A cross sectional study of elderly widows residing in urban field practice area of S. N. Medical College, Bagalkot, Karnataka
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20184794Keywords:
Widow, Urban slum, MorbidityAbstract
Background: Widows are the most vulnerable segment among the elderly population in India. Elderly widows face several social, economic, emotional and cultural deprivations due to their gender, widowhood and old age. Hence, this study was done with the objective to know the socio demographic profile and morbidity of elderly widows residing in urban field practice area of S.N. Medical College, Bagalkot.
Methods: This cross sectional study was done in 8 Anganwadi areas during 2016 by cluster random sampling. All the elderly widows residing in the areas were included after informed consent. Ethical clearance was obtained from Institutional review board. Data regarding their socio demographic profile, cause of death of husband, the number of years being a widow, health seeking behavior and their chronic morbidities were noted. Height and weight of each elderly widow was measured and body mass index calculated using the formula weight in kilogram divided by height in meter 2 and classified according to South East Asian category. Blood pressure was recorded three times with the widow in a sitting posture in an interval of 3 minutes and the least value was documented according to JNU classification.
Results: Out of 140 elderly widows who were residents of the areas, majority (69.29%) were between 60 to 74 years of age followed by 27.86% between 75 to 89 years of age. It was observed that 75% of them were illiterate. The leading cause of death of husband was coronary heart disease (19.29%), chronic obstructive pulmonary disease (12.86%) and alcoholic cirrhosis (10.71%). On examination of the non-hypertensive widows, it was observed that 36.06% were in Stage I and 22.68% were in Stage II of hypertension (JNU classification).
Conclusions: Elderly widows are a vulnerable segment of the community. Their health care needs are a priority and regular health check-ups are to be planned.
References
Gupta SK, Sekher TV. Vulnerability and coping mechanisms of aged: A study of elderly widows in Jharkhand. In: Irudaya Rajan S, Balagopal G(eds) Elderly care in India Springer, Singapore; 2017: 169-192.
Agarwal G, Keshri K. Morbidity patterns and health care seeking behavior among older widows in India. PLoS One. 2014;9(4):e94295.
Swain P, Meriter HM, Sherin Raj TP. Health and population- Perspectives and issues 2004;27(3):173-84.
Chen MA. Why widowhood matters? United Nations Publications, New York; 1995: 99-105
Arokiaswamy P, Agarwal G. Population attributable risk factors for selected chronic diseases in India. J Primary Care Community Health. 2010;1(3):192-9.
Sherlock PL, Corso B, Minicuci N. Widowhood, socioeconomic status, health and wellbeing in low and middle income countries. J Dev Stud 2015;51(10):1374-88.
Perkins JM, Lee HY, James KS, Oh J, Krishna A, Hep J, et al. Marital status, widowhood duration, gender and health outcomes: a cross sectional study among older adults in India. BMC Public Health. 2016;16:1032:1-12.
