How multimorbidity relates to road traffic accident among older adults and elderly population: insights from longitudinal aging study in India (1st wave)
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20241503Keywords:
Older adults, Elderly, Multimorbidity, Road traffic accidents, LASIAbstract
Background: Multimorbidity and road traffic accidents increase with increasing age. Supplemented with increasing life expectancy at birth, both multimorbidity and RTAs will contribute significantly to the growing disease burden of the country. The objective of the study was to determine the association between multimorbidity and RTAs among older adults (above 45 years) and the elderly (above 60 years) population in India.
Methods: A secondary data analysis was conducted using the Longitudinal Ageing Study in India (LASI)-1st wave data (April 2017 to December 2018). Participants having at least two chronic health conditions were described as multimorbidity. Road traffic accidents (RTAs) was taken as the outcome variable. Univariate followed by multivariable logistic regression was conducted between the outcome variable and each explanatory variable.
Results: Data extracted consisted of 34704 (51.1%) older adults and 31902 (47.9%) elderly. Multimorbidity was present in 25054 (37.6%) individuals. Among the RTA group, 325 (26.5%) individuals had multimorbidity. The elderly with multimorbidity (at least two) were associated with the RTA with an adjusted odds ratio (CI) of 0.55 (0.45-0.67) and p value of <0.001 in comparison to older adults. Clerical and skilled individuals with multimorbidity were associated with RTA in comparison to unemployed individuals with multimorbidity with an adjusted odds ratio (CI) of 1.40 (1.10-1.79) and p value of 0.007.
Conclusions: The RTA was evident among males aged 45-60 years with multimorbidity. Clerical and skilled individuals with multimorbidity were more prone to RTA. These individuals should be encouraged to take necessary measures to promote healthy living and adhere to them.
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References
Moffat K, Mercer SW. Challenges of managing people with multimorbidity in today’s healthcare systems. BMC Fam Pract. 2015;16(1):129.
Chowdhury SR, Das D, Sunna TC, Beyene J, Hossain A. Global and regional prevalence of multimorbidity in the adult population in community settings: a systematic review and meta-analysis. eClin Med. 2023;57:101860.
Prenissl J, De Neve JW, Sudharsanan N, Manne-Goehler J, Mohan V, Awasthi A, et al. Patterns of multimorbidity in India: A nationally representative cross-sectional study of individuals aged 15 to 49 years. PLOS Glob Public Health. 2022;2(8):0000587.
Patel P, Muhammad T, Sahoo H. The burden of disease-specific multimorbidity among older adults in India and its states: evidence from LASI. BMC Geriatr. 2023;23:53.
Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204-22.
Road accidents in India. Available at: https://morth.nic.in/sites/default/files/RA_2022_30_Oct.pdf. Accessed on 1 April 2024.
Clinical Key. Fact sheet: Aging with multimorbidity: A systematic review of the literature. Available at: https://www.clinicalkey.com /#!/content/playContent/1-s2.0-S1568163711000249?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1568163711000249%3Fshowall%3Dtrue&referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F. Accessed on 1 April 2024.
Makovski TT, Schmitz S, Zeegers MP, Stranges S, van den Akker M. Multimorbidity and quality of life: Systematic literature review and meta-analysis. Ageing Res Rev. 2019;53:100903.
Kenardy J, Heron-Delaney M, Warren J, Brown E. The effect of mental health on long-term health-related quality of life following a road traffic crash: results from the UQ SuPPORT study. Injury. 2015;46(5):883-90.
Wilmut K, Purcell C. The nature of the risk faced by pedestrians with neurodevelopmental disorders: A systematic review. Accid Anal Prev. 2021;149:105886.
Khan MR, Malik MA, Akhtar SN, Yadav S, Patel R. Multimorbidity and its associated risk factors among older adults in India. BMC Pub Health. 2022;22(1):1-8.
International Institute for Population Sciences (IIPS) NP for, Health Care of Elderly (NPHCE), MoHFW HTHCS of, (USC) PH (HSPH) and the U of SC. Longitudinal Ageing Study in India (LASI) wave 1, 2017–18, India report. 2020. Available at: https://www.iipsindia.ac.in/sites/default/files/LASI_India_Report_2020_compressed.pdf. Accessed on 1 April 2024.
Ashraf I, Hur S, Shafiq M, Park Y. Catastrophic factors involved in road accidents: Underlying causes and descriptive analysis. PLoS One. 2019;14(10):0223473.
Al-Aama T. Falls in the elderly. Can Fam Physician. 2011;57(7):771-6.
India State-Level Disease Burden Initiative Road Injury Collaborators. Mortality due to road injuries in the states of India: the Global Burden of Disease Study 1990-2017. Lancet Pub Health. 2020;5(2):86-98.
Morth NIC. Fact sheet: Road transport year book. Available at: https://morth.nic.in/sites/default/files/RTYB_Publication_2019_20%20(1).pdf. Accessed on 1 April 2024.
Gummidi B, Gautam V, John O, Ghosh A, Jha V. Patterns of multimorbidity among a community-based cohort in rural India. J Multimorb Comorb. 2023;13:26335565221149623.
Malhotra S, Vashist P, Kalaivani M, Gupta N, Senjam SS, Rath R, et al. Prevalence and causes of visual impairment amongst older adults in a rural area of North India: a cross-sectional study. BMJ Open. 2018;8(3):018894.
Piyasena P, Olvera-Herrera VO, Chan VF, Clarke M, Wright DM, MacKenzie G, et al. Vision impairment and traffic safety outcomes in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Glob Health. 2021;9(10):1411-22.
Seth AK, Kansal S, Salve HR, Gupta S, Kumar R, Misra P. The role of noncommunicable disease clinics in improving control of hypertension and diabetes among adults residing in rural Ballabgarh, Haryana. Cureus. 2023;15(4):37283.
Marshall SC, Man-Son-Hing M. Multiple chronic medical conditions and associated driving risk: a systematic review. Traffic Inj Prev. 2011;12(2):142-8.
Rainio J, Sulander P, Hantula L, Nuutinen J, Karkola K. Diseases and motor vehicle fatalities in Finland in 2001 and 2002. Traffic Inj Prev. 2007;8(3):321-8.
Ahmed AA. Hypoglycemia and safe driving. Ann Saudi Med. 2010;30(6):464-7.
Baudry S, Penzer F, Duchateau J. Input-output characteristics of soleus homonymous Ia afferents and corticospinal pathways during upright standing differ between young and elderly adults. Acta Physiol (Oxf). 2014;210(3):667-77.
Taams NE, Drenthen J, Hanewinckel R, Ikram MA, van Doorn PA. Age-related changes in neurologic examination and sensory nerve amplitude in the general population: aging of the peripheral nervous system. Neurology. 2023;101(13):1351-8.
