A study of morbidity pattern among elderly population in urban India

Abstract

Background: The people in urban area were suffering from different type of morbidities like chronic lung disease, depression, angina, diabetes, etc. Therefore, this study was designed to explore the age pattern of morbidities, level of substance use among elderly, and relationship between substances used and selected morbidities among elderly in urban India.

Material and Methods: The information on morbidity was obtained from Study on Global Ageing and Adult Health (SAGE) - 2007. The methods bivariate and multivariate were used for analyzing the data.

Results and Discussion: The hypertension, depression, diabetes and disease-related to oral health were highly prevalent in the age group of 50-59 years, while cataracts, asthma, and stroke were more frequent in 60-69 years. In urban India, around every second people in the age group of 50-59 years were smokers whereas people were more alcoholic in 60-69 years. In urban India, Assam was the state where the prevalence of smoking was highest while alcohol consumption was highest in the state of Rajasthan and lowest was in Assam. Moreover, among the elderly people; the third most powerful killer disease (diabetes) was highest in the age the group of 50-59 years. Age, tobacco consumption and improvements in wealth quintile were significant risk factors associated with the presence of morbidities like diabetes, hypertension, and stroke. Asthma and oral health were significant increases along with age.

Conclusion: Study confirm that, for reducing these non communicable diseases, there is need to improve old age policy to make proper intension towards the health facility especially among the elderly of middle and higher economic households.

Alcohol - elderly - pattern of morbidity - tobacco - urban India

• References

• 1 Kishore S, Juyal R, Semwal J, Chandra R. Morbidity profile of elderly persons. Eye 2007; 36: 30-45
• 2 Shraddha K, Prashantha B, Prakash B. Study on morbidity pattern among elderly in Urban population of Mysore, Karnataka, India. Int J Med Biomed Res 2013; 1: 215-223
• 3 Ramakrishna Reddy N, Kishore SG, Riyaz Basha S. Morbidity pattern among elderly population in the old age homes of Bangalore, Karnataka, India. Indian J Rural Health 2014; 2: 1147-1319
• 4 WHO, National Institutes of Health. Global Health and Aging. Publication No 11-7737. US: WHO, National Institutes of Health; 2011: 4
• 5 Karim HA. The elderly in Malaysia: Demographic trends. Med J Malaysia 1997; 52: 206-212
• 6 Kumari R. Socio-economic conditions, morbidity pattern and social support among the elderly women in a rural area Sreekarym-Panchayat, India. 2001; 1-78
• 7 Ramakrishna GS, Sankara Sarma P, Thankappan KR. Tobacco use among medical students in Orissa. Natl Med J India 2005; 18: 285-289
• 8 Niranjan GV, Vasundhra MK. A study of health status of aged persons in slums of Urban field practice area, Bangalore. Indian J Community Med 1996; 21: 37-40
• 9 Niranjan GV, Vasundhra MK. A study of health status of aged persons in slums of Urban field practice area, Bangalore. Indian J Community Med 1996; 21: 1-4
• 10 Sharma OP, Pandey JN, Manchanda S. Geriatric Care in India: Geriatrics and Gerontology. A Text Book. New Delhi: ANB Publishers Pvt Ltd; 1999: 8-13
• 11 Purty AJ, Bazroy J, Kar M, Vasudevan K, Zacharia P, Panda P. Morbidity pattern among the elderly population in the rural area of Tamil Nadu, India. Turk J Med Sci 2006; 36: 45-50
• 12 World Health Organization. Epidemiology and Prevention of Cardiovascular Diseases in Elderly People: Report of a WHO Study Group. Genewa: World Health Organization; 1995
• 13 Swami HM, Bhatia V, Dutt R, Bhatia SP. A community based study of the morbidity profile among the elderly in Chandigarh, India. Bahrain Med Bull 2002; 24: 16-20
• 14 Groppelli A, Giorgi DM, Omboni S, Parati G, Mancia G. Persistent blood pressure increase induced by heavy smoking. J Hypertens 1992; 10: 495-499
• 15 Hirsch JM, Hedner J, Wernstedt L, Lundberg J, Hedner T. Hemodynamic effects of the use of oral snuff. Clin Pharmacol Ther 1992; 52: 394-401
• 16 Willi C, Bodenmann P, Ghali WA, Faris PD, Cornuz J. Active smoking and the risk of type 2 diabetes: A systematic review and meta-analysis. JAMA 2007; 298: 2654-2664
• 17 Janzon L, Berntorp K, Hanson M, Lindell SE, Trell E. Glucose tolerance and smoking: A population study of oral and intravenous glucose tolerance tests in middle-aged men. Diabetologia 1983; 25: 86-88
• 18 Facchini FS, Hollenbeck CB, Jeppesen J, Chen YD, Reaven GM. Insulin resistance and cigarette smoking. Lancet 1992; 339: 1128-1130
• 19 American Diabetes Association. Diabetes. Vol 15. Arlington: American Diabetes Association; 1966: 7-12
• 20 Rosenheim KP, Crofton JW, Hunt JH, Dunwoody JEO, Fletcher CM, Harding WG. et al. Action on Smoking and Health. British Medical Journal 1971; 1: 171
• 21 Zainul Z. Dark nights behind the white clouds risks of tobacco smoking on human health besides the oral health and malignancy. EXCLI J 2011; 10: 69-84
• 22 Eliasson B, Taskinen M, Smith U. Long-term use of nicotine gum is associated with hyper insulinemia and insulin resistance. ACC Current J Rev 1997; 6: 88
• 23 Rimm EB, Chan J, Stampfer MJ, Colditz GA, Willett WC. Prospective study of cigarette smoking, alcohol use, and the risk of diabetes in men. BMJ 1995; 310: 555-559
• 24 Hackshaw AK, Law MR, Wald NJ. The accumulated evidence on lung cancer and environmental tobacco smoke. BMJ 1997; 315: 980-988
• 25 Vineis P, Alavanja M, Buffler P, Fontham E, Franceschi S, Gao YT. et al. Tobacco and cancer: Recent epidemiological evidence. J Natl Cancer Inst 2004; 96: 99-106