Sanjay Basu|Abby C. King
Disability and Chronic Disease Among Older Adults in India: Detecting Vulnerable Populations Through the WHO SAGE Study
chronic noncommunicable diseases ncds prevalent many low middleincome countries confer heightened risk disability unclear public health programs identify older adults highest risk disability related ncds within diverse developing country populations studied nationally representative survey data 7150 indian adults older 50 years age participated world health organization study global aging adult health 20072010 identify population subgroups highly disabled using machinelearning algorithms identified sociodemographic correlates disability although 2 symptomatic ncds key correlate disability prevalence symptomatic undiagnosed ncds highest among lowest 2 wealth quintiles indian adults contrary prior hypotheses increased ncds wealth women persons rural populations also disproportionately affected nondiagnosed ncds high outofpocket health care expenditures increasing probability remaining symptomatic ncds findings also indicate ncd prevalence surveillance studies low middleincome countries expand beyond selfreported diagnoses include extensive symptom examinationbased surveys given likely high rate surveillance bias due barriers diagnosis among vulnerable populations