Morbidities, health problems, health care seeking and utilization behaviour among elderly residing on urban areas of eastern Nepal: A cross-sectional study

Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population, health problems, and health care utilization should be assessed carefully and addressed. This study aimed to identify chronic morbidities, healt...

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Published in:	PloS one Vol. 17; no. 9; p. e0273101
Main Authors:	Poudel, Mukesh, Ojha, Asmita, Thapa, Jeevan, Yadav, Deepak Kumar, Sah, Ram Bilakshan, Chakravartty, Avaniendra, Ghimire, Anup, Sundar Budhathoki, Shyam
Format:	Journal Article
Language:	English
Published:	United States Public Library of Science 07-09-2022 Public Library of Science (PLoS)
Subjects:	Age Aged Aging Chronic illnesses Cities Confidence intervals Cross-Sectional Studies Geriatrics Health aspects Health care Health care facilities Health problems Health services Health services utilization Households Humans Hypertension Medical care Medicine and Health Sciences Morbidity Nepal - epidemiology Older people Patient Acceptance of Health Care People and Places Physical fitness Population Poverty Prevalence Public health Questionnaires Random sampling Sample size Sampling techniques Statistical analysis Statistical sampling Tobacco Urban areas Utilization Nepal
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Abstract	Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population, health problems, and health care utilization should be assessed carefully and addressed. This study aimed to identify chronic morbidities, health problems, health care seeking behaviour and health care utilization among the elderly. We conducted a community based, cross-sectional study in urban areas of the Sunsari district using face-to-face interviews. A total of 530 elderly participants were interviewed and selected by a simple proportionate random sampling technique. About half, 48.3%, elderly were suffering from pre-existing chronic morbidities, of which, 30.9% had single morbidity, and 17.4% had multi-morbidities. This study unfurled more than 50.0% prevalence of health ailments like circulatory, digestive, eye, musculoskeletal and psychological problems each representing the burden of 68.7%, 68.3%, 66.2%, 65.8% and 55.7% respectively. Our study also found that 58.7% preferred hospitals as their first contact facility. Despite the preferences, 46.0% reported visiting traditional healers for treatment of their ailments. About 68.1% reported having difficulty seeking health care and 51.1% reported visits to a health care facility within the last 6 months period. The participants with pre-existing morbidity, health insurance, and an economic status above the poverty line were more likely to visit health care facilities. Elderly people had a higher prevalence of health ailments, but unsatisfactory health care seeking and health care utilization behaviour. These need further investigation and attention by the public health system in order to provide appropriate curative and preventive health care to the elderly. There is an urgent need to promote geriatric health services and make them available at the primary health care level, the first level of contact with a national health system.
AbstractList	Background Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population, health problems, and health care utilization should be assessed carefully and addressed. This study aimed to identify chronic morbidities, health problems, health care seeking behaviour and health care utilization among the elderly. Methods We conducted a community based, cross-sectional study in urban areas of the Sunsari district using face-to-face interviews. A total of 530 elderly participants were interviewed and selected by a simple proportionate random sampling technique. Results About half, 48.3%, elderly were suffering from pre-existing chronic morbidities, of which, 30.9% had single morbidity, and 17.4% had multi-morbidities. This study unfurled more than 50.0% prevalence of health ailments like circulatory, digestive, eye, musculoskeletal and psychological problems each representing the burden of 68.7%, 68.3%, 66.2%, 65.8% and 55.7% respectively. Our study also found that 58.7% preferred hospitals as their first contact facility. Despite the preferences, 46.0% reported visiting traditional healers for treatment of their ailments. About 68.1% reported having difficulty seeking health care and 51.1% reported visits to a health care facility within the last 6 months period. The participants with pre-existing morbidity, health insurance, and an economic status above the poverty line were more likely to visit health care facilities. Conclusion Elderly people had a higher prevalence of health ailments, but unsatisfactory health care seeking and health care utilization behaviour. These need further investigation and attention by the public health system in order to provide appropriate curative and preventive health care to the elderly. There is an urgent need to promote geriatric health services and make them available at the primary health care level, the first level of contact with a national health system. BackgroundMorbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population, health problems, and health care utilization should be assessed carefully and addressed. This study aimed to identify chronic morbidities, health problems, health care seeking behaviour and health care utilization among the elderly.MethodsWe conducted a community based, cross-sectional study in urban areas of the Sunsari district using face-to-face interviews. A total of 530 elderly participants were interviewed and selected by a simple proportionate random sampling technique.ResultsAbout half, 48.3%, elderly were suffering from pre-existing chronic morbidities, of which, 30.9% had single morbidity, and 17.4% had multi-morbidities. This study unfurled more than 50.0% prevalence of health ailments like circulatory, digestive, eye, musculoskeletal and psychological problems each representing the burden of 68.7%, 68.3%, 66.2%, 65.8% and 55.7% respectively. Our study also found that 58.7% preferred hospitals as their first contact facility. Despite the preferences, 46.0% reported visiting traditional healers for treatment of their ailments. About 68.1% reported having difficulty seeking health care and 51.1% reported visits to a health care facility within the last 6 months period. The participants with pre-existing morbidity, health insurance, and an economic status above the poverty line were more likely to visit health care facilities.ConclusionElderly people had a higher prevalence of health ailments, but unsatisfactory health care seeking and health care utilization behaviour. These need further investigation and attention by the public health system in order to provide appropriate curative and preventive health care to the elderly. There is an urgent need to promote geriatric health services and make them available at the primary health care level, the first level of contact with a national health system. Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population, health problems, and health care utilization should be assessed carefully and addressed. This study aimed to identify chronic morbidities, health problems, health care seeking behaviour and health care utilization among the elderly. We conducted a community based, cross-sectional study in urban areas of the Sunsari district using face-to-face interviews. A total of 530 elderly participants were interviewed and selected by a simple proportionate random sampling technique. About half, 48.3%, elderly were suffering from pre-existing chronic morbidities, of which, 30.9% had single morbidity, and 17.4% had multi-morbidities. This study unfurled more than 50.0% prevalence of health ailments like circulatory, digestive, eye, musculoskeletal and psychological problems each representing the burden of 68.7%, 68.3%, 66.2%, 65.8% and 55.7% respectively. Our study also found that 58.7% preferred hospitals as their first contact facility. Despite the preferences, 46.0% reported visiting traditional healers for treatment of their ailments. About 68.1% reported having difficulty seeking health care and 51.1% reported visits to a health care facility within the last 6 months period. The participants with pre-existing morbidity, health insurance, and an economic status above the poverty line were more likely to visit health care facilities. Elderly people had a higher prevalence of health ailments, but unsatisfactory health care seeking and health care utilization behaviour. These need further investigation and attention by the public health system in order to provide appropriate curative and preventive health care to the elderly. There is an urgent need to promote geriatric health services and make them available at the primary health care level, the first level of contact with a national health system. Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population, health problems, and health care utilization should be assessed carefully and addressed. This study aimed to identify chronic morbidities, health problems, health care seeking behaviour and health care utilization among the elderly. We conducted a community based, cross-sectional study in urban areas of the Sunsari district using face-to-face interviews. A total of 530 elderly participants were interviewed and selected by a simple proportionate random sampling technique. About half, 48.3%, elderly were suffering from pre-existing chronic morbidities, of which, 30.9% had single morbidity, and 17.4% had multi-morbidities. This study unfurled more than 50.0% prevalence of health ailments like circulatory, digestive, eye, musculoskeletal and psychological problems each representing the burden of 68.7%, 68.3%, 66.2%, 65.8% and 55.7% respectively. Our study also found that 58.7% preferred hospitals as their first contact facility. Despite the preferences, 46.0% reported visiting traditional healers for treatment of their ailments. About 68.1% reported having difficulty seeking health care and 51.1% reported visits to a health care facility within the last 6 months period. The participants with pre-existing morbidity, health insurance, and an economic status above the poverty line were more likely to visit health care facilities. Elderly people had a higher prevalence of health ailments, but unsatisfactory health care seeking and health care utilization behaviour. These need further investigation and attention by the public health system in order to provide appropriate curative and preventive health care to the elderly. There is an urgent need to promote geriatric health services and make them available at the primary health care level, the first level of contact with a national health system. Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population, health problems, and health care utilization should be assessed carefully and addressed. This study aimed to identify chronic morbidities, health problems, health care seeking behaviour and health care utilization among the elderly.BACKGROUNDMorbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population, health problems, and health care utilization should be assessed carefully and addressed. This study aimed to identify chronic morbidities, health problems, health care seeking behaviour and health care utilization among the elderly.We conducted a community based, cross-sectional study in urban areas of the Sunsari district using face-to-face interviews. A total of 530 elderly participants were interviewed and selected by a simple proportionate random sampling technique.METHODSWe conducted a community based, cross-sectional study in urban areas of the Sunsari district using face-to-face interviews. A total of 530 elderly participants were interviewed and selected by a simple proportionate random sampling technique.About half, 48.3%, elderly were suffering from pre-existing chronic morbidities, of which, 30.9% had single morbidity, and 17.4% had multi-morbidities. This study unfurled more than 50.0% prevalence of health ailments like circulatory, digestive, eye, musculoskeletal and psychological problems each representing the burden of 68.7%, 68.3%, 66.2%, 65.8% and 55.7% respectively. Our study also found that 58.7% preferred hospitals as their first contact facility. Despite the preferences, 46.0% reported visiting traditional healers for treatment of their ailments. About 68.1% reported having difficulty seeking health care and 51.1% reported visits to a health care facility within the last 6 months period. The participants with pre-existing morbidity, health insurance, and an economic status above the poverty line were more likely to visit health care facilities.RESULTSAbout half, 48.3%, elderly were suffering from pre-existing chronic morbidities, of which, 30.9% had single morbidity, and 17.4% had multi-morbidities. This study unfurled more than 50.0% prevalence of health ailments like circulatory, digestive, eye, musculoskeletal and psychological problems each representing the burden of 68.7%, 68.3%, 66.2%, 65.8% and 55.7% respectively. Our study also found that 58.7% preferred hospitals as their first contact facility. Despite the preferences, 46.0% reported visiting traditional healers for treatment of their ailments. About 68.1% reported having difficulty seeking health care and 51.1% reported visits to a health care facility within the last 6 months period. The participants with pre-existing morbidity, health insurance, and an economic status above the poverty line were more likely to visit health care facilities.Elderly people had a higher prevalence of health ailments, but unsatisfactory health care seeking and health care utilization behaviour. These need further investigation and attention by the public health system in order to provide appropriate curative and preventive health care to the elderly. There is an urgent need to promote geriatric health services and make them available at the primary health care level, the first level of contact with a national health system.CONCLUSIONElderly people had a higher prevalence of health ailments, but unsatisfactory health care seeking and health care utilization behaviour. These need further investigation and attention by the public health system in order to provide appropriate curative and preventive health care to the elderly. There is an urgent need to promote geriatric health services and make them available at the primary health care level, the first level of contact with a national health system. Background Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population, health problems, and health care utilization should be assessed carefully and addressed. This study aimed to identify chronic morbidities, health problems, health care seeking behaviour and health care utilization among the elderly. Methods We conducted a community based, cross-sectional study in urban areas of the Sunsari district using face-to-face interviews. A total of 530 elderly participants were interviewed and selected by a simple proportionate random sampling technique. Results About half, 48.3%, elderly were suffering from pre-existing chronic morbidities, of which, 30.9% had single morbidity, and 17.4% had multi-morbidities. This study unfurled more than 50.0% prevalence of health ailments like circulatory, digestive, eye, musculoskeletal and psychological problems each representing the burden of 68.7%, 68.3%, 66.2%, 65.8% and 55.7% respectively. Our study also found that 58.7% preferred hospitals as their first contact facility. Despite the preferences, 46.0% reported visiting traditional healers for treatment of their ailments. About 68.1% reported having difficulty seeking health care and 51.1% reported visits to a health care facility within the last 6 months period. The participants with pre-existing morbidity, health insurance, and an economic status above the poverty line were more likely to visit health care facilities. Conclusion Elderly people had a higher prevalence of health ailments, but unsatisfactory health care seeking and health care utilization behaviour. These need further investigation and attention by the public health system in order to provide appropriate curative and preventive health care to the elderly. There is an urgent need to promote geriatric health services and make them available at the primary health care level, the first level of contact with a national health system.
Audience	Academic
Author	Poudel, Mukesh Sah, Ram Bilakshan Ojha, Asmita Yadav, Deepak Kumar Chakravartty, Avaniendra Sundar Budhathoki, Shyam Thapa, Jeevan Ghimire, Anup
AuthorAffiliation	5 Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom Tribhuvan University Institute of Medicine, NEPAL 2 Health Office, Nuwakot, Ministry of health, Bagmati Province, Hetauda, Nepal 6 Golden Community, Lalitpur, Nepal 1 Epidemiology and Disease Control Division, Ministry of Health and Population, Kathmandu, Nepal 4 School of Public Health & Community Medicine B.P Koirala Institute of Health Sciences, Dharan, Nepal 3 Department of Community Health Sciences, Patan Academy of Health Sciences, Lalitpur, Nepal
AuthorAffiliation_xml	– name: 6 Golden Community, Lalitpur, Nepal – name: 3 Department of Community Health Sciences, Patan Academy of Health Sciences, Lalitpur, Nepal – name: 4 School of Public Health & Community Medicine B.P Koirala Institute of Health Sciences, Dharan, Nepal – name: 5 Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom – name: Tribhuvan University Institute of Medicine, NEPAL – name: 2 Health Office, Nuwakot, Ministry of health, Bagmati Province, Hetauda, Nepal – name: 1 Epidemiology and Disease Control Division, Ministry of Health and Population, Kathmandu, Nepal
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Cites_doi	10.2147/COPD.S268110 10.4017/gt.2014.13.1.010.00 10.1093/heapol/czv137 10.1093/occmed/kqv087 10.1111/j.1475-6773.2005.00346.x 10.1371/journal.pone.0187866 10.1093/eurpub/ckt179 10.1136/bmjopen-2021-059758 10.1371/journal.pone.0269231 10.1186/1471-2296-15-61 10.1371/journal.pone.0269840 10.2337/dc19-1782 10.4103/0970-0218.51236 10.1016/S0140-6736(19)30955-9 10.2105/AJPH.87.3.365 10.1136/bmjopen-2021-051536 10.1136/bmjopen-2021-057778 10.1016/S0140-6736(18)32279-7 10.1111/1475-6773.12211 10.3389/ijph.2022.1604333 10.1136/bmjopen-2021-056342 10.9778/cmajo.20170052 10.3126/kumj.v10i3.8015 10.1186/s10194-018-0942-3 10.1186/s12877-022-03115-2 10.1016/S0140-6736(21)01330-1 10.33314/jnhrc.v17i3.1758 10.1177/073346489501400104 10.1093/ajh/hpx074
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PublicationDate_xml	– month: 09 year: 2022 text: 2022-09-07 day: 07
PublicationDecade	2020
PublicationPlace	United States
PublicationPlace_xml	– name: United States – name: San Francisco – name: San Francisco, CA USA
PublicationTitle	PloS one
PublicationTitleAlternate	PLoS One
PublicationYear	2022
Publisher	Public Library of Science Public Library of Science (PLoS)
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References	pone.0273101.ref021 P Geldsetzer (pone.0273101.ref034) 2019; 394 K Manandhar (pone.0273101.ref053) 2018; 19 U.S. Department of Health and Human Services (pone.0273101.ref022) 2003; 289 A Poudyal (pone.0273101.ref050) 2021; 11 S Diwan (pone.0273101.ref009) 1995; 14 RM Killingmo (pone.0273101.ref061) 2022; 12 pone.0273101.ref028 pone.0273101.ref029 RR Dhungana (pone.0273101.ref042) 2016 (pone.0273101.ref036) 2021; 398 S. Resident (pone.0273101.ref038) 2017; 7 pone.0273101.ref025 L Gurung (pone.0273101.ref051); 2 pone.0273101.ref026 New ERA Ministry of Health (pone.0273101.ref031) 2015 G. Jackson-Koku (pone.0273101.ref024) 2016; 66 HJ Gaffney (pone.0273101.ref054) 2022; 17 JHL Angel (pone.0273101.ref040) 2017; 6 P Puri (pone.0273101.ref057) 2022; 67 S Ghimire (pone.0273101.ref032) 2022; 12 S Ilinca (pone.0273101.ref058) 2015; 50 SH van Oostrom (pone.0273101.ref060) 2014; 15 R Aacharya (pone.0273101.ref035) 2007 N Popovic (pone.0273101.ref006) 2017; 12 A Lena (pone.0273101.ref047) 2009; 34 E Saito (pone.0273101.ref055) 2016; 31 HM Swami (pone.0273101.ref020) 2002; 24 WHO (pone.0273101.ref030) 2015 cr-split#-pone.0273101.ref010.1 cr-split#-pone.0273101.ref010.2 M Tonelli (pone.0273101.ref059) 2017; 5 AX Chan (pone.0273101.ref062) 2022; 17 M Herr (pone.0273101.ref004) 2014; 24 N Manandhar (pone.0273101.ref045) 2019; 17 BA Kohrt (pone.0273101.ref023) 2002; 2 JA Seiglie (pone.0273101.ref048) 2020; 43 pone.0273101.ref049 TA Arcury (pone.0273101.ref063) 2005; 40 pone.0273101.ref008 TB Adhikari (pone.0273101.ref037) 2020; 15 pone.0273101.ref002 NHRC (pone.0273101.ref046) 2019 J Alonso (pone.0273101.ref007) 1997; 87 (pone.0273101.ref001) 2018; 392 S Bhattarai (pone.0273101.ref052) 2015; 11 pone.0273101.ref011 B Bista (pone.0273101.ref027) 2014 K Manandhar (pone.0273101.ref041) 2012; 10 J Hoebel (pone.0273101.ref005) 2017 L. Shrestha (pone.0273101.ref014) 2012; 15 DANBB Kshetri (pone.0273101.ref003) 2011; 14 S Balakrishnan (pone.0273101.ref033) 2022; 22 RP Thakur (pone.0273101.ref039) 2018 Y Zeng (pone.0273101.ref056) 2022; 12 pone.0273101.ref016 pone.0273101.ref017 S Devkota (pone.0273101.ref043) 2016 KK Davison (pone.0273101.ref064) 2008; 64 pone.0273101.ref018 D Neupane (pone.0273101.ref044) 2017; 30 pone.0273101.ref019 pone.0273101.ref012 pone.0273101.ref013 pone.0273101.ref015
References_xml	– volume: 15 start-page: 2319 year: 2020 ident: pone.0273101.ref037 article-title: Prevalence of chronic obstructive pulmonary disease and its associated factors in Nepal: Findings from a community-based household survey publication-title: International Journal of COPD doi: 10.2147/COPD.S268110 contributor: fullname: TB Adhikari – ident: pone.0273101.ref015 – ident: pone.0273101.ref013 doi: 10.4017/gt.2014.13.1.010.00 – volume: 31 start-page: 817 year: 2016 ident: pone.0273101.ref055 article-title: Inequality and inequity in healthcare utilization in urban Nepal: A cross-sectional observational study publication-title: Health Policy and Planning doi: 10.1093/heapol/czv137 contributor: fullname: E Saito – start-page: 14 year: 2017 ident: pone.0273101.ref005 article-title: Socioeconomic inequalities in health and perceived unmet needs for healthcare among the elderly in Germany publication-title: International Journal of Environmental Research and Public Health contributor: fullname: J Hoebel – ident: pone.0273101.ref011 – ident: pone.0273101.ref021 – volume: 66 start-page: 174 year: 2016 ident: pone.0273101.ref024 article-title: Beck depression inventory publication-title: Occupational Medicine doi: 10.1093/occmed/kqv087 contributor: fullname: G. Jackson-Koku – start-page: 19 year: 2018 ident: pone.0273101.ref039 article-title: Health Problems Among the Elderly: A Cross-Sectional Study publication-title: Annals of Medical & Health Science Research contributor: fullname: RP Thakur – ident: #cr-split#-pone.0273101.ref010.2 – year: 2014 ident: pone.0273101.ref027 article-title: Population Monograph of Nepal, Volume 1: Population Dynamics contributor: fullname: B Bista – ident: pone.0273101.ref025 – volume: 40 start-page: 135 year: 2005 ident: pone.0273101.ref063 article-title: The effects of geography and spatial behavior on health care utilization among the residents of a rual region publication-title: Health Services Research doi: 10.1111/j.1475-6773.2005.00346.x contributor: fullname: TA Arcury – ident: pone.0273101.ref002 – ident: pone.0273101.ref018 – volume: 6 start-page: 3 year: 2017 ident: pone.0273101.ref040 publication-title: Journal of Hypertension: Open Access Prevalence and Factors Associated with Hypertension among Elderly Population in Dhapasi VDC of Kathmandu District contributor: fullname: JHL Angel – volume: 2 start-page: 27 ident: pone.0273101.ref051 article-title: Health Service Utilization by Elderly Population in Urban Nepal: A Cross-Sectional Study contributor: fullname: L Gurung – ident: pone.0273101.ref016 – volume: 12 start-page: 1 year: 2017 ident: pone.0273101.ref006 article-title: Predictors of unmet health care needs in Serbia; Analysis based on EU-SILC data publication-title: PLoS ONE doi: 10.1371/journal.pone.0187866 contributor: fullname: N Popovic – volume: 2 start-page: 123 year: 2002 ident: pone.0273101.ref023 article-title: Validation of a Nepali version of the Beck Depression Inventory publication-title: Nepalese Journal of Psychiatry contributor: fullname: BA Kohrt – ident: pone.0273101.ref012 – volume: 24 start-page: 808 year: 2014 ident: pone.0273101.ref004 article-title: Unmet health care needs of older people: prevalence and predictors in a French cross-sectional survey publication-title: European journal of public health [Internet]. doi: 10.1093/eurpub/ckt179 contributor: fullname: M Herr – ident: pone.0273101.ref008 – volume: 12 start-page: e059758 year: 2022 ident: pone.0273101.ref056 article-title: What factors are associated with utilisation of health services for the poor elderly? Evidence from a nationally representative longitudinal survey in China. publication-title: BMJ open. England doi: 10.1136/bmjopen-2021-059758 contributor: fullname: Y Zeng – ident: pone.0273101.ref029 – volume: 64 start-page: 2391 year: 2008 ident: pone.0273101.ref064 publication-title: NIH Public Access contributor: fullname: KK Davison – ident: #cr-split#-pone.0273101.ref010.1 – volume-title: Noncommunicable Disease Risk Factors year: 2019 ident: pone.0273101.ref046 contributor: fullname: NHRC – volume: 17 start-page: e0269231 year: 2022 ident: pone.0273101.ref062 article-title: Associations between healthcare utilization and access and diabetic retinopathy complications using All of Us nationwide survey data publication-title: PloS one doi: 10.1371/journal.pone.0269231 contributor: fullname: AX Chan – volume: 15 start-page: 61 year: 2014 ident: pone.0273101.ref060 article-title: Multimorbidity of chronic diseases and health care utilization in general practice. publication-title: BMC family practice [Internet] doi: 10.1186/1471-2296-15-61 contributor: fullname: SH van Oostrom – ident: pone.0273101.ref026 – volume: 17 start-page: e0269840 year: 2022 ident: pone.0273101.ref054 article-title: Factors that influence older patients’ participation in clinical communication within developed country hospitals and GP clinics: A systematic review of current literature publication-title: PloS one doi: 10.1371/journal.pone.0269840 contributor: fullname: HJ Gaffney – volume: 43 start-page: 767 year: 2020 ident: pone.0273101.ref048 article-title: Diabetes Prevalence and Its Relationship With Education, Wealth, and BMI in 29 Low- and Middle-Income Countries publication-title: Diabetes care doi: 10.2337/dc19-1782 contributor: fullname: JA Seiglie – volume: 7 start-page: 27 year: 2017 ident: pone.0273101.ref038 article-title: Health status, Family Relation and Living Condition of Elderly People Residing in Geriatric Homes of Western Nepal publication-title: International Journal of Health Sciences and Research contributor: fullname: S. Resident – ident: pone.0273101.ref019 – volume: 289 start-page: 1206 year: 2003 ident: pone.0273101.ref022 article-title: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure publication-title: Blood Pressure [Internet] contributor: fullname: U.S. Department of Health and Human Services – ident: pone.0273101.ref017 – volume: 24 start-page: 13 year: 2002 ident: pone.0273101.ref020 article-title: A Community Based Study of the Morb idity Profile among the Elderly in Chandigarh, India publication-title: Bahrain Medical Bulletin contributor: fullname: HM Swami – volume: 34 start-page: 131 year: 2009 ident: pone.0273101.ref047 article-title: Health and Social Problems of the Elderly: A Cross-Sectional Study in Udupi Taluk, Karnataka. publication-title: Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine [Internet] doi: 10.4103/0970-0218.51236 contributor: fullname: A Lena – start-page: 3 year: 2016 ident: pone.0273101.ref043 article-title: Barriers to Treatment and Control of Hypertension among Hypertensive Participants: A Community-Based Cross-sectional Mixed Method Study in Municipalities of Kathmandu, Nepal publication-title: Frontiers in Cardiovascular Medicine [Internet] contributor: fullname: S Devkota – start-page: 2 year: 2007 ident: pone.0273101.ref035 article-title: Health problems of the geriatric population of Nepal publication-title: Rev Paraninfo Digital contributor: fullname: R Aacharya – volume: 394 start-page: 652 year: 2019 ident: pone.0273101.ref034 article-title: The state of hypertension care in 44 low-income and middle-income countries: a cross-sectional study of nationally representative individual-level data from 1·1 million adults publication-title: Lancet (London, England). England doi: 10.1016/S0140-6736(19)30955-9 contributor: fullname: P Geldsetzer – volume: 11 start-page: 8 year: 2015 ident: pone.0273101.ref052 article-title: Health Seeking Behavior and Utilization of Health Care Services in the Village Development Committees of Ilam District of Nepal publication-title: Journal of Chitwan Medical College contributor: fullname: S Bhattarai – volume: 15 start-page: 144 year: 2012 ident: pone.0273101.ref014 article-title: Geriatric Health in Nepal: Concerns and Experience contributor: fullname: L. Shrestha – volume: 87 start-page: 365 year: 1997 ident: pone.0273101.ref007 article-title: Unmet health care needs and mortality among Spanish elderly publication-title: American Journal of Public Health doi: 10.2105/AJPH.87.3.365 contributor: fullname: J Alonso – volume: 11 start-page: e051536 year: 2021 ident: pone.0273101.ref050 article-title: Prevalence and factors associated with joint pain in Nepal: findings from a countrywide cross-sectional STEPS survey publication-title: BMJ open doi: 10.1136/bmjopen-2021-051536 contributor: fullname: A Poudyal – volume: 12 start-page: e057778 year: 2022 ident: pone.0273101.ref061 article-title: Healthcare utilization and related costs among older people seeking primary care due to back pain: findings from the BACE-N cohort study publication-title: BMJ open. England doi: 10.1136/bmjopen-2021-057778 contributor: fullname: RM Killingmo – volume: 392 start-page: 1789 year: 2018 ident: pone.0273101.ref001 article-title: Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017 publication-title: Lancet (London, England). doi: 10.1016/S0140-6736(18)32279-7 – volume: 14 start-page: 127 year: 2011 ident: pone.0273101.ref003 article-title: Self-reported health problems, health care utilisation and unmet health care needs of elderly men and women in an urban municipality and a rural area of Bhaktapur District of Nepal. contributor: fullname: DANBB Kshetri – volume: 50 start-page: 305 year: 2015 ident: pone.0273101.ref058 article-title: The patterns of health care utilization by elderly Europeans: Frailty and its implications for health systems publication-title: Health Services Research doi: 10.1111/1475-6773.12211 contributor: fullname: S Ilinca – volume: 67 start-page: 1604333 year: 2022 ident: pone.0273101.ref057 article-title: Exploring the Linkages Between Non-Communicable Disease Multimorbidity, Health Care Utilization and Expenditure Among Aboriginal Older Adult Population in India. publication-title: International journal of public health doi: 10.3389/ijph.2022.1604333 contributor: fullname: P Puri – volume: 12 start-page: e056342 year: 2022 ident: pone.0273101.ref032 article-title: Older adults with pre-existing noncommunicable conditions and their healthcare access amid COVID-19 pandemic: a cross-sectional study in eastern Nepal publication-title: BMJ Open doi: 10.1136/bmjopen-2021-056342 contributor: fullname: S Ghimire – volume: 5 start-page: E623 year: 2017 ident: pone.0273101.ref059 article-title: Multimorbidity, dementia and health care in older people:a population-based cohort study. publication-title: CMAJ Open [Internet] doi: 10.9778/cmajo.20170052 contributor: fullname: M Tonelli – volume: 10 start-page: 35 year: 2012 ident: pone.0273101.ref041 article-title: Prevalence and associated risk factors of hypertension among people aged 50 years and more in Banepa Municipality, Nepal publication-title: Kathmandu University medical journal (KUMJ) doi: 10.3126/kumj.v10i3.8015 contributor: fullname: K Manandhar – ident: pone.0273101.ref049 – volume: 19 start-page: 116 year: 2018 ident: pone.0273101.ref053 article-title: Health-care utilization for headache disorders in Nepal: a population-based door-to-door survey publication-title: The journal of headache and pain doi: 10.1186/s10194-018-0942-3 contributor: fullname: K Manandhar – volume: 22 start-page: 425 year: 2022 ident: pone.0273101.ref033 article-title: Prevalence of multimorbidity and its correlates among older adults in Eastern Nepal publication-title: BMC geriatrics doi: 10.1186/s12877-022-03115-2 contributor: fullname: S Balakrishnan – volume: 398 start-page: 957 year: 2021 ident: pone.0273101.ref036 article-title: Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants publication-title: Lancet (London, England) doi: 10.1016/S0140-6736(21)01330-1 – volume: 17 start-page: 408 year: 2019 ident: pone.0273101.ref045 article-title: Morbidity Pattern among Elderly Population of Changu Narayan Municipality, Bhaktapur publication-title: Journal of Nepal Health Research Council. Nepal doi: 10.33314/jnhrc.v17i3.1758 contributor: fullname: N Manandhar – ident: pone.0273101.ref028 – volume: 14 start-page: 47 year: 1995 ident: pone.0273101.ref009 article-title: A Conceptual Framework for Identifying Unmet Health Care Needs of Community Dwelling Elderly publication-title: Journal of Applied Gerontology [Internet]. doi: 10.1177/073346489501400104 contributor: fullname: S Diwan – volume-title: Physical Activity and Older Adults year: 2015 ident: pone.0273101.ref030 contributor: fullname: WHO – year: 2015 ident: pone.0273101.ref031 article-title: Nepal Helath Sector Support Program (NHSSP) and ICF. Nepal Health Facility Survey 2015 [Internet] publication-title: Nepal Ministry of Health contributor: fullname: New ERA Ministry of Health – volume: 30 start-page: 907 year: 2017 ident: pone.0273101.ref044 article-title: Awareness, prevalence, treatment, and control of hypertension in Western Nepal publication-title: American Journal of Hypertension doi: 10.1093/ajh/hpx074 contributor: fullname: D Neupane – start-page: 2016 volume-title: Prevalence and Associated Factors of Hypertension: A Community-Based Cross-Sectional Study in Municipalities of Kathmandu year: 2016 ident: pone.0273101.ref042 contributor: fullname: RR Dhungana
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Snippet	Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing population,... Background Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing... BackgroundMorbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing... Background Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In the ageing...
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SubjectTerms	Age Aged Aging Chronic illnesses Cities Confidence intervals Cross-Sectional Studies Geriatrics Health aspects Health care Health care facilities Health problems Health services Health services utilization Households Humans Hypertension Medical care Medicine and Health Sciences Morbidity Nepal - epidemiology Older people Patient Acceptance of Health Care People and Places Physical fitness Population Poverty Prevalence Public health Questionnaires Random sampling Sample size Sampling techniques Statistical analysis Statistical sampling Tobacco Urban areas Utilization
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Title	Morbidities, health problems, health care seeking and utilization behaviour among elderly residing on urban areas of eastern Nepal: A cross-sectional study
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