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Untreated morbidity and treatment-seeking behaviour among the elderly in India: Analysis based on National Sample Survey 2004 and 2014

机译:印度老年人的未经治疗的发病率和治疗行为:基于2004年和2014年国家样本调查的分析

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The changing demographic structure in India and worldwide accompanies with it a gamut of problems and opportunities. According to the Census of India, the proportion of elderly in the overall population rose from 5.6 per cent in 1961 to 8.6 per cent in 2011 and is expected to rise to 20 per cent in 2050. Considering the consequent growing challenges in healthcare the main aim of the study is to find essential determinants contributing to untreated morbidity among the elderly. Also, the paper examines treatment-seeking behaviour for infectious and chronic diseases among the elderly in India. Data from the 60th and 71st round of National Sample Survey Organization was used for the analysis. Relative differences were calculated along with logistic regression to study the objectives and the heckprobit model was used to carve out the treatment-seeking behaviour among the elderly in India. It was found that the overall decrease in relative decadal difference was 41% for untreated morbidity. In both the rounds, the elderly living below the poverty line had 42% and 50% more likelihood of untreated morbidities respectively in comparison to elderly not living below the poverty line. The study indicates that elderly who were living with a spouse in comparison to those living alone had less likelihood to have untreated morbidities. Also, elderly from rural areas and having lower levels of education had higher likelihood of untreated morbidity. Similar inequalities were observed in treatment-seeking behaviour as well, where it was found that elderly belonging to lower socio-economic status were less likely to seek treatment. Linking the results from the heckprobit model this study provides the evidence that social and economic factors play a significant role in affecting both untreated morbidity and treatment-seeking behaviour of elderly in India.
机译:印度的变化人口结构和全球伴随着它的障碍和机遇。根据印度人口普查,总人口的老年人比例从1961年的5.6%上升到2011年的8.6%,预计将在2050年上升到20%。考虑到医疗保健的挑战越来越大研究是找到有助于老年人的未经治疗的发病率的基本决定因素。此外,该论文还研究了在印度老年人的传染病和慢性病的治疗行为。来自60日和第71轮国家样本调查组织的数据用于分析。与研究目标的逻辑回归以及对象的逻辑回归计算了相对差异,并且使用HeckProbit模型来探索印度老年人的治疗行为。结果发现,对于未经处理的发病率,相对截止型差异的总体降低为41%。在这一轮的两轮之下,生活在贫困线以下的老年人分别与贫困线以下的老年人分别具有42%和50%的可能性,更有可能的病态。该研究表明,与单独生活的人相比,与配偶一起生活的老年人具有较少的可能性患有未经治疗的病症。此外,来自农村地区的老年人,具有较低的教育水平具有更高的未经处理的发病率可能性。在寻求治疗行为中观察到类似的不等式,在那里发现老年人的社会经济地位较低的人不太可能寻求治疗。将结果与Heckprobit模型联系起来,本研究提供了证据,即社会和经济因素在影响印度老年人的未经处理的发病率和治疗行为方面发挥着重要作用。

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