scholarly journals Utilization of complementary and traditional medicine practitioners among middle-aged and older adults in India: results of a national survey in 2017–2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Health Insurance ◽  
Tobacco Use ◽  
Health Practitioner ◽  
Middle Aged ◽  
Urban Residence ◽  
Subjective Socioeconomic Status ◽  
Insurance Cover ◽  
Current Tobacco

Abstract Background Lack of information exists about the use of traditional and complementary medicine (TCM) use among middle-aged and older adults in India, which led to studying the estimates of past-12-month Ayurveda/Yoga/Naturopathy/Unani/Siddha/Homeopathy (AYUSH) practitioner and traditional health practitioner (THP) utilization in India. Methods The study included 72,262 individuals (45 years and older) from the cross-sectional 2017–2018 Longitudinal Ageing Study in India (LASI) Wave 1. Results The prevalence of past 12-month AYUSH practitioner utilization was 6.5%, THP use 7.0%, and AYUSH or THP use 13.0%. The rate of AYUSH practitioner utilization was determined by older age (≥60 years) (Adjusted Odds Ratio-AOR: 1.20, 95% Confidence Interval-CI: 1.07–1.34), having pain (AOR: 1.48, 95% CI: 1.29–1.69), any bone or joint diseases (AOR: 1.57, 95% CI: 1.35–1.82), current tobacco use (AOR: 1.30, 95% CI: 1.12–1.50), male sex (AOR: 0.76, 95% CI: 0.68–0.85), high subjective socioeconomic status (AOR: 0.72, 95% CI: 0.60–0.87), urban residence (AOR: 0.71, 95% CI: 0.57–0.88), diabetes (AOR: 0.66, 95% CI: 0.55–0.81), chronic heart disease (AOR: 0.52, 95% CI: 0.37–0.73), and having a health insurance cover (AOR: 0.36, 95% CI: 0.30–0.44). The rate of THP utilization was determined by depressive symptoms (AOR: 1.17, 95% CI: 1.01–1.35), sleep problems (AOR: 1.28, 95% CI: 1.08–1.51), having pain (AOR: 1.82, 95% CI: 1.55–2.15), current tobacco use (AOR: 1.35, 95% CI: 1.22–1.51), having health insurance cover (AOR: 0.41, 95% CI: 0.33–0.51), hypertension (AOR: 0.82, 95% CI: 0.71–0.95), diabetes (AOR: 0.50, 95% CI: 0.39–0.65), urban residence (AOR: 0.25, 95% CI: 0.19–0.34), and high subjective socioeconomic status (AOR: 0.70, 95% CI: 0.58–0.85). Conclusion A moderate prevalence of AYUSH practitioner and THP use among middle-aged and older adults in India was found and several factors associated with AYUSH practitioner and THP use were identified.

Utilization of complementary and traditional medicine practitioners among older adults in India: results of a national survey in 2016-2017

2021 ◽  
Author(s):  
Pengpid Peltzer ◽  
Karl Peltzer
Keyword(s):  
Higher Education ◽  
Older Adults ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Functional Disability ◽  
Urban Residence ◽  
Subjective Socioeconomic Status ◽  
Insurance Cover ◽  
Adjusted Logistic Regression ◽  
Current Tobacco

Abstract Background: Lack of information exists about the use of traditional and complementary medicine (TCM) use among older adults in India, which led to studying the estimates of past-12 month Ayurveda/Yoga/Naturopathy/Unani/Siddha/Homeopathy (AYUSH) and traditional health practitioner (THP) utilization in India. Methods: The study included 72,262 individuals (45 years and older) from the cross-sectional 2017-2018 Longitudinal Ageing Study in India (LASI) Wave 1.Results: The prevalence of past 12-month AYUSH practitioner utilization was 6.5%, THP 7.0%, and AYUSH or THP 13.0%. In the adjusted logistic regression analysis, functional disability (Adjusted Odds Ratio-AOR: 1.25, 95% Confidence Interval-CI: 1.09-1.42), having pain (AOR: 1.47, 95% CI: 1.31-1.65) and current tobacco use (AOR: 1.30, 95% CI: 1.14-1.48) were positively and male sex (AOR: 0.78, 95% CI: 0.69-0.88), higher education (AOR: 0.92, 95% CI: 0.80-0.99), scheduled caste (AOR: 0.48, 95% CI: 0.36-0.63), high subjective socioeconomic status (AOR: 0.66, 95% CI: 0.57-0.77), urban residence (AOR: 0.65, 95% CI: 0.57-0.75) and having a health insurance cover (AOR: 0.38, 95% CI: 0.32-0.44) were negatively associated with AYUSH practitioner utilization in the past 12 months. In a second adjusted logistic regression analysis, sleep problems (AOR: 1.30, 95% CI: 1.14-1.48), depressive symptoms (AOR: 1.14, 95% CI: 1.02-1.28) functional disability (AOR: 1.14, 95% CI: 1.01-1.30), having pain (AOR: 1.51, 95% CI: 1.35-1.70), current tobacco use (AOR: 1.27, 95% CI: 1.13-1.43) and having underweight (AOR: 1.15, 95% CI: 1.02-1.31) were positively associated with past 12-month THP utilization. Furthermore, having health insurance cover (AOR: 0.44, 95% CI: 0.38-0.51), overweight or obesity (AOR: 0.84, 95% CI: 0.72-0.97), having two or more chronic conditions (AOR: 0.60, 95% CI: 0.50-0.72), urban residence (AOR: 0.24, 95% CI: 0.20-0.28), high subjective socioeconomic status (AOR: 0.81, 95% CI: 0.70-0.96), and higher education (AOR: 0.42, 95% CI: 0.34-0.52) were negatively associated with past 12-month THP utilization.Conclusion: A moderate prevalence of TCM use among older adults in India was found and several factors associated with its use were identified.

scholarly journals Socioeconomic Status, Race/Ethnicity, and Diurnal Cortisol Trajectories in Middle-Aged and Older Adults

2016 ◽  
pp. gbw080 ◽  
Author(s):  
Laura J. Samuel ◽  
David L. Roth ◽  
Brian S. Schwartz ◽  
Roland J. Thorpe ◽  
Thomas A. Glass
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Middle Aged ◽  
Diurnal Cortisol ◽  
Race Ethnicity

The Long Arm of Childhood in China: Early-Life Conditions and Cognitive Function Among Middle-Aged and Older Adults

2017 ◽  
Vol 30 (8) ◽  
pp. 1319-1344 ◽  
Author(s):  
Zhenmei Zhang ◽  
Jinyu Liu ◽  
Lydia Li ◽  
Hongwei Xu
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Memory Performance ◽  
Word Recall ◽  
Middle Aged ◽  
Urban Residence ◽  
Childhood Conditions ◽  
Early Life Conditions ◽  
Childhood Socioeconomic Status ◽  
With Memory

Objective: This study examined the association between childhood conditions and cognitive function among middle-aged and older adults in China. Method: We analyzed data from the 2011 China Health and Retirement Longitudinal Study ( N = 11,868). Cognitive function was measured by word recall, a test of episodic memory. We examined the association between childhood conditions and cognitive function among the middle-aged (45-59 years) and the older (60 years and older) adults separately, using multilevel linear regressions. Results: Indicators of childhood socioeconomic status (SES) and nutrition were significantly associated with memory performance among the middle-aged and the older adults in China. Adulthood SES, education in particular, accounted for some but not all the associations. The protective effect of childhood urban residence was stronger for middle-aged women than for middle-aged men. Discussion: Childhood conditions are significantly associated with mid- to late-life cognitive function in China. The strengths of the associations may vary by gender and cohort.

The Effects of Socioeconomic Status on Participation in Care Among Middle-Aged and Older Adults

2009 ◽  
Vol 21 (2) ◽  
pp. 314-335 ◽  
Author(s):  
Jacqueline C. Wiltshire ◽  
Velma Roberts ◽  
Roger Brown ◽  
Gloria E. Sarto
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Middle Aged

scholarly journals Age differences in associations of different indicators of socioeconomic status with social isolation: A cross-sectional study

2020 ◽  
Author(s):  
Lixia Ge ◽  
Bee Hoon Heng ◽  
Woan Shin Tan
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Social Isolation ◽  
Employment Status ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Middle Aged ◽  
Housing Type ◽  
Cross Sectional

Abstract Background Socioeconomic status is a crucial determinant of social isolation. However, little is known whether the associations between different indicators of socioeconomic status and social isolation vary across age groups. This study examined the association of individual socioeconomic status indicators with social isolation in three age groups: young (21-44 years), middle-aged (45-64 years), and older adults (≥65 years). Methods Cross-sectional data for 1,930 representative community-dwelling adults aged 21 and above in the Central region of Singapore was used. The 6-item Lubben Social Network Scale was used to assess social isolation. Socioeconomic status was measured using education level, employment status, personal income, housing type and self-perceived money sufficiency). Separate logistic regression analyses were conducted to examine the association between each SES indicator and social isolation in each age group. Results Each socioeconomic indicator showed a clear gradient with social isolation and significant age disparities were found in their relationship. Socioeconomic status indicators significantly associated with social isolation were income (R2 change=2.5%) and self-perceived money insufficiency (R2 change=1.5%) in young adults, education (R2 change=0.5%), employment status (R2 change=1.3%), income (R2 change=0.8%), housing type (R2 change=1.9%) and self-perceived money insufficiency (R2 change=2.0%) in middle-aged adults, and housing type (R2 change=1.3%) and self-perceived money insufficiency (R2 change=3.7%) in older adults when adjusting for demographics and other indicators. Conclusions The influence of individual socioeconomic status indicators on social isolation varied across age groups. This study provides a rationale for the choice of socioeconomic status indicator and specific interventions need to target different socioeconomic status groups for different age groups.

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