PMID- 37059974
OWN - NLM
STAT- MEDLINE
DCOM- 20230418
LR  - 20230422
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 23
IP  - 1
DP  - 2023 Apr 14
TI  - Epidemiology of type 2 diabetes mellitus and treatment utilization patterns among 
      the elderly from the first wave of Longitudinal Aging study in India 
      (2017-18)using a Heckman selection model.
PG  - 699
LID - 10.1186/s12889-023-15661-4 [doi]
LID - 699
AB  - INTRODUCTION: Unmanaged Type 2 diabetes mellitus (T2DM) substantially contributes 
      to the multi-morbidity of the elderly. Fewer research has concentrated on 
      understanding the determinants of treatment utilization among older people, with 
      even lesser concerns about missing data in outcome variables leading to biased 
      estimates. The present study intends to evaluate the epidemiology of T2DM in the 
      elderly in India and explore the socioeconomic and behavioral risk factors 
      determining the treatment utilization among the elderly > 60 years in India by 
      addressing the missing data to generate robust estimates. METHODS: The secondary 
      analysis used data from the Longitudinal Ageing Study in India. The key dependent 
      variables were the presence or absence of T2DM and treatment utilization. 
      Descriptive statistics were used to understand the differences in the prevalence 
      of diabetes and the utilization of treatment across various socio-demographic 
      characteristics. Heckman's statistical technique evaluated the predictors of T2DM 
      and treatment utilization. Analysis was done using STATA software version 14.0. 
      RESULTS: Almost 14% elderly reported to be living with T2DM. The odds of living 
      with T2DM increased with non-working status, a sedentary lifestyle, and a higher 
      BMI. A higher proportion of the elderly was on oral drugs than insulin and had 
      been practicing lifestyle modifications to control their disease. The probability 
      of developing T2DM was lower among females than males, but females had better 
      odds for treatment utilization of health medication than males. Lastly, treatment 
      utilization was significantly affected by socio-demographic characteristics like 
      education and monthly per capita expenditure. CONCLUSIONS: Treatment utilization 
      by the elderly living with T2DM is significantly affected by socio-demographic 
      characteristics. Keeping in mind the increasing proportion of the geriatric 
      population in our country, it is pertinent to tailor-made counseling sessions for 
      the elderly to improve medication utilization and adherence and realize our goals 
      concerning non-communicable diseases.
CI  - (c) 2023. The Author(s).
FAU - Barman, Papai
AU  - Barman P
AD  - International Institute for Population Sciences (IIPS), Mumbai, India.
FAU - Das, Milan
AU  - Das M
AD  - International Institute for Population Sciences (IIPS), Mumbai, India.
FAU - Verma, Madhur
AU  - Verma M
AD  - Department of community & Family medicine, All India institute of medical 
      sciences Bathinda, Bathinda, India. drmadhurverma@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20230414
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Male
MH  - Female
MH  - Humans
MH  - Aged
MH  - *Diabetes Mellitus, Type 2/epidemiology/therapy
MH  - Risk Factors
MH  - Aging
MH  - Morbidity
MH  - Prevalence
MH  - India/epidemiology
PMC - PMC10103042
OTO - NOTNLM
OT  - Diabetes mellitus
OT  - Drug adherence
OT  - Geriatrics
OT  - Health equity
OT  - Treatment utilization
COIS- None Declared.
EDAT- 2023/04/15 06:00
MHDA- 2023/04/18 06:41
PMCR- 2023/04/14
CRDT- 2023/04/14 23:33
PHST- 2022/11/04 00:00 [received]
PHST- 2023/04/11 00:00 [accepted]
PHST- 2023/04/18 06:41 [medline]
PHST- 2023/04/14 23:33 [entrez]
PHST- 2023/04/15 06:00 [pubmed]
PHST- 2023/04/14 00:00 [pmc-release]
AID - 10.1186/s12889-023-15661-4 [pii]
AID - 15661 [pii]
AID - 10.1186/s12889-023-15661-4 [doi]
PST - epublish
SO  - BMC Public Health. 2023 Apr 14;23(1):699. doi: 10.1186/s12889-023-15661-4.