Functional disability among older adults in India; a gender perspective

PLoS One. 2022 Sep 14;17(9):e0273659. doi: 10.1371/journal.pone.0273659. eCollection 2022.

Abstract

Introduction: Older adults are always at a greater risk of physical and functional health challenges. These complications result into morbidity, disability and death making them more vulnerable at later ages. Therefore, this paper will examine the functional health status among older adults and its gender perspective, along with associated risk factors.

Materials and methods: Using the first round of Longitudinal ageing survey of India (2017-18). Functional disability was computed based on general and instrumental activities of daily living (ADL and IADL) (n = 20910). Functional disability was coined with individual having at least one of the limitations of these activities. Applying bivariate and multivariate analysis the present paper studied the association, gender perspective and risk factors of functional disability among older adults aged 50 and above in India.

Results: Our results clearly showed the gender bias in functional disability, with greater proportion of women (52%) at risk for functional disability then men (35%). Factors like multimorbidity, depression and life satisfaction are key risk factors identified by this study that increase the likelihood of disability.

Conclusion: Functional disability is key to healthy ageing and needs immediate attention given its greater concentration among the elderly, particularly women. The results reflect the substantial burden of functional disability than self-care among older adults in India and therefore indicates some significant policy interventions to reduce the likely impact of functional disability.

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Disabled Persons*
  • Female
  • Health Status
  • Humans
  • India / epidemiology
  • Male
  • Sexism

Grants and funding

There was no funding associated with this study. The work was solely carried out by author on its own without any support from any institute. The funders have no role in study design, data collection and analysis or any decision to publish or prepare this manuscript.