报告较差的 SRH 的老年人中，行动障碍（28.65%）、ADL 或 IADL 困难（40.82%和 32.57%）的比例显著更高。有行动障碍的移民老年成年人（无论其移民时间长短）报告较差的 SRH 的可能性明显高于没有行动障碍的非移民老年成年人。同样，有 ADL 和 IADL 问题的移民老年成年人无论其移民身份如何，其报告较差的 SRH 的可能性都高于没有此类问题的非移民老年成年人。
研究表明，有功能和行动障碍、社会经济资源有限、患有多种疾病的移民老年成年人在评估其感知健康状况时处于弱势地位。研究结果可用于针对有行动障碍的移民老年成年人和增强他们的感知健康状况，提供服务和宣传，确保他们积极老龄化。
