Quality of Life Among Geriatric Population Living with Functional Disabilities in Urban Slum Dwellers of Kolkata, India

Authors

  • Aritraa Hazra Calcutta National Medical College, Kolkata, India
  • Sukanta Majumdar Calcutta National Medical College, Kolkata, India
  • Shuvankar Mukherjee Calcutta National Medical College, Kolkata, India
  • Avijit Paul Calcutta National Medical College, Kolkata, India
  • Nabanita Bhattacharyya Infectious Disease & Beleghata General Hospital, Kolkata, India

DOI:

https://doi.org/10.55489/njcm.140820233009

Keywords:

Geriatric population, Quality of life, IADL, WHOQOL-BREF

Abstract

Introduction: Population aging globally impacts individuals, families, communities, and societies. Longer life spans result in an increasing elderly population, leading to the 21st century being known as the century of the elderly. Disability, stemming from health conditions and surroundings, presents challenges necessitating interventions against environmental and social barriers. This study aims to examine the correlation between disability and quality of life (QOL) among elderly individuals living in Kolkata slums.

Methodology: The observational study focused on the 100 geriatric populations in Dhapa slums using systematic random sampling. Data was collected using the Lawton Brody IADL Scale, and QOL assessment using WHOQOL-BREF.

Results: Majority of the participants were male (64%) and from the general caste (63%). Disability prevalence was 28%. Better QOL scores were observed in males, younger age groups, married individuals and non-diabetics. The physical health domain had the highest QOL score. Literate individuals and those without hypertension or diabetes had higher QOL.

Conclusion: India's aging population poses challenges for society and the economy. The study identified factors impacting disability and QOL in the elderly. Improving psychological care, awareness of government schemes, education, and targeted policies can enhance elderly quality of life.

References

Ageing in the Twenty First Century: A Celebration and a Challenge. 2012. [cited 2021 July 10]. Available from: https://efaidnbmnnnibpcajpcglclefindmkaj/https://www.unfpa.org/sites/default/files/pub-pdf/Ageing%20report.pdf

Ustun TB, Chatterji S, Rehm J. Measuring Health and Disability: WHODAS 2.0. Manual for WHO Disability Assessment Schedule. 2010. Available from: file:///C:/Users/pauls/Downloads/9789241547598_eng.pdf.

DALTCP Reports [Internet]. ASPE. 2021 [cited 18 April 2021]. Available from: https://aspe.hhs.gov/daltcp-reports

Improving Rural Health Care by NRHM. meresarkar.org. [Online].; 2017 [cited 2021 July 12]. Available from: https://meresarkar.org/improving-rural-health-care-by-nrhm/.

Duca GFD, Silva MC, Hallal PC. Disability in relation to basic and instrumental activities of daily living among elderly subjects. Rev Saude Publica. 2009;43(5):1-9.

Training Manual on Elderly Care for Medical Officer at Ayushman Bharat - Health & Wellness Centers. Ministry of Health & Family Welfare. Government of India. [cited 2021 July 18]. Available form: https://nhsrcindia.org/

Aging and disability. United Nations Enable. [cited 2021 July 4]. Available from: https://www.un.org/development/desa/disabilities/disability-and-aging.html

Millán-Calenti JC, Tubío J, Pita-Fernández S, González-Abraldes I, Lorenzo T, Fernández-Arruty T. Prevalence of functional disability in activities of daily living (ADL), instrumental activities of daily living (IADL) and associated factors, as predictors of morbidity and mortality. Achieves of Gerontology and Geriatrics. 2010;50(3):306-10. Doi: https://doi.org/10.1016/j.archger.2009.04.017 PMid:19520442

Ćwirlej-Sozańska A, Wiśniowska-Szurlej A, WilmowskaPietruszyńska A, Sozański B. Determinants of ADL and IADL disability in older adults in south eastern Poland. [cited 2021 August 7]. Doi: https://doi.org/10.1186/s12877-019-1319-4 PMid:31672121 PMCid:PMC6824102

Patel R. Prevalence and Determinants of Activity of Daily Living and Instrumental Activity of Daily Living Among Elderly in India. 2021 [cited 2021 June 12]. Available from: https:// doi.org/10.21203/rs.3.rs-523499/v1.

Burman J, Sembiah S, Dasgupta A, Paul B, Pawar N, Roy A. Assessment of Poor Functional Status and its Predictors among the Elderly in a Rural Area of West Bengal. J Midlife Health [Internet]. 2019 Jul 1 [cited 2021 April 15]; 10(3):123-30. Doi: https://doi.org/10.4103/jmh.JMH_154_18 PMid:31579173 PMCid:PMC6767957

Alam M, Majumdar S, Chakravarty I, Yadav P. The Status of Elderly In West Bengal, 2011. Building a Knowledge Base on Population Ageing in India. 2014 February: p. 103. [cited 2023 June 24]; Available from: http://www.isec.ac.in/West%20Bengal.pdf.

Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist. 1969; 9(3): p. 179-186. [cited 2021 August 12]; Doi: https://doi.org/10.1093/geront/9.3_Part_1.179 PMid:5349366

World Health Organization. WHOQOL-BREF: Introduction, Administration, Scoring and Generic Version of the Assessment. Pro-gramme on mental health. Geneva: WHO; 1996. [cited 2021 April 10]; Available from: http://www.who.int/mental_health/ me-dia/en/76.pdf.

NIPHC. Proceedings of NIPHC /HCPT seminar on services for the aged - a national commitment; 1996 Oct: New Delhi.

Debnath D, Kakkar R. Modified BG Prasad Socio-economic Classification, Updated - 2020. Indian J Community Health [Internet]. 2020 Mar. 31 [cited 2020 Apr. 21];32(1):124-5. Doi: https://doi.org/10.47203/IJCH.2020.v32i01.024

National blood pressure education programme: The seventh report of the Joint National Committee on Prevention, Detection, Eval-uation and Treatment of High Blood Pressure. Classification of blood pressure. [Online]; 2020 [cited 2020 September10. Available from: https://www.ncbi.nlm.nih.gov/books/NBK9633/table/A32/?report=object nly

WHO 2012. Prevention and control of non-communicable diseases: Guidelines for primary healthcare. [Online]; 2020 [cited 2020 September 10]. Available from: https://apps.who.int/iris/bitstream/handle/10665/76173/9789241548397_eng.pdf?sequence=1&isAllowed=y

Graf C. The Lawton Intrumental Activities of Daily Living Scale. American Journal of Nursing. 2008 April; 108(4): p. 52-62. Doi: https://doi.org/10.1097/01.NAJ.0000314810.46029.74 PMid:18367931

Datta D, Datta PP, Majumdar KK. Association of quality of life of urban elderly with socio-demographic factors. Int J Med Public Health. 2015; 5: 274-78. Doi: https://doi.org/10.4103/2230-8598.165944

Mittal A, Aggarwal A, Nayyar S, Thakral A, Natt H, Singh A. Assessment of quality of life of the elderly living in rural and urban areas of Ambala District: A comparative study. Journal of Mid-life Health. 2019; 10(4):173. Doi: https://doi.org/10.4103/jmh.JMH_128_19 PMid:31942152 PMCid:PMC6947722

Devraj S, D'mello M. Determinants of quality of life among the elderly population in urban areas of Mangalore, Karnataka. Journal of Geriatric Mental Health. 2019; 6(2):94. Doi: https://doi.org/10.4103/jgmh.jgmh_23_19

Niranjan GV, Basundhara MK. A Study of Health Status of Aged Persons in Slums of Urban Field Practice Area, Bangalore. Indian Journal of Community Medicine. 1996; Jan-Dec; 21(2): 37-40.

Dolai MC, Chakrabarty F. Functional Status of the Elderly Santal People. IJHSSI. 2013; 2(1): 1-6.

Loh KY, Khairani O, Norlaili T. The prevalence of functional impairment among elderly aged 60 years and above attending Klinik Kkesihatan Batu 9 Ulu Langat, Selangor. Med J Malaysia. 2005 Jun;60(2):188-93.

Duca GFD, Silva MC, Hallal PC. Disability relating to basic and instrumental activities of daily living among elderly subjects. 2009. Re-vista de Saúde Pública, 43, 796-805. Doi: https://doi.org/10.1590/S0034-89102009005000057 PMid:19768234

Vaish K, Patra S, Chhabra P. Functional disability among elderly: A community-based cross-sectional study. J Family Med Prim Care. 2020 Jan 28;9(1):253-258. Doi: https://doi.org/10.4103/jfmpc.jfmpc_728_19 PMid:32110600 PMCid:PMC7014891

Kumar S G, Majumdar A, G P. Quality of Life (QOL) and Its Associated Factors Using WHOQOL-BREF Among Elderly in Urban Puducherry, India. J Clin Diagn Res. 2014 Jan;8(1):54-7. Doi: https://doi.org/10.7860/JCDR/2014/6996.3917 PMid:24596723 PMCid:PMC3939587

Takemasa S, Nakagoshi R, Murakami M, Uesugi M, Inoue Y, Gotou M, Koeda H, Naruse S. Factors affecting quality of life of the home-bound elderly hemiparetic stroke patients. J Phys Ther Sci. 2014 Feb;26(2):301-3. Doi: https://doi.org/10.1589/jpts.26.301 PMid:24648653 PMCid:PMC3944310

Sasuga Y: The influential factors to the quality of life of elderly persons at home with disabilities. Journal of Japan Academy of Home Care. 2001; 4(3): 32-39.

Ozcan A, Donat H, Gelecek N, Ozdirenc M, Karadibak D. The relationship between risk factors for falling and the quality of life in older adults. BMC Public Health. 2005 Aug 26;5:90. Doi: https://doi.org/10.1186/1471-2458-5-90 PMid:16124871 PMCid:PMC1208910

Avolio M, Montagnoli S, Marino M, Basso D, Furia G, Ricciardi W, de Belvis AG. Factors influencing quality of life for disabled and nondisabled elderly population: the results of a multiple correspondence analysis. Curr Gerontol Geriatr Res. 2013;2013:258274. Doi: https://doi.org/10.1155/2013/258274 PMid:23878536 PMCid:PMC3710593

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Published

2023-08-01

How to Cite

1.
Hazra A, Majumdar S, Mukherjee S, Paul A, Bhattacharyya N. Quality of Life Among Geriatric Population Living with Functional Disabilities in Urban Slum Dwellers of Kolkata, India. Natl J Community Med [Internet]. 2023 Aug. 1 [cited 2024 Nov. 23];14(08):499-505. Available from: https://njcmindia.com/index.php/file/article/view/3009

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Original Research Articles