Gopan Adwaith, Bj Binu K
Department of Economics, Government College Attingal, Thiruvananthapuram, Kerala, India.
Department of Economics, Mahatma Gandhi College, Thiruvananthapuram, Kerala, India.
Narra J. 2025 Apr;5(1):e1322. doi: 10.52225/narra.v5i1.1322. Epub 2025 Jan 24.
Hypertension is a major contributor to disability and mortality in India. The aim of this study was to examine the factors associated with activities of daily living (ADL) and instrumental activities of daily living (IADL) disabilities among patients with hypertension in India using secondary data from the longitudinal aging study in India (LASI) wave-1, encompassing a sample of 4,618 respondents. The disablement process model was adopted to categorize the variables into risk, intra-individual, and extra-individual factors. A zero-inflated negative binomial model was employed to identify factors associated with the absence of disabilities and those contributing to their progression. The results indicate that the risk and intra-individual factors had a larger variance in explaining disabilities than the extra-individual factor. Variables such as age, sex, depressive symptoms, psychosomatic symptoms, and physical activity were significantly associated with ADL and IADL disabilities. The findings highlight the need for targeted interventions addressing modifiable risk factors, promoting physical activity, managing depressive symptoms, and enhancing social support to reduce the disability burden in this population and improve the quality of life of hypertensive patients in India.
高血压是导致印度残疾和死亡的主要因素。本研究的目的是利用印度纵向老龄化研究（LASI）第一波的二手数据，调查印度高血压患者中与日常生活活动（ADL）和工具性日常生活活动（IADL）残疾相关的因素，该研究涵盖了4618名受访者。采用残疾过程模型将变量分为风险因素、个体内因素和个体外因素。采用零膨胀负二项模型来确定与无残疾相关的因素以及导致残疾进展的因素。结果表明，与个体外因素相比，风险因素和个体内因素在解释残疾方面的差异更大。年龄、性别、抑郁症状、心身症状和身体活动等变量与ADL和IADL残疾显著相关。研究结果强调了有针对性干预措施的必要性，这些措施包括解决可改变的风险因素、促进身体活动、管理抑郁症状以及加强社会支持，以减轻该人群的残疾负担，提高印度高血压患者的生活质量。
