Urban Resettlement Colony Of Delhi Research Articles

Common mental disorders among adolescents in an urban area of Delhi.

Common mental disorders (CMDs) among adolescents may hamper their psycho-social development. This study evaluated the prevalence and determinants of CMD like depression and anxiety among late adolescents of an age of 15--19 years residing in an urban resettlement colony of southeast Delhi. A community-based cross-sectional study was carried out among 556 randomly selected adolescents. CMD was assessed using Mini International Neuropsychiatry Interview - Kid version 6 (MINI-Kid) based on DSM-IV TR and compliant with ICD-10 definitions of CMD. The associated risk factors were studied using a self-developed semi-structured interview schedule and analyzed using multi-variable logistic regression. A total of 491 adolescents were interviewed (a response rate of 88.3%), of whom 247 (50.3%) were female and 210 (42.8%) belonged to a lower-middle socio-economic status. The lifetime prevalence of CMD was 34% [95% confidence interval (CI): 29.8-38.2]. Of the total, 22.4% (95% CI: 18.7-6.1) of the participants reported depression and 6.7% (95% CI: 4.5-8.9) reported generalized anxiety disorder during their lifetime. Female sex [adjusted odds ratio (aOR) 2.1, 95% CI: 1.4-2.2], experiencing a stressful event in the past 6 months (aOR 4.7, 95% CI: 3.1-7.3), and smoking tobacco (aOR 2.0, 95% CI: 1.2-7.4) significantly increased the odds of having CMD in multi-variate analysis. There is a high prevalence of CMD among adolescents residing in urban resettlement colonies of Delhi, which is composed mostly of people belonging to lower socio-economic strata. Hence, tailored intervention at stress management with promotion of healthy lifestyle is needed for this age group.

IJCM_194A: Diabetes distress and associated factors among adult patients residing in an urban resettlement colony in Delhi

Background: Diabetes distress “refers to the negative emotional or affective experiences resulting from the challenge of living with the demands of diabetes.” The American Diabetes Association recommends routinely screening for distress. Presently, this does not take place and distress remains undiagnosed. Objectives: This study aimed to determine the prevalence of diabetes distress, its associated factors and the relationship between glycemic control and distress. Methodology: This community-based, cross-sectional study was conducted in a resettlement colony in Delhi. The participants were selected using simple random sampling and included adults diagnosed with DM. The sample size calculated was 433 (prevalence: 42%, absolute precision: 5%, non-response rate: 10%). The questionnaire included Diabetes Distress Scale 17 and Diabetes Self-Management Questionnaire. Fasting blood sugar (FBS) was tested for all the participants. Logistic regression was used to determine the factors associated with distress as well as the association between glycemic control status and the presence of distress. Results: 412 adults were included in the study, of which 35.4% had clinically significant distress. The factors found to be associated with diabetes distress on multivariable logistic regression were: female sex, belonging to the lower socio-economic status, having self-reported comorbidities, being diagnosed with diabetes 10 or more years ago, being on treatment from a private or government hospital as compared to not being on treatment and having an unmet need for social support. There was a positive association between physician contact and distress. Those with poor glycemic control had higher odds of distress, regimen related distress and emotional burden, as compared to those who had adequate glycemic control. Conclusion: In this study, distress was prevalent among 35.4% of adults with diabetes. The factors determined to be associated with distress may provide a targeted approach to address distress, which ought to be screened for in routine clinical settings and be addressed, to help improve disease control.

Healthier Food Purchase and Its Determinants in an Urban Resettlement Colony of Delhi

ABSTRACT Dietary risk, one of the major risk factors for the increasing burden of non-communicable diseases, is influenced by household food choices and purchases. A community-based cross-sectional study was conducted in 250 randomly selected households of an urban resettlement colony in Delhi to estimate the proportion of households purchasing different healthier food options during the last purchasing occasion and to identify its key determinants. Purchase of healthier options in staple items like wheat flour with fiber (100%), plant-based oils (97.9%), unpolished pulses (96.2%), and toned milk (94.5%) was high. Affordability and health considerations in food purchases were identified as key determinants.

Underweight and overweight among elderly persons in an urban resettlement colony of Delhi

Introduction: The prevalence of overweight and obesity has been rapidly increasing along with the increasing number of elderly persons throughout the world. In developing countries like India, it is no different. At the same time, the prevalence of underweight along with its association with different socioeconomic variables cannot be neglected. The objective was to estimate the prevalence of underweight, overweight, and obesity among the elderly in an urban resettlement colony of Delhi and to find their association with various sociodemographic variables. Methods: A cross-sectional community-based study was conducted among 499 elderly persons (60 years and above) selected by Simple Random Sampling. A pretested questionnaire was used for sociodemographic variables and weight and arm-span were measured. Prevalence was calculated and the association using multivariate logistic regression. Results: The prevalence of underweight was 13.8% (95% Confidence Interval [CI]: 10.9–17.2%), overweight 18.2% (95% CI: 15.0%–21.9%), and obesity 27.3% (95% CI: 23.4–31.4%). Elderly persons having normal Body Mass Index was 40.6%. Underweight was significantly associated with illiteracy and not doing anything at present; obesity was more common among females, younger, and educated elderly persons. Conclusion: Three-fifths of elderly persons in the urban area were underweight or overweight or obese. Targeted community-based interventions are required to optimize their nutritional status. Focus areas should include appropriate and acceptable dietary advice, and an increase in physical activity to reduce complications.

Mild Cognitive Impairment among Elderly Persons Residing in an Urban Resettlement Colony in Delhi.

Mild cognitive impairment (MCI) is a transitional state between normal cognition and clinical dementia. MCI is associated with an increased risk of dementia and mortality. Progression of MCI to dementia can be prevented by cognitive and lifestyle interventions. There is limited evidence on the burden and risk factors associated with MCI in India. To estimate the prevalence of MCI among elderly persons, and to study the factors associated with MCI. This community-based cross-sectional study was carried out among 365 persons aged 60 years or older, residing in an urban resettlement colony of Delhi. Participants with dementia (score <23 on the Hindi version of the Mini-Mental State Examination) were excluded. Objective cognitive impairment and functional disability were assessed by the Montreal Cognitive Impairment-Basic (MoCA-B) tool and Barthel's Activities of Daily Living, respectively. The prevalence of MCI was estimated by Petersen's criteria, i.e., subjective memory impairment, objective cognitive impairment (MoCA score 19-25), functional independence, and absence of dementia. Univariate analysis was performed, followed by stepwise multivariate logistic regression. The association of socio-demographic and other health conditions with MCI was assessed. The prevalence of MCI was 9.3% [95% confidence interval (CI) 6.7-12.7], 13.3% (95% CI 8.8-19.7) among men, and 6.5% (95% CI 3.9-10.6) among women. The risk of MCI was higher among current smokers. MCI was common among the elderly. Early detection of MCI may be included in health programs for elderly persons.

Antenatal depression and its correlates - a cross-sectional study in an urban resettlement colony of Delhi

Background- Antenatal depression is affecting 10% pregnant women worldwide with higher prevalence in developing countries. This causes poor maternal and foetal outcome and also affects cognitive development of the child. Aim and objective: To estimate magnitude of antenatal depression and its risk factors. Methodology- A cross-sectional survey was done at the antenatal clinic of community health department catering to an urban resettlement colony, East Delhi. Estimated sample size was 216 (including 10% non-response rate). Pregnant women attending the ANC clinic from October 2019 to February 2020 were enrolled. EPDS questionnaire was used to assess depression during pregnancy. Results-The antenatal depression was found in 11.8% subjects as per EPDS score. Working female and belonging to Muslim religion, past history of abortion, complications in previous pregnancy, financial debt, physical violence and substance use in family showed significant association with antenatal depression. Conclusion –Depression was prevalent among antenatal women and was found to be associated with various risk factors.

Utilization of Nutritional Supplementation Services and Their Predictors in Pregnant and Lactating Women Living in an Urban Resettlement Colony of Delhi, India: A Cross-Sectional Study.

Introduction Maternal undernutrition during pregnancy and lactating has adverse health consequences for the mother and her child. The Integrated Child Development Services (ICDS) scheme by the Government of India provides supplementary nutrition services to all pregnant and lactating women but its utilization is suboptimal due to inefficient distribution through the health system and beneficiary concerns regarding its usefulness. This study was conducted with the objective of assessing the utilization of nutrition-related ICDS services by pregnant and lactating women in urban poor settlements of Delhi and the sociodemographic factors associated with non-utilization. Materials and methods This was a community-based cross-sectional survey in an urban resettlement colony and slum area located in the northeast district of Delhi. The data collection was conducted from January to May 2022. Eligible participants included pregnant women in their second or third trimester of pregnancy and lactating mothers in their first six months of the postpartum period who were residents of the study setting.Data were collected using face-to-face interviews using a pre-tested and self-designed questionnaire. The primary outcome was the proportion of women utilizing ICDS take-home rations (THR) in the previous month. Results A total of 365 participants were recruited in this study including 208 pregnant and 157 lactating women having a median (IQR) age of 25 (22-28) years.A total of 211 (57.8%) participants reported a history of utilization of ICDS supplementary nutrition services during their current pregnancy or postpartumwith 154 (42.2%) having received THR in the previous month. Among the currently pregnant women, 84 (40.4%) had utilized ICDS THR while in the currently lactating women, 70 (44.6%) had utilized THR in the previous month.On adjusted analysis, multigravid women were less likely to have utilized ICDS compared to primigravida women. Reasons for non-utilization of the ICDS supplementary nutrition services by the mothers were temporary disruption due to cessation of ICDS services by protesting Anganwadi workers (over demand for increased honorarium), difficult access to Anganwadi center, the poor perceived taste of the food provided as THR, and perception by the mothers that they did not require THR. Most women reported sharing the THR with their family members. All pregnant and lactating women were found to be calorie and protein deficient in this study when applying the recommended intake values. No association was observed between the utilization of ICDS in the previous month and the presence of calorie deficiency in both pregnant (p=0.35) and lactating (p=0.24) women. Conclusions More than four in ten eligible pregnant and lactating women in an urban resettlement colony in Delhidid not utilize ICDS supplementary nutrition services with similar rates of utilization in both pregnant and lactating women. Women living in joint families and consequently larger households were less likely to utilize ICDS services. A majority of pregnant and lactating women were calorie and protein deficient even on applying non-pregnant cut-off requirements. The ICDS scheme needs to strengthen information, education, and communication (IEC) strategies and interventions to improve its acceptability and utilization by this vulnerable population.

Health-Seeking Behaviour for Childhood Ailments in Caregivers of Under-Five Children in an Urban Resettlement Colony in Delhi, India

This explorative qualitative study assesses the health-seeking behaviour for childhood ailments in caregivers of under-five children in a low-income neighbourhood in Delhi, India during July-September 2021. A total of 17 caregivers (mothers) of eight male and nine female under-five children were enrolled, with the mother being the caregiver in most (94%) cases.Caregivers consulted on common childhood ailments from multiple sources, including family, neighbours, healthcare providers (both licensed and unlicensed), frontline workers, and local pharmacists. The internet was often used as a source of child health information due to its ease of access but often "confused" caregivers due to the presence of too much information.Health-seeking behaviour of caregivers for childhood ailments could range from self-medication, local pharmacist dispensing, and private and public healthcare providers. Factors that influenced preference for the healthcare facility or provider were accessibility issues (waiting time, queuing), perceived physician competence, and associated out-of-pocket expenses. Caregivers reported dissatisfaction with government health facilities because of shorter operational hours, overcrowding, suboptimal sanitation, queuing with limited seating arrangements, and occasionally discourteous health staff. Self-medication and over-the-counter use of antibiotics was high due to a lack of awareness of the challenges of antibiotic resistance or any perceived side effects.Preference for unlicensed practitioners for medical treatment was low and based on long-term familial beliefs and acceptance. However, traditional practitioners enjoyed a high level of trust in the community from shared cultural values, enjoining attenuation of the perceived non-biological agents of childhood illnesses through non-medical supernatural interventions.

Underweight, Overweight and Anaemia among Persons Aged 60 years or Older Residing in an Urban Resettlement Colony of Delhi: A Cross-sectional Study

Introduction: Nutritional deficiencies are common among elderly person aged 60 years or older. Elderly persons suffer the dual burden of overnutrition and undernutrition. These nutritional disorders can be corrected if diagnosed and managed at the earliest. Aim: To estimate the prevalence and factors associated with underweight, overweight, obesity and anaemia among elderly persons in an urban resettlement colony of Delhi, India. Materials and Methods: The present study was a crosssectional survey in which elderly persons who were residents of Dr Ambedkar Nagar, an urban resettlement colony in Dakshinpuri Extension of Delhi were recruited. The study period was from December 2019 to March 2020. A pretested semi-structured interview schedule was used to collect sociodemographic details. The anthropometric measurements, namely, height and weight were carried out as per standard practice. Capillary blood haemoglobin level was measured by a digital haemoglobinometer. Chi-square test for distribution and multivariable logistic regression for association were performed. Results: Data was collected from 959 participants, with a response rate of 91.2%. The prevalence (95%CI) of underweight, overweight and obesity were 15.5% (13.3, 18.0), 21.9% (19.3, 24.6) and 9.6% (7.7, 11.6), respectively. Persons aged 70 years or older and illiterate persons had increased chance of being underweight. Women had increased chance of being overweight or obese. The prevalence of anaemia among participants was 72.1% (95% CI 69.2% - 74.9%), using the cut-off of anaemia as haemoglobin levels &lt;13 gm/dL in men, and &lt;12 gm/dL in women. Conclusion: The prevalence of underweight, overweight/ obesity and anaemia among elderly persons in the study population was high. Community-based measures need to be taken to address them.

Effect of structured supervised yoga on stress, anxiety, and depression during a pandemic situation among the population of an urban resettlement colony of Delhi: A quasi-experimental study

Background: Increased level of stress has a potential impact on physical, mental, and social well-being. It was seen aggravated during the global pandemic situation of COVID-19. Aim: The aim of this study was to find the effect of a community-based structured yoga program on the level of stress, anxiety, and depression. Materials and Methods: This was a community-based quasi-experimental study of pre–post in type involving 26 adult participants without any preexisting morbidity. All of them were provided 12 weeks of structured yoga program of 50 min/session, ≥2 sessions/week. Psychometric questionnaire, Depression, Anxiety, and Stress Scale-21 (DASS-21), stress biomarker serum cortisol, C-reactive protein, erythrocyte sedimentation rate, and rate pressure product were used to assess the primary and secondary outcome variables. Results: A total of 26 participants (male: 6 and female: 20) were enrolled and 18 participants completed the follow-up assessment. The median number of yoga sessions attended was 22. At the end of 12 weeks, there was a significant reduction of the stress component of DASS-21 (p: 0.0018) and the serum cortisol level (p: 0.032). Other variables had a reduction but it was not significant. No adverse effect was reported by the participants. Conclusions: This community-based yoga study showed beneficial effects among the participants. The stress level was found reduced significantly. However, the sustainable effect needed to be assessed further.

Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi.

Context:Health care utilization informs us about the utility of services which are available. We have a paucity of studies related to health care utilization among elderly in India.Aims:The aim of this study is to find out utilization of health care services by elderly (≥60 years), pattern, factors associated with, and perception of the elderly population regarding facilitators and barriers for the same.Settings and Design:A community based cross-sectional, observational study was conducted in a resettlement colony of East Delhi.Materials and Methods:A pretested, semi-structured, and interviewer-administered questionnaire was used. Duration of data collection was November 2018 to January 2020.Statistical Analysis Used:For quantitative variables, mean, median, proportion, Chi-square test, binary logistic regression using Statistical Package for the Social Sciences (SPSS), and for qualitative variables thematic analysis were done.Results:The study included 288 study participants. Although utilization of health care services in last 15 days among elderly is 90%, it was also found that 69% of the elderly consulted a licensed medical practitioner. A private facility was visited by 58% of the study participants. Female gender (OR: 1.97; P = 0.02), religion as Hindu (OR, 2.09; P = 0.04), and marital status “single” (OR, 1.8; P = 0.04) were observed to be significant predictors of health care utilization. The participants expressed less waiting time, cashless facility for visits, availability of an accompanying person, behavior of staffs work as facilitators for utilization of services.Conclusions:Considering the unique characteristics of this age group, a shift from facility to community-based approach may be considered. Efforts may be made to create elderly friendly health facilities.

Effect of Community-Based Structured Yoga Program on Hba1c Level among Type 2 Diabetes Mellitus Patients: An Interventional Study.

Context:In view of the rising burden of type 2 diabetes mellitus (DM) cases in India, there is an urgent need for an effective, low-cost, sustainable intervention controlling diabetes thus preventing complications.Aims:This study aimed to assess the effect of structured yoga programs on diabetes.Subjects and Methods:This was a community-based interventional study that was conducted in an urban resettlement colony of Delhi, India. Known diabetes patients with glycated hemoglobin (Hb1Ac) ≥6.5% were enrolled from 12 randomly selected blocks of the community with a sample size of 192 in each intervention and wait-listed control arm. The intervention was structured yoga of 50 min daily, 2 consecutive weeks in a nearby park and health center followed by twice a week home practice up to the 3rd month. The primary outcome measure was HbA1c% and secondary outcome measures were lipid profile and fasting blood glucose.Statistical Analysis Used:Aper-protocol analysis was done. Mean, standard deviation (SD), and 95% confidence interval were estimated. The level of significance was considered for 0.05.Results:There was a significant decrease of Hb1Ac (0.5%, SD = 1.5, P = 0.02), total cholesterol (11.7 mg/dl, SD = 40.5, P < 0.01), and low-density lipoprotein (3.2 mg/dl, SD = 37.4, P < 0.01) from baseline to end line in the intervention group. These changes in intervention group were also significantly different from the change in the wait-listed control group. The other variables did not change significantly.Conclusions:It revealed that structured yoga program improved glycemic outcome and lipid profile of individuals in a community-based setting. Yoga can be a feasible strategy to control hyperglycemia, lipid levels, and can help better control type 2 DM.

Adolescent Boys Workshops: Creating Awareness on Various Boys Issues in a Slum and Resettlement Colony in Delhi

Background: Adolescence is the period of growing-up, this phase is characterized by marked and rapid changes: physical, psychological, sexual, socio-economical. There are many workshops and training sessions held for adolescent girls, while the boys in this age group are overlooked. The present study focuses on a series of workshops that were held exclusively for adolescent boys in an urban resettlement colony in Delhi. Method: This retrospective study was conducted from 15th February 2020 to 15th May 2020, in a slum community of Delhi, for 131 adolescent boys, who had attended Adolescent Boys Workshops from February to August 2019. The study was aimed to find out the increase in the awareness and knowledge of adolescent boys who attended these workshops, on various adolescence related topics. Statistical analysis was done in order to obtain mean, median and mode of the test scores. The student T test was applied to find the statistically significant p value. A p-value &lt;0.05 was taken as significant. Result: There was increase in the mean knowledge score from 5.3 to 7.0; t-5.36748, p-value &lt; .00001 in pre and post-tests. 85.5% of the boys had access to mobile phones. It was found that 93 (70.9%) of the participants were underweight. Thirty four (25.9%) were anaemic. Conclusion: The present study has shown that workshops through effective module for adolescent boys are helpful in creating awareness amongst them. Therefore there is a need to address more and more adolescent boys with such kind of workshops.

Perceived Stress and its Epidemiological and Behavioral Correlates in an Urban Area of Delhi, India: A Community-Based Cross-Sectional Study.

Background:Increasing stress has been recognized as a major public health problem in the developing world accelerated by an ongoing demographic, economic, and sociocultural transition. Our study objectives were to validate a Hindi version of the 10-item Perceived Stress Scale (PSS-10) and to also assess the extent of perceived stress and its correlates among an adult population in an urban area of Delhi.Methodology:A community-based cross-sectional study was conducted in an urban resettlement colony of Delhi among 480 adult subjects aged 25--65 years, during the period from January to December 2015. The PSS-10 was translated into Hindi and validated in the study population. Data was analyzed using IBM SPSS Version 25.Results:A total of 243 (50.6%) men and 237 (49.4%) women were enrolled. The scale had an acceptable level of internal consistency (Cronbach's alpha = 0.731). A principal component analysis was run on the PSS-10 data, based on which a three-component structure was accepted, which explained 61% of the total variance. The mean PSS score was 19.25 (SD = 4.50) years. Perceived stress was highest in the 35--50 age group. On multivariate analysis, low socioeconomic status and a white-collar occupation were found to be associated with increased perceived stress (P < 0.001)Conclusion:A high burden of perceived stress exists in residents of a low-income urban population in India.

Salt intake among women in an Urban resettlement colony of Delhi

Monitoring of population salt intake is essential for compliance with the WHO target of a 30% relative reduction in mean population salt intake. This study was conducted to estimate the daily salt intake and find the associated variables among adult women in an urban resettlement colony of Delhi. In this community-based cross-sectional study, 426 women aged 20-59 years from an urban resettlement colony were randomly selected. Sociodemographic details, anthropometric measurements, blood pressure, and morning spot urine samples were obtained. INTERSALT equation was used to estimate the 24-h salt intake from spot urine sodium. Association of salt intake with related variables was studied using t-test/analysis of variance, and P < 0.05 was considered to be significant. A total of 426 women participated in the study, and 381 participants' urine samples could be collected. The study participants' mean age (standard deviation [SD]) was 34.5 (9.4) years. The mean salt intake (SD, 95% confidence interval) of the participants calculated using the INTERSALT equation was 7.6 (1.7, 7.5-7.8) g/day. The salt intake was significantly associated with educational status, occupation, marital status, socioeconomic status, blood pressure, and waist circumference. Waist circumference was found to have a significant positive linear relationship with daily salt intake. The daily salt intake of this population was well above the recommendation and had a positive linear relationship with waist circumference. Reduction in daily salt intake is a must to control the epidemic of hypertension.

Prevalence and risk factors of soil-transmitted helminth infections in school age children (6-14 years) - A cross-sectional study in an urban resettlement colony of Delhi.

Soil-transmitted helminth (STH) infections have adverse physical and mental effect, especially in preschool (3-6 years) and school-age children (6-14 years). They are associated with socio-behavioral factors of poverty and poor personal and community hygiene. To determine the prevalence, intensity, and the type of helminths infection harbored by the school age children (6-14 years) and to examine the relationship between STH infection and their potential risk factors and associated variables. This cross-sectional study was conducted from January to December 2016 among 250 school age children residing in an urban resettlement colony of East Delhi. Data were collected using a semistructured interview schedule. Stool sample was tested using the Kato Katz technique. Data were analyzed in SPSS software version 16, and multivariable regression analysis was done to calculate the odds of various risk factors. The prevalence of STH was found to be 54.8%, and majority (85.3%) of Ascaris and all Trichuris infections were of light intensity. Multivariable logistic regression analysis confirmed that children having poor handwashing behavior in school, irregular handwashing before eating, having pica, and lack of de-worming had higher odds of having STH infection. The prevalence of STH in the study area is substantially high, and the findings suggest that besides mass de-worming strategy, behavior change, and improvement in hygiene are required to control STH.

Adherence to iron with folic acid supplementation in women attending an antenatal clinic at a low-income urban area in Delhi, India

Introduction: Adherence to Iron-Folic Acid Supplementation (IFAS) in pregnant women can safeguard them against nutritional anemia and the related adverse pregnancy outcomes. The objective of this study was to assess the adherence to oral IFAS in women attending an antenatal clinic in an urban resettlement colony of Delhi, India. Material and Methods: We conducted a cross-sectional study and enrolled 211 antenatal women through consecutive sampling during a 4-month period from December 2018 to April 2019. IFAS adherent status was defined as women taking ≥80% of their prescribed IFAS in the previous 7 days, equivalent to IFAS intake for at least 6 days in the previous week. We also estimated adequacy of IFAS drug stocks with the patient during the past 30 days. The data were analyzed using IBM SPSS Version 25. A P Results: The mean (± standard deviation) age of the women was 24.6 (±3.4) years, ranging from 19 to 35 years. Median years of education was 11, and all the women were currently married. A total of 54 (25.6) women reported being non-adherent to their prescribed IFA medication. Only 175 (82.9%) women had adequate IFAS stocks during the past 30 days. On adjusted analysis, running out of IFAS stocks was a significant predictor of IFAS non-adherence (P = 0.004). Conclusion: The present study indicates that adherence to IFAS among pregnant women is suboptimal. Non-adherence was usually because of running out of drug-stocks but rarely due to drug side-effects.

A study on elder abuse in an urban resettlement colony of Delhi.

Background:In India, proportion of elderly is increasing with decrease in mortality rate and increase in life expectancy. There is a paucity of studies on elder abuse, a problem faced frequently by an elderly. The present study planned to find out the prevalence of abuse and associated risk factors among community dwelling elderly in an urban resettlement colony of east Delhi.Methods:It is a community-based cross-sectional study. This study was done among elderly residents aged 60 years and above in an urban resettlement colony of east Delhi. Study participants were interviewed using a pretested, semi-structured questionnaire. Data were collected regarding sociodemographic profile and prevalence of abuse. Simple descriptive tables were generated to denote frequencies. Cross-tabulation and chi-square test were applied to study the association between various sociodemographic characteristics and elder abuse.Results:A total of 125 elderly were interviewed. Twelve (9.6%) reported experience of abuse. All abused participants faced neglect, four faced verbal abuse, and two participants reported physical and one financial abuse. Abused elderly belonged to a higher age group >70 years and did not have regular contact with family and friends (P = 0.00; no involvement in social activities (P = 0.001). Abuse was more likely when “finances were managed by others” (P = 0.02) and having dependency for daily needs (P = 0.00).Conclusion:Elder abuse is prevalent in India. The victims of abuse lack social support and network and are reluctant to report abuse.

Menopausal symptoms and quality of life in women above 40 years in an urban resettlement colony of East Delhi

Background: Awareness of menopausal symptoms and their effects on the quality of life is extremely important for better management of symptoms. Objectives: The objectives of this study was to assess the prevalence of menopausal symptoms and its effect on the quality of life in women >40 years and determine the association of sociodemographic, obstetric, and other factors with menopause. Materials and Methods: A cross-sectional study was conducted in 105 women aged 40 years and above residing in an urban resettlement colony of Delhi. An interviewer-administered questionnaire was used to obtain information about sociodemographic and menstrual history. Quality of life related to menopause and its symptoms were measured using the menopause-specific quality of life questionnaire. Statistical analysis was done using SPSS 20.0. Results: Majority of the participants were married (70%), literate (50.5%), unemployed (92.4%), and belonged to upper-lower socioeconomic class (65.7%). The most prevalent symptom was decrease in physical strength in 85.7% of women. The prevalence (89%) and mean score of botheration (3.05 ± 0.917) for physical domain of symptoms was highest and it was significantly associated with the age of subjects and attainment of menopause (P < 0.05). Psychosocial domain was also significantly affected by the age of participants. Sexual domain of symptoms was least prevalent (11%) and had the least mean score of botheration (1.38 ± 1.134). Mean age of menopause was 44.6 years. Awareness regarding menopause was poor (1.9%). Conclusions: Physical symptoms are the most prevalent. Both physical and psychosocial symptoms are associated with age of participants, while only physical symptoms are associated with menopause attainment. The awareness of menopausal symptoms was very poor in the participants.

Prevalence of Depression and its Association with Sociodemographic Factors in Postmenopausal Women in an Urban Resettlement Colony of Delhi.

Background:Menopause is defined as the time of cessation of ovarian function resulting in permanent amenorrhea. Menopause is associated with various symptoms such as physical, vasomotor, sexual, and psychological symptoms. Depression is a common symptom in postmenopausal women as menopause is associated with the end of the fertile period of a women's life. Menopause is an important subject to study as due to increase in life expectancy and improved health care delivery number of postmenopausal women is significantly increasing.Objectives:The objective of the study is to determine the prevalence of depression and its association with sociodemographic factors in postmenopausal women in an urban resettlement colony of Delhi.Materials and Methods:A community-based cross-sectional study was conducted among 580 postmenopausal women who were resident of Gokulpuri in North-East Delhi, using a predesigned, pretested, and semi-structured interview schedule. Hamilton Depression (HAM-D) scale was used to find out the prevalence of depression. The collected data were analyzed using SPSS-22 version.Results:In our study, 58.4% postmenopausal women were normal with no depression, 38.3% were in a mild depression, and 3.3% women were having moderate depression. Depression was more prevalent in women belonging to the younger age group, lower socioeconomic status, and illiterate women. Furthermore, the prevalence of depression was more in women who were divorced or widow.Conclusions:Study revealed prevalence of depression in significant number of postmenopausal women. To improve the quality of life of women in postmenopausal period, diagnosis of depression and relevant influencing factors is important.