Name of the Presenting Author:
Abstract Content (not more than 300 word, should include: Introduction, Objective, Methodology, critical findings & Conclusion):
Background: The rapid demographic ageing of India's population underscores the critical need to understand the social support systems for the elderly, a key determinant of their well-being. The housing arrangement, whether in traditional family settings or institutional old age homes (OAHs), is posited to significantly influence the level of social support experienced, yet comparative studies in the Indian context are lacking.
Objective: This study aimed to assess the prevalence and determinants of social support among elderly individuals residing in OAHs compared to those in family settings in Uttar Pradesh.
Methods: A cross-sectional comparative study was conducted with 364 elderly participants (182 from OAHs and 182 from families). Data on socio-demographic characteristics, economic status, and social support levels (categorised as low, medium, or high) were collected. Chi-square tests were used to examine associations, and ordered logistic regression was employed to identify factors independently associated with social support.
Results: A significantly higher proportion of the elderly in family settings reported high social support (63.2%) compared to those in OAHs (31.9%) (p<0.001). Bivariate analysis revealed significant associations between social support and sex, marital status, residence, occupation, asset ownership, and financial responsibility. After adjusting for confounders, ordinal logistic regression confirmed that residing in an OAH was independently associated with lower odds of higher social support (AOR=0.40, 95% CI: 0.22-0.74). Being widowed (AOR=1.92, 95% CI: 1.01-3.64) and being employed (self-employed: AOR=4.44; agricultural work: AOR=3.18; formal employment: AOR=4.60) were significant predictors of higher social support.
Conclusion: Elderly individuals living in OAHs experience substantially lower social support than their family-dwelling counterparts. Interventions to enhance social support within institutional care are urgently needed.
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Address & Pincode of the Presenting Author:
IIPS Govandi East Station Road Deonar Mumbai 400088