{"title":"印度老年移民和非移民之间健康相关生活质量的差异。","authors":"Vasim Ahamad, Ram B Bhagat","doi":"10.1038/s41598-025-87947-z","DOIUrl":null,"url":null,"abstract":"<p><p>Increasing age with migration status might have a double risk of vulnerability to poor health outcomes. There is a lack of population-based studies on health-related quality of life (HRQoL) of older migrants in India. This study compares the HRQoL between older migrants and non-migrant populations in India and examines the role of migration-related factors. The Longitudinal Ageing Study in India (LASI) Wave-I data was used, and older persons aged 60 and above were selected for the study, which included 30,158 final samples. The HRQoL was measured based on a EuroQol Five-Dimension (EQ-5D) measure. The study used univariate and bivariate analysis to examine HRQoL differences between migrants and non-migrants, and logistic regression analysis was used to examine the association between HRQoL and migration status and other correlates of older persons. Over half of the older persons (55.9%) were growing older at destination places in India. The migrants showed a higher prevalence of poor HRQoL (44.5%) than non-migrants (34.8%). Further, the adjusted logistic regression result shows that migrants were likelier to have poor HRQoL [AOR 1.15; CI 1.09-1.22] than non-migrants. The migrants with 0-9 years of duration and migration at age 60 and above were significantly more likely to have poor HRQoL [AOR 1.20; CI 1.03-1.39] and [AOR 1.20; CI 1.04-1.39], respectively, than non-migrants. Moreover, the origin-destination place of migrants was also found to be significantly associated with poor HRQoL compared to non-migrants. The findings of our study reveal that persons with migration status had lower HRQoL than non-migrants. Some migration-related factors were significantly associated with HRQoL among migrants. However, this study predicts that migrants especially need separate health policies as they are in poorer health conditions than non-migrants. Policymakers should focus on the determinants of migrant health to achieve the goal of healthy ageing for all in India.</p>","PeriodicalId":21811,"journal":{"name":"Scientific Reports","volume":"15 1","pages":"4042"},"PeriodicalIF":3.9000,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791063/pdf/","citationCount":"0","resultStr":"{\"title\":\"Differences in health related quality of life among older migrants and nonmigrants in India.\",\"authors\":\"Vasim Ahamad, Ram B Bhagat\",\"doi\":\"10.1038/s41598-025-87947-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Increasing age with migration status might have a double risk of vulnerability to poor health outcomes. There is a lack of population-based studies on health-related quality of life (HRQoL) of older migrants in India. This study compares the HRQoL between older migrants and non-migrant populations in India and examines the role of migration-related factors. The Longitudinal Ageing Study in India (LASI) Wave-I data was used, and older persons aged 60 and above were selected for the study, which included 30,158 final samples. The HRQoL was measured based on a EuroQol Five-Dimension (EQ-5D) measure. The study used univariate and bivariate analysis to examine HRQoL differences between migrants and non-migrants, and logistic regression analysis was used to examine the association between HRQoL and migration status and other correlates of older persons. Over half of the older persons (55.9%) were growing older at destination places in India. The migrants showed a higher prevalence of poor HRQoL (44.5%) than non-migrants (34.8%). Further, the adjusted logistic regression result shows that migrants were likelier to have poor HRQoL [AOR 1.15; CI 1.09-1.22] than non-migrants. The migrants with 0-9 years of duration and migration at age 60 and above were significantly more likely to have poor HRQoL [AOR 1.20; CI 1.03-1.39] and [AOR 1.20; CI 1.04-1.39], respectively, than non-migrants. Moreover, the origin-destination place of migrants was also found to be significantly associated with poor HRQoL compared to non-migrants. The findings of our study reveal that persons with migration status had lower HRQoL than non-migrants. Some migration-related factors were significantly associated with HRQoL among migrants. However, this study predicts that migrants especially need separate health policies as they are in poorer health conditions than non-migrants. Policymakers should focus on the determinants of migrant health to achieve the goal of healthy ageing for all in India.</p>\",\"PeriodicalId\":21811,\"journal\":{\"name\":\"Scientific Reports\",\"volume\":\"15 1\",\"pages\":\"4042\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2025-02-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791063/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Scientific Reports\",\"FirstCategoryId\":\"103\",\"ListUrlMain\":\"https://doi.org/10.1038/s41598-025-87947-z\",\"RegionNum\":2,\"RegionCategory\":\"综合性期刊\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MULTIDISCIPLINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scientific Reports","FirstCategoryId":"103","ListUrlMain":"https://doi.org/10.1038/s41598-025-87947-z","RegionNum":2,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MULTIDISCIPLINARY SCIENCES","Score":null,"Total":0}
Differences in health related quality of life among older migrants and nonmigrants in India.
Increasing age with migration status might have a double risk of vulnerability to poor health outcomes. There is a lack of population-based studies on health-related quality of life (HRQoL) of older migrants in India. This study compares the HRQoL between older migrants and non-migrant populations in India and examines the role of migration-related factors. The Longitudinal Ageing Study in India (LASI) Wave-I data was used, and older persons aged 60 and above were selected for the study, which included 30,158 final samples. The HRQoL was measured based on a EuroQol Five-Dimension (EQ-5D) measure. The study used univariate and bivariate analysis to examine HRQoL differences between migrants and non-migrants, and logistic regression analysis was used to examine the association between HRQoL and migration status and other correlates of older persons. Over half of the older persons (55.9%) were growing older at destination places in India. The migrants showed a higher prevalence of poor HRQoL (44.5%) than non-migrants (34.8%). Further, the adjusted logistic regression result shows that migrants were likelier to have poor HRQoL [AOR 1.15; CI 1.09-1.22] than non-migrants. The migrants with 0-9 years of duration and migration at age 60 and above were significantly more likely to have poor HRQoL [AOR 1.20; CI 1.03-1.39] and [AOR 1.20; CI 1.04-1.39], respectively, than non-migrants. Moreover, the origin-destination place of migrants was also found to be significantly associated with poor HRQoL compared to non-migrants. The findings of our study reveal that persons with migration status had lower HRQoL than non-migrants. Some migration-related factors were significantly associated with HRQoL among migrants. However, this study predicts that migrants especially need separate health policies as they are in poorer health conditions than non-migrants. Policymakers should focus on the determinants of migrant health to achieve the goal of healthy ageing for all in India.
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