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Abstract：
BACKGROUND: India is experiencing a rising burden of chronic disease multimorbidity due to an aging population and epidemiological transition. Older adults residing in urban slums are especially vulnerable due to challenges in managing multimorbidity amid deprived living conditions. This study aimed to assess the prevalence of multimorbidity, associated health literacy, and quality of life impact in this population.
METHODS: A community-based cross-sectional study was conducted among 800 adults aged ≥ 65 years in an urban slum in Gujarat, India. Data on sociodemographics, physical and mental health conditions, health literacy (HLS-SF-47), quality of life (Short Form-12 scale), and social determinants of health were collected. Multimorbidity is ≥ 2 physical or mental health conditions in one person.
RESULTS: The prevalence of multimorbidity was 62.5% (500/800). Multimorbidity was significantly associated with lower physical component summary (PCS) and mental component summary (MCS) scores on the SF-12 (p < 0.001). After adjusting for sociodemographic variables, the odds ratio of 0.81 indicates that for every 1 unit increase in the health literacy score, the odds of having multimorbidity decrease by 19%. Older age within the older adult cohort (per year increase) was associated with greater odds of multimorbidity (AOR 1.05, 95% CI 1.02-1.09). Physical inactivity (AOR 1.68, 95% CI 1.027-2.77) and lack of social support (AOR 1.57, 95% CI 1.01-2.45) also increased the likelihood of multimorbidity.
CONCLUSIONS: There is a substantial burden of multimorbidity among urban slum dwellers aged ≥ 65 years in India, strongly linked to modifiable risk factors like poor health literacy and social determinants of health. Targeted interventions are essential to alleviate this disproportionate burden among urban slum older adults.
METHODS: A community-based cross-sectional study was conducted among 800 adults aged ≥ 65 years in an urban slum in Gujarat, India. Data on sociodemographics, physical and mental health conditions, health literacy (HLS-SF-47), quality of life (Short Form-12 scale), and social determinants of health were collected. Multimorbidity is ≥ 2 physical or mental health conditions in one person.
RESULTS: The prevalence of multimorbidity was 62.5% (500/800). Multimorbidity was significantly associated with lower physical component summary (PCS) and mental component summary (MCS) scores on the SF-12 (p < 0.001). After adjusting for sociodemographic variables, the odds ratio of 0.81 indicates that for every 1 unit increase in the health literacy score, the odds of having multimorbidity decrease by 19%. Older age within the older adult cohort (per year increase) was associated with greater odds of multimorbidity (AOR 1.05, 95% CI 1.02-1.09). Physical inactivity (AOR 1.68, 95% CI 1.027-2.77) and lack of social support (AOR 1.57, 95% CI 1.01-2.45) also increased the likelihood of multimorbidity.
CONCLUSIONS: There is a substantial burden of multimorbidity among urban slum dwellers aged ≥ 65 years in India, strongly linked to modifiable risk factors like poor health literacy and social determinants of health. Targeted interventions are essential to alleviate this disproportionate burden among urban slum older adults.
摘要：
背景：由于人口老龄化和流行病学转变，印度正在经历慢性疾病多发病率负担的上升。由于在生活条件匮乏的情况下管理多种疾病的挑战，居住在城市贫民窟的老年人尤其脆弱。本研究旨在评估多发病的患病率，相关的健康素养，以及对该人群生活质量的影响。
方法：在古吉拉特邦的城市贫民窟中，对800名年龄≥65岁的成年人进行了基于社区的横断面研究。印度。关于社会人口统计学的数据，身心健康状况,健康素养（HLS-SF-47），生活质量(简短形式-12量表)，收集了健康的社会决定因素。多重性是指一个人的身体或精神健康状况≥2。
结果：多患病率为62.5%（500/800）。在SF-12上，多症与较低的身体成分汇总（PCS）和心理成分汇总（MCS）得分显着相关（p<0.001）。在调整社会人口统计学变量后，比值比为0.81表示健康素养得分每增加1个单位，多发病的几率降低了19%。在老年人队列中，年龄较大（每年增加）与更大的多发病几率相关（AOR1.05，95％CI1.02-1.09）。缺乏身体活动（AOR1.68，95％CI1.027-2.77）和缺乏社会支持（AOR1.57，95％CI1.01-2.45）也增加了多发病的可能性。
结论：在印度65岁以上的城市贫民窟居民中，多发病率的负担很大，与健康素养差和健康的社会决定因素等可改变的风险因素密切相关。有针对性的干预措施对于减轻城市贫民窟老年人的这种不成比例的负担至关重要。
方法：在古吉拉特邦的城市贫民窟中，对800名年龄≥65岁的成年人进行了基于社区的横断面研究。印度。关于社会人口统计学的数据，身心健康状况,健康素养（HLS-SF-47），生活质量(简短形式-12量表)，收集了健康的社会决定因素。多重性是指一个人的身体或精神健康状况≥2。
结果：多患病率为62.5%（500/800）。在SF-12上，多症与较低的身体成分汇总（PCS）和心理成分汇总（MCS）得分显着相关（p<0.001）。在调整社会人口统计学变量后，比值比为0.81表示健康素养得分每增加1个单位，多发病的几率降低了19%。在老年人队列中，年龄较大（每年增加）与更大的多发病几率相关（AOR1.05，95％CI1.02-1.09）。缺乏身体活动（AOR1.68，95％CI1.027-2.77）和缺乏社会支持（AOR1.57，95％CI1.01-2.45）也增加了多发病的可能性。
结论：在印度65岁以上的城市贫民窟居民中，多发病率的负担很大，与健康素养差和健康的社会决定因素等可改变的风险因素密切相关。有针对性的干预措施对于减轻城市贫民窟老年人的这种不成比例的负担至关重要。
