Indian Journal of
GERONTOLOGY (a quarterly journal devoted to research on ageing)
Vol. 31 No. 1, 2017 EDITOR K.L. Sharma
EDITORIAL BOARD Biological Sciences B.K. Patnaik P.K. Dev S.P. Sharma
Clinical Medicine Vivek Sharma Shiv Gautam P.C. Ranka
Social Sciences Uday Jain N.K. Chadha Ishwar Modi
CONSULTING EDITORS A.V. Everitt (Australia), Harold R. Massie (New York), P.N. Srivastava (New Delhi), R.S. Sohal (Dallas, Texas), Sally Newman (U.S.A.), Lynn McDonald (Canada), L.K. Kothari (Jaipur), S.K. Dutta (Kolkata), Vinod Kumar (New Delhi), V.S. Natarajan (Chennai), B.N. Puhan (Bhubaneswar), Gireshwar Mishra (New Delhi), H.S. Asthana (Lucknow), Arun. P. Bali (Delhi), R.S. Bhatnagar (Jaipur), D. Jamuna (Tirupati), Arup K. Benerjee (U.K.), Indira J. Prakash (Bangalore), Yogesh Atal (Gurgaon), V.S. Baldwa (Jaipur), P. Uma Devi (Kerala)
MANAGING EDITOR A.K. Gautham
Indian Journal of Gerontology (A quarterly journal devoted to research on ageing) ISSN : 0971-4189
SUBSCRIPTION RATES Annual Subscription US $ 80.00 (Including Postage) UK £ 50.00 (Including Postage) Rs. 600.00 Libraries in India Free for Members Financial Assistance Received from : ICSSR, New Delhi
Printed in India at : Aalekh Publishers M.I. Road, Jaipur
Typeset by : Anurag Kumawat Jaipur
Contents
1. Fifteen Dimensions of Health and their Associations with Quality of Life among Elderly in Rural Villages in Maharashtra, (India) 1 Olajumoke M. Ogundare, Vinod G. Shah, Subhash R. Salunke, Rahul Malhotra, Sanghamitra Pati, Ankita Karmarkar, Vaidehee S. Gandhi, Shavari R. Shukla, Marissa Stroo, Sameer K. Jadhav, Meena V. Shah, Joanna Maselko, Truls Østbye 2. Age Identity and Psychosocial Disability in Older Persons of Kerala Justin P. Jose and Shanuga Cherayi
20
3. Situating Elderly Role in Family Decision-Making: Indian Scenario Tattwamasi Paltasingh and Renu Tyagi
43
4. The Impairments of Verbal Fluency in Dementia of the Alzheimer’s Type S.Gopal Jee
58
5. Gait Evaluation of Institutionalized Elders – A Feasibility Study Jerin Mathew, Teresa Vanlalpeki and Gishnu G. Nair
71
6. Rural-Urban Differential in Living Standard of Elderly in Bihar KumKum Kumari
84
7. Psychological and Health Problems of Conflict-displaced Ilaje Adolescents and Elderly in Nigeria Adeyanju Awoniyi Babafemi and Ogungbamila Bolanle 8. Gender Perspectives of Multi-morbidity among Elderly and It’s Determinants in an Urban Setting of Tamil Nadu N. Audinarayana
94
119
FOR OUR READERS ATTENTION PLEASE Those who are interested in becoming a member of Indian Gerontological Association (IGA) are requested to send their Life Membership fee, Rs. 2000/- (Rupees Two thousand) and Annual Membership Rs. 500/(Rupees Five hundred only). Membership fee is accepted only by D.D. in favour of Secretary, Indian Gerontological Association or Editor, Indian Journal of Gerontology. Only Life members have the right to vote for Association’s executive committee. Members will get the journal free of cost. Life Membership is only for 10 years. REQUEST Readers are invited to express their views about the content of the journal and other problems of senior citizens.Their views will be published in the Readers’ Column. Senior citizens can send their problems to us through our web site: www.gerontologyindia.com Their identity will not be disclosed. We have well-qualified counsellors on our panel. Take the services of our counselling centre - RAHAT. Helpline : 0141-2624848 VISIT OUR WEBSITE : www.gerontologyindia.com You may contact us on :
[email protected]
L 608 Aswathy, V.K. “Aswathy” #3 Near Police Station, Yeroor, Yeroor – P.O. Kollam District – 691312 Kerala
Indian Journal of Gerontology 2017, Vol. 31, No. 1, pp. 1–19
Fifteen Dimensions of Health and their Associations with Quality of Life among Elderly in Rural Villages in Maharashtra, (India) Olajumoke M. Ogundare1, Vinod G. Shah4, Subhash R. Salunke5, Rahul Malhotra3, Sanghamitra Pati5, Ankita Karmarkar4, Vaidehee S. Gandhi4 , Shavari R. Shukla4, Marissa Stroo1, Sameer K. Jadhav4, Meena V. Shah4, Joanna Maselko1,2, Truls Østbye1,2,3 1
Duke University School of Medicine, Duke University Medical Center, Durham, NC, 2Duke Global Health Institute, Duke University, Durham, NC, 3Duke-NUS Graduate Medical School, Singapore. 4 Janaseva Foundation, Pune, Maharashtra India, 5 Public Health Foundation of India, Bhubaneshwar, (India)
ABSTRACT Elderly health is a growing priority given growing older-adult populations worldwide. The present study aimed to identify factors that influence health and quality of life (QoL) specifically in rural-dwelling elderly Indians. A cross-sectional survey of 352 elders (=60y) from 10 villages near Pune, Maharashtra, India was conducted to measure the prevalence of 15 dimensions of health: vision, hearing, cognition, mental, social (generativity), physical activity, substance-use, physical-strength, independence in activities of daily living (ADL) and instrumental ADL (IADL), dental, nutrition, chronic-pain, sleep and safety (falls). The researchers then examined the associations between these health dimensions and QoL using linear regression. It was found that in general, these elders were physically active (70%), independent and cognitively-intact (55%), however only a minority were free from
2
Indian Journal of Gerontology
problems relating to vision (33%), dental (45%), nutrition (30%), mental health (34%) and chronic pain (40%). Adjusted analysis revealed that higher QoL scores were associated with healthy status in seven dimensions: vision (b=4.9, p
