Prevalence and Determinants of Frailty and Associated Co-morbidities Among Older Gurkha Welfare Pensioners in Nepal

Sirjana Devkota (Corresponding Author), Bruce Anderson, Roy L. Soiza, Phyo K. Myint

Research output: Contribution to journalArticle

3 Citations (Scopus)
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Abstract

Aim: Population ageing is increasing in low income countries. Despite this, there is distinct lack of knowledge about prevalence of co-morbidities and determinants of frailty among older people in these countries.
Method: We examined data from “Health and Social Care Needs Assessment Survey of the Gurkha Welfare Pensioners” conducted in 2014. Participants were age ≥ 60 years from Gorakha, Lamjung and Tanahu districts of Nepal. Face to face interviews were conducted using validated questionnaires. Demographic, socio-economic, self-reported symptoms and illnesses were collected. Frailty was assessed using Canadian Study of Health and Ageing (CSHA) scale. Univariable and multivariable regression models were constructed to identify the determinants of frailty defined as CSHA scale ≥4.
Result: A total of 253 participants (32.0% men) were included in this study. Most (82.2%) participants were from Janajati ethnic background. Men who were ex-serviceman had higher educational attainment than women, most of whom (95.3%) were widows of ex-servicemen (p<0.01). 48.5% of women lived with their sons whereas 43% of the male participants lived with their wives. Women reported higher prevalence of mental health issues such as anxiety and insomnia compared with men. The prevalence of frailty was 46.2% (46.3% in men and 46.1% in women). In this population frailty was significantly associated with older age, smoking, living with son, breathing problems, unspecified pain and fatigue, poor dental health, history of falls and fracture (p<0.001 for all) after controlling for potential confounders.
Conclusion: Our study highlights the growing nature of co-morbidity burden and frailty and its determinants in low income setting. Concerted efforts should be made with regard to how best to tackle this globally.
Original languageEnglish
Pages (from-to)2493-2499
Number of pages7
JournalGeriatrics and Gerontology International
Volume17
Issue number12
Early online date2 Aug 2017
DOIs
Publication statusPublished - Dec 2017

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Nepal
comorbidity
welfare
determinants
Morbidity
health
Nuclear Family
Health
low income
Widowhood
Needs Assessment
widow
Sleep Initiation and Maintenance Disorders
Spouses
fatigue
Population
Fatigue
pain
smoking
wife

Keywords

  • ageing
  • frailty
  • Asia
  • pensioners
  • low income countries

Cite this

Prevalence and Determinants of Frailty and Associated Co-morbidities Among Older Gurkha Welfare Pensioners in Nepal. / Devkota, Sirjana (Corresponding Author); Anderson, Bruce; Soiza, Roy L.; Myint, Phyo K.

In: Geriatrics and Gerontology International, Vol. 17, No. 12, 12.2017, p. 2493-2499.

Research output: Contribution to journalArticle

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abstract = "Aim: Population ageing is increasing in low income countries. Despite this, there is distinct lack of knowledge about prevalence of co-morbidities and determinants of frailty among older people in these countries.Method: We examined data from “Health and Social Care Needs Assessment Survey of the Gurkha Welfare Pensioners” conducted in 2014. Participants were age ≥ 60 years from Gorakha, Lamjung and Tanahu districts of Nepal. Face to face interviews were conducted using validated questionnaires. Demographic, socio-economic, self-reported symptoms and illnesses were collected. Frailty was assessed using Canadian Study of Health and Ageing (CSHA) scale. Univariable and multivariable regression models were constructed to identify the determinants of frailty defined as CSHA scale ≥4.Result: A total of 253 participants (32.0{\%} men) were included in this study. Most (82.2{\%}) participants were from Janajati ethnic background. Men who were ex-serviceman had higher educational attainment than women, most of whom (95.3{\%}) were widows of ex-servicemen (p<0.01). 48.5{\%} of women lived with their sons whereas 43{\%} of the male participants lived with their wives. Women reported higher prevalence of mental health issues such as anxiety and insomnia compared with men. The prevalence of frailty was 46.2{\%} (46.3{\%} in men and 46.1{\%} in women). In this population frailty was significantly associated with older age, smoking, living with son, breathing problems, unspecified pain and fatigue, poor dental health, history of falls and fracture (p<0.001 for all) after controlling for potential confounders.Conclusion: Our study highlights the growing nature of co-morbidity burden and frailty and its determinants in low income setting. Concerted efforts should be made with regard to how best to tackle this globally.",
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author = "Sirjana Devkota and Bruce Anderson and Soiza, {Roy L.} and Myint, {Phyo K.}",
note = "We gratefully acknowledge Late Shova Khanal for assistance in data collection. We also acknowledge staff from the Gurkha welfare scheme center, Gorakha, Lamjung and Tanahu, and pensioners. We acknowledge the funder of the “Health and Social Care Needs Assessment Survey of the Gurkha Welfare Pensioners”. The study was funded by the Gurkha Welfare Trust, UK.",
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T1 - Prevalence and Determinants of Frailty and Associated Co-morbidities Among Older Gurkha Welfare Pensioners in Nepal

AU - Devkota, Sirjana

AU - Anderson, Bruce

AU - Soiza, Roy L.

AU - Myint, Phyo K.

N1 - We gratefully acknowledge Late Shova Khanal for assistance in data collection. We also acknowledge staff from the Gurkha welfare scheme center, Gorakha, Lamjung and Tanahu, and pensioners. We acknowledge the funder of the “Health and Social Care Needs Assessment Survey of the Gurkha Welfare Pensioners”. The study was funded by the Gurkha Welfare Trust, UK.

PY - 2017/12

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N2 - Aim: Population ageing is increasing in low income countries. Despite this, there is distinct lack of knowledge about prevalence of co-morbidities and determinants of frailty among older people in these countries.Method: We examined data from “Health and Social Care Needs Assessment Survey of the Gurkha Welfare Pensioners” conducted in 2014. Participants were age ≥ 60 years from Gorakha, Lamjung and Tanahu districts of Nepal. Face to face interviews were conducted using validated questionnaires. Demographic, socio-economic, self-reported symptoms and illnesses were collected. Frailty was assessed using Canadian Study of Health and Ageing (CSHA) scale. Univariable and multivariable regression models were constructed to identify the determinants of frailty defined as CSHA scale ≥4.Result: A total of 253 participants (32.0% men) were included in this study. Most (82.2%) participants were from Janajati ethnic background. Men who were ex-serviceman had higher educational attainment than women, most of whom (95.3%) were widows of ex-servicemen (p<0.01). 48.5% of women lived with their sons whereas 43% of the male participants lived with their wives. Women reported higher prevalence of mental health issues such as anxiety and insomnia compared with men. The prevalence of frailty was 46.2% (46.3% in men and 46.1% in women). In this population frailty was significantly associated with older age, smoking, living with son, breathing problems, unspecified pain and fatigue, poor dental health, history of falls and fracture (p<0.001 for all) after controlling for potential confounders.Conclusion: Our study highlights the growing nature of co-morbidity burden and frailty and its determinants in low income setting. Concerted efforts should be made with regard to how best to tackle this globally.

AB - Aim: Population ageing is increasing in low income countries. Despite this, there is distinct lack of knowledge about prevalence of co-morbidities and determinants of frailty among older people in these countries.Method: We examined data from “Health and Social Care Needs Assessment Survey of the Gurkha Welfare Pensioners” conducted in 2014. Participants were age ≥ 60 years from Gorakha, Lamjung and Tanahu districts of Nepal. Face to face interviews were conducted using validated questionnaires. Demographic, socio-economic, self-reported symptoms and illnesses were collected. Frailty was assessed using Canadian Study of Health and Ageing (CSHA) scale. Univariable and multivariable regression models were constructed to identify the determinants of frailty defined as CSHA scale ≥4.Result: A total of 253 participants (32.0% men) were included in this study. Most (82.2%) participants were from Janajati ethnic background. Men who were ex-serviceman had higher educational attainment than women, most of whom (95.3%) were widows of ex-servicemen (p<0.01). 48.5% of women lived with their sons whereas 43% of the male participants lived with their wives. Women reported higher prevalence of mental health issues such as anxiety and insomnia compared with men. The prevalence of frailty was 46.2% (46.3% in men and 46.1% in women). In this population frailty was significantly associated with older age, smoking, living with son, breathing problems, unspecified pain and fatigue, poor dental health, history of falls and fracture (p<0.001 for all) after controlling for potential confounders.Conclusion: Our study highlights the growing nature of co-morbidity burden and frailty and its determinants in low income setting. Concerted efforts should be made with regard to how best to tackle this globally.

KW - ageing

KW - frailty

KW - Asia

KW - pensioners

KW - low income countries

U2 - 10.1111/ggi.13113

DO - 10.1111/ggi.13113

M3 - Article

VL - 17

SP - 2493

EP - 2499

JO - Geriatrics and Gerontology International

JF - Geriatrics and Gerontology International

SN - 1444-1586

IS - 12

ER -