Burden and correlates of disability and functional impairment in an urban community

Introduction: The risk of developing chronic diseases and general disability increases with aging, resulting in loss of functioning ability and decrease in performing optimally. Early diagnosis of impairment and disability may improve the quality of life of elderly and enable them to lead a full and productive life. The study is a part of a larger study done in an urban area of Delhi. Materials and Methods: Systematic random sampling was used to select a cross-sectional sample of the study subjects >20 years and above. Locomotor, Visual Hearing and Speech were assessed using the guidelines given in gazette of India, extraordinary, part II section. Visual disability was measured by the presenting visual acuity in the field area using Snellens chart using WHO guidelines. Result and Conclusion: A total of 120 study subjects out of 1300 screened were in geriatric age group. The overall magnitude of the physical disability was 43.3% among elderly. Visual disability was most common form of disability (60%). Many study subjects were suffering from >1 disability, but treatment was sought only in 50% of disabilities. Treatment seeking for disabilities is an important and neglected issue leading to severe degree of disabilities that would be prevented if taken care of, in due time. A multidimensional approach for prevention is the need of the hour.