ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

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Proposing a Bioecological Framework for Elder Abuse in India

Elder abuse is a documented issue around the world. India is no exception. Abuse in older adults is associated with significant increase in emergency department usage, hospitalisation, dementia and depression. An abused elder has a threefold higher risk of death. Nevertheless, elder abuse is ill defined, understudied and underreported. Concepts of elder abuse developed in Western contexts are difficult to generalise to the widely varying contexts of India. This article proposes a framework to study and theorise elder abuse in India. The proposed framework is based on the bioecological systems theory. The article aims to facilitate identification of elder abuse and stimulate discussion around this grave yet neglected issue in care of older adults in India.

Dementia and the Challenges of Caregiving: A Personal Account

Dementia, an incurable and neurodegenerative brain disease, affects millions of elderly in India, and remains a hidden epidemic. However, little is being done by the government to enable individuals affected by the disease to live with dignity and respect in the society.

Sleepless in Mumbai

The anti-migrant political environment in the city of Mumbai has created a confused sociopolitical and economic environment, where the migrant worker, essential to manufacturing and service provision, is able to find work, but is unwelcome in terms of occupying physical, social, political and cultural spaces in the city. The paper attempts to bring this contradiction to the fore through a study of elderly migrant labour employed in the private security provision industry. From the study it becomes apparent that the reality of the lives of workers is shaped by factors beyond work and wages. Their living conditions, inability to cope with any exigency, including illness or death, the atomised lives that they lead in the city in comparison to the villages, and absence of social security or access to quality welfare services force these workers and their families to live in precarious conditions.

Biological Markers and the Health of Older Indians

Portable, user-friendly diagnostics have increased the use of biological markers in national health surveys. The 2010 pilot wave of the Longitudinal Ageing Study in India used a comprehensive biomarker module to measure more accurately the burden of health risks and morbidity among older Indians in four pilot states. This paper presents results from the biomarker data collected during the LASI pilot wave and compares them with self-reports. When compared with self-reports, biomarker data revealed a greater burden of health risks and a higher prevalence of chronic disease. By showing the systematic variations in health status between LASI's self-reported data and biomarker data, the paper highlights the value of using biomarkers to establish more reliable estimates of health in national surveys. The biomarkers studied include blood pressure measurements, grip strength, body mass index, and waist-to-hip ratio, all of which provide valuable insights into health trends affecting older adults.

Social Assistance for Poor Elderly: How Effective?

The National Social Assistance Scheme and its components where they have been effectively introduced has gone a long way towards improving the lot of the poor elderly. However, there are several problems in the implementation of the schemes such as accurate identification of the beneficiaries and therefore a correct assessment of the financial burden on the governments. The scheme needs some urgent revamp.
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