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Health Problems of the Urban Elderly in Siwan, Bihar, India

  • Manju KumariEmail author
Chapter
Part of the The Urban Book Series book series (UBS)

Abstract

Every elderly person faces health problems, especially chronic disease, because the human body becomes weaker and more vulnerable to disease. They face many physical and mental changes, such as weakness, difficulties in daily work, poor visibility, hearing problems, memory decline, depression, loneliness, and exclusion from society among others. They are more vulnerable to various communicable and non-communicable diseases due to old age. Moreover, the elderly residing in urban areas are more vulnerable because of noise, congestion, and pollution in the town. The urban elderly are generally engaged in less physical work compared with the rural elderly. Therefore, cases of high blood pressure and obesity are generally observed in elderly living in urban areas. The objective of the study is to determine various types of acute and chronic disease among elderly men and women living in urban areas and compare them with those of elderly living in rural areas. The data were collected through structured questionnaire in 2013. In total, 125 elderly living in Siwan town in the Bihar district and 125 elderly of living in the surrounding rural area were surveyed for the study. Statistical techniques include cross-tabulation and binary logistic regression for better understanding the research problem. It was found that high blood pressure, diabetes, eye, gastric, and heart disease are more common among elderly from urban areas, also multiple chronic diseases are very common among them. Family environment, family support, and literacy are the major determinants of chronic morbidity among elderly living in urban areas.

Keywords

Urban Elderly Morbidity Chronic Acute 

References

  1. Agyemang C (2006) Rural and urban differences in blood pressure and hypertension in Ghana, West Africa. Public Health 120–6: 525–533. http://dx.doi.org/10.1016/j.puhe.2006.02.002. Accessed 2 Oct 2013CrossRefGoogle Scholar
  2. Banerjee R, Konda M, Bhawalkar JS (2014) Comparison of some risk for diabetes across different social groups: a cross sectional study. Ann Med Health Sci Res 4–6:915–921.  https://doi.org/10.4103/2141-9248.109466CrossRefGoogle Scholar
  3. Britt H, Miller GC, Knox SA (2008) Prevalence and patterns of multimorbidity in Australia. Med J Australia 189(2):72–77Google Scholar
  4. Guralnik JM (1996) Assessing the impact of co-morbidity in the older population. Ann Epidemiol 6–5:376–380CrossRefGoogle Scholar
  5. Joshi RK, Avasthi A (2003) Morbidity profile and its relationship with disability and psychological distress among elderly people in northern India. Int J Epidemiol 32–6:978–987CrossRefGoogle Scholar
  6. Kantharia SL (2010) Urban health issues in India—need of the day. National J Commun Med 1(1)Google Scholar
  7. Purty B, Kar V, Veliath A, Panda P (2006) Morbidity pattern among the elderly population in the rural area of Timalnadu: India. Turkish J Med Sci 36:45–50Google Scholar
  8. Van den Akker M, Buntinx F, Knottnerus JA (1996) Comorbidity or multimorbidity: what’s in a name? A review of literature. Euro J Gen Pract 2(2):65–70CrossRefGoogle Scholar
  9. Van den Akker M, Buntinx F, Metsemakers JF, Roos S, Knottnerus JA (1998) Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol 51(5):367–375CrossRefGoogle Scholar
  10. Wolff JL, Starfield B, Anderson G (2002) Prevalence, expenditures and complications of multiple chronic conditions in the elderly. Arch Int Med 162:2269–2276. https://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-primary-care-policy-center/Publications_PDFs/A177.pdf. Accessed 30 Sept 2013CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Centre for the Study of Regional and Development, School of Social SciencesJawaharlal Nehru UniversityNew DelhiIndia

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