Cognitive impairment and reduced quality of life among old-age groups in Southern Urban India: home based community residents, free and paid old-age home residents.

Cognitive impairment and reduced quality of life among old-age groups in Southern Urban India: home based community residents, free and paid old-age home residents.

QJM. 2016 Mar 29;

Authors: Samuel R, McLachlan CS, Mahadevan U, Isaac V

Abstract
AIM: The purpose of the study were a) to screen for cognitive impairment using Mini-Mental Status Examination among three old-age groups based on dwelling types in Chennai, India i.e., residential paid old-age homes, residential free (charitable) homes and home-based community-dwelling residents; b) secondly to investigate factors (demographic, psychological, medical, and disability) associated with cognitive impairment in the these old-age; c) thirdly, to investigate the independent association between cognitive impairment and health-related quality of life (QOL) among elderly across aged care dwelling types.
METHODS: A total of 499 elderly from three old-age groups were interviewed in this cross-sectional study (173 elderly home-based community-dwellers, 176 paid-home and 150 free-home residents). All the participants were interviewed for their socio-economic condition, medical morbidity, self-reported worry and anxiety, disability and QOL.
RESULTS: 42.7% free-home elderly residents were found to have cognitive impairment, while 32.4% of paid-home and 21.9% of community-dwelling elderly had cognitive impairment. The residents of free-home were less educated, had lower income and reported higher incidence of worry, anxiety, disability and poor QOL than community-dwelling or paid-home residents. Increasing age, low education, female gender, high blood pressure and disability was associated with cognitive impairment. Cognitive impairment had significant negative effect on their health-related QOL (b=-0.10, p=0.01), independent of age, gender, education, chronic illness and dwelling type.
CONCLUSION: The burden of cognitive impairment was high in all aged-care dwelling types in urban India; with free charitable home residents being worse affected. Cognitive impairment was associated with disability and poor health-related QOL in these age-care settings.

PMID: 27026698 [PubMed - as supplied by publisher]

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