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© 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Objective

To estimate frailty prevalence and its relationship with the socio-economic and regional factors and health care outcomes.

Methods

In this study, participants from the harmonized Diagnostic Assessment of Dementia for the Longitudinal Aging Study in India (LASI-DAD) were included. The frailty index (FI) was calculated using a 32-variable deficit model, with a value of ≥ 25% considered as frail. Data on demographic (including caste and religion) and socioeconomic profiles and health care utilization were obtained. The state-wise health index maintained by the government based on various health-related parameters was used to group the participants' residential states into high-, intermediate-, and low-performing states. Multivariable and zero-inflated negative binomial regression was used to assess the relationship of frailty index with sociodemographic characteristics, health index, and health care expenditure or hospitalization.

Results

Among the 3953 eligible participants, the prevalence of frailty was 42.34% (men = 34.99% and women = 49.35%). Compared to high-performing states, intermediate- and low-performing states had a higher proportion of frail individuals (49.7% vs. 46.8% vs. 34.5%, P < 0.001). In the adjusted analysis, frailty was positively associated with age, female sex, rural locality, lower education level, and caste (scheduled caste and other backward classes). After adjusting for the socio-economic profile, FI was inversely associated with the composite health index of a state (P < 0.001). FI was also significantly correlated with total 1-year health care expenditure and hospitalization (P < 0.001 and 0.020, respectively).

Conclusion

There is a high prevalence of frailty among older Indian adults that is associated with sociodemographic factors and regional health care performance. Furthermore, frailty is associated with increased health care utilization and expenditure.

Details

Title
The prevalence of frailty and its relationship with sociodemographic factors, regional healthcare disparities, and healthcare utilization in the aging population across India
Author
Singhal, Sunny 1   VIAFID ORCID Logo  ; Singh, Sumitabh 2 ; Dewangan, Gevesh Chand 3 ; Dey, Sharmistha 4 ; Banerjee, Joyita 5   VIAFID ORCID Logo  ; Lee, Jinkook 6 ; Upadhyaya, Ashish Datt 7 ; Hu, Peifeng 8 ; Dey, Aparajit Ballav 9 

 Department of Geriatric Medicine, Sawai Man Singh Medical College and Hospital, Jaipur, India; Department of Geriatric Medicine, All India Institute of Medical Sciences, Delhi, India 
 Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas, USA 
 Department of General Medicine, All India Institute of Medical Sciences, Raipur, India 
 Department of Biophysics, All India Institute of Medical Sciences, Delhi, India 
 Department of Geriatric Medicine, All India Institute of Medical Sciences, Delhi, India 
 Center for Economic and Social Research, University of Southern California, Los Angeles, California, USA 
 Department of Biostatistics, All India Institute of Medical Science, Delhi, India 
 Division of Geriatric Medicine, University of California, Los Angeles, Los Angeles, California, USA 
 Department of Geriatric Medicine, All India Institute of Medical Sciences, Delhi, India; Venu Geriatric Care Centre, Delhi, India 
Pages
212-221
Section
ORIGINAL ARTICLES
Publication year
2023
Publication date
Sep 2023
Publisher
John Wiley & Sons, Inc.
e-ISSN
24750360
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2864131326
Copyright
© 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.