Prevalence and Determinants of Functional Disability Among Elderly in Rural Goa, India
Background: Functional disability in older adults, defined as the inability to perform essential daily activities, is categorized into Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL). Understanding these limitations is key for informing health policies and servic...
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Medsci Publications
2025-01-01
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| Series: | National Journal of Community Medicine |
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| Online Access: | https://njcmindia.com/index.php/file/article/view/4656 |
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| author | Ronald Robin Vanita G Pinto Da Silva |
| author_facet | Ronald Robin Vanita G Pinto Da Silva |
| author_sort | Ronald Robin |
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Background: Functional disability in older adults, defined as the inability to perform essential daily activities, is categorized into Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL). Understanding these limitations is key for informing health policies and services. The aim was to estimate the prevalence and identify factors associated with functional disability among the elderly in rural Goa.
Methodology: A community-based cross-sectional study was conducted among the elderly residing in the field practice area of the Rural Health and Training Centre, Mandur, Goa. Data were collected from 300 elderly participants using the Katz ADL Index and Lawton Brody’s IADL Scale. Participants were selected through systematic random sampling.
Results: ADL disability prevalence was 13.7%, while IADL disability was 38.7%. ADL disability was associated with sex, education, financial dependence, co-morbidities, alcoholism, and sensory impairments. IADL disability was linked to age, sex, education, financial dependence, co-morbidities and visual impairment.
Conclusions: The study emphasizes the need for comprehensive geriatric assessments in rural communities, highlighting the importance of evaluating functional status at the primary healthcare level to improve elderly care policies.
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| format | Article |
| id | doaj-art-64f4f776c0d14e28abbfce43df09e635 |
| institution | Kabale University |
| issn | 0976-3325 2229-6816 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Medsci Publications |
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| series | National Journal of Community Medicine |
| spelling | doaj-art-64f4f776c0d14e28abbfce43df09e6352025-01-02T06:21:36ZengMedsci PublicationsNational Journal of Community Medicine0976-33252229-68162025-01-01160110.55489/njcm.160120254656Prevalence and Determinants of Functional Disability Among Elderly in Rural Goa, IndiaRonald Robin0Vanita G Pinto Da Silva1Department of Community Medicine, Goa Medical College, Goa, IndiaDepartment of Community Medicine, Goa Medical College, Goa, India Background: Functional disability in older adults, defined as the inability to perform essential daily activities, is categorized into Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL). Understanding these limitations is key for informing health policies and services. The aim was to estimate the prevalence and identify factors associated with functional disability among the elderly in rural Goa. Methodology: A community-based cross-sectional study was conducted among the elderly residing in the field practice area of the Rural Health and Training Centre, Mandur, Goa. Data were collected from 300 elderly participants using the Katz ADL Index and Lawton Brody’s IADL Scale. Participants were selected through systematic random sampling. Results: ADL disability prevalence was 13.7%, while IADL disability was 38.7%. ADL disability was associated with sex, education, financial dependence, co-morbidities, alcoholism, and sensory impairments. IADL disability was linked to age, sex, education, financial dependence, co-morbidities and visual impairment. Conclusions: The study emphasizes the need for comprehensive geriatric assessments in rural communities, highlighting the importance of evaluating functional status at the primary healthcare level to improve elderly care policies. https://njcmindia.com/index.php/file/article/view/4656ADLElderlyFunctional disbailityIADLRural |
| spellingShingle | Ronald Robin Vanita G Pinto Da Silva Prevalence and Determinants of Functional Disability Among Elderly in Rural Goa, India National Journal of Community Medicine ADL Elderly Functional disbaility IADL Rural |
| title | Prevalence and Determinants of Functional Disability Among Elderly in Rural Goa, India |
| title_full | Prevalence and Determinants of Functional Disability Among Elderly in Rural Goa, India |
| title_fullStr | Prevalence and Determinants of Functional Disability Among Elderly in Rural Goa, India |
| title_full_unstemmed | Prevalence and Determinants of Functional Disability Among Elderly in Rural Goa, India |
| title_short | Prevalence and Determinants of Functional Disability Among Elderly in Rural Goa, India |
| title_sort | prevalence and determinants of functional disability among elderly in rural goa india |
| topic | ADL Elderly Functional disbaility IADL Rural |
| url | https://njcmindia.com/index.php/file/article/view/4656 |
| work_keys_str_mv | AT ronaldrobin prevalenceanddeterminantsoffunctionaldisabilityamongelderlyinruralgoaindia AT vanitagpintodasilva prevalenceanddeterminantsoffunctionaldisabilityamongelderlyinruralgoaindia |