Family-Level Multimorbidity among Older Adults in India: Looking through a Syndemic Lens

Sanghamitra Pati (), Abhinav Sinha, Shishirendu Ghosal, Sushmita Kerketta, John Tayu Lee and Srikanta Kanungo
Additional contact information
Sanghamitra Pati: ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Abhinav Sinha: ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Shishirendu Ghosal: ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
Sushmita Kerketta: ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India
John Tayu Lee: The Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia
Srikanta Kanungo: ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India

IJERPH, 2022, vol. 19, issue 16, 1-13

Abstract: Most evidence on multimorbidity is drawn from an individual level assessment despite the fact that multimorbidity is modulated by shared risk factors prevailing within the household environment. Our study reports the magnitude of family-level multimorbidity, its correlates, and healthcare expenditure among older adults using data from the Longitudinal Ageing Study in India (LASI), wave-1. LASI is a nationwide survey amongst older adults aged ≥45 years conducted in 2017–2018. We included ( n = 22,526) families defined as two or more members coresiding in the same household. We propose a new term, “family-level multimorbidity”, defined as two or more members of a family having multimorbidity. Multivariable logistic regression was used to assess correlates, expressed as adjusted odds ratios with a 95% confidence interval. Family-level multimorbidity was prevalent among 44.46% families, whereas 41.8% had conjugal multimorbidity. Amongst siblings, 42.86% reported multimorbidity and intergenerational (three generations) was 46.07%. Family-level multimorbidity was predominantly associated with the urban and affluent class. Healthcare expenditure increased with more multimorbid individuals in a family. Our findings depict family-centred interventions that may be considered to mitigate multimorbidity. Future studies should explore family-level multimorbidity to help inform programs and policies in strategising preventive as well as curative services with the family as a unit.

Keywords: multimorbidity; family; LASI; India; household; conjugal; siblings; intergenerational (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/16/9850/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/16/9850/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:16:p:9850-:d:884615

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().