Das Ujjwal, Kar Nishamani, Riba Tomo, Rout Nihar Ranjan
P.G. Dept. of Geography, Fakir Mohan University, Balasore, Odisha, India.
Dept. of Geography, Rajiv Gandhi University, Itanagar, Arunachal Pradesh, India.
Diabetes Metab Syndr. 2025 Apr;19(4):103236. doi: 10.1016/j.dsx.2025.103236. Epub 2025 Apr 29.
Aging is a heterogeneous process, and older adults are at greater risk of experiencing physical and functional health challenges. This study examines the comparative prevalence of diabetes-related disability among older adults in West Bengal and India.
Data were drawn from the first wave of the Longitudinal Aging Study in India (2017-18), comprising 72,250 individuals aged 45 years and above, including 3933 respondents from West Bengal. A multistage stratified sampling method was used. Functional disability was assessed using six Activities of Daily Living (ADL) and seven Instrumental Activities of Daily Living (IADL). Logistic regression was used to assess the association between diabetes and disability, and the Blinder-Oaxaca decomposition technique was applied to identify the contribution of various factors to the observed differences.
The prevalence of ADL and IADL difficulties among older adults with diabetes was 24.1 % in West Bengal and 18.9 % at the national level. The risk of disability among diabetic elderly was significantly higher in West Bengal [OR = 6.20 (3.74-10.26) for ADL; OR = 6.71 (4.69-9.61) for IADL] compared to India [OR = 3.92 (1.10-14.03) for ADL; OR = 3.91 (1.17-13.12) for IADL]. Decomposition analysis showed that comorbidity factors accounted for 37 % of the ADL/IADL disability gap between West Bengal and India.
Nearly one-fourth of older adults with diabetes in West Bengal experience ADL limitations. There is urgent need to enhance healthcare services for individuals in West Bengal who are face higher levels of diabetes and disability.
衰老过程具有异质性，老年人面临身体和功能健康挑战的风险更高。本研究调查了西孟加拉邦和印度老年人中与糖尿病相关残疾的相对患病率。
数据取自印度纵向老龄化研究的第一波（2017 - 2018年），包括72250名45岁及以上的个体，其中3933名来自西孟加拉邦。采用多阶段分层抽样方法。使用六项日常生活活动（ADL）和七项工具性日常生活活动（IADL）评估功能残疾。采用逻辑回归评估糖尿病与残疾之间的关联，并应用布林德 - 奥萨克分解技术确定各种因素对观察到的差异的贡献。
西孟加拉邦糖尿病老年人中ADL和IADL困难的患病率分别为24.1%，全国水平为18.9%。与印度相比，西孟加拉邦糖尿病老年人的残疾风险显著更高[ADL的OR = 6.20（3.74 - 10.26）；IADL的OR = 6.71（4.69 - 9.61）]，而印度[ADL的OR = 3.92（1.10 - 14.03）；IADL的OR = 3.91（1.17 - 13.12）]。分解分析表明，合并症因素占西孟加拉邦和印度之间ADL/IADL残疾差距的37%。
西孟加拉邦近四分之一的糖尿病老年人存在ADL限制。迫切需要为西孟加拉邦面临更高糖尿病和残疾水平的个人加强医疗服务。
