Chronic disease concordance within Indian households: A cross-sectional study
Shivani A Patel1,2, Preet K Dhillon3, Dimple Kondal1,3
1Centre for Chronic Disease Control, Gurugram, Haryana, India.
Plos Medicine
|September 30, 2017
Summary
Living with someone who has a chronic condition increases your own risk for developing one. This study highlights the importance of household-level interventions for chronic disease prevention and management.
Area of Science:
- Public Health
- Epidemiology
- Sociology
Background:
- The household unit is understudied in chronic disease research.
- Investigating the link between co-residing with an individual with a chronic condition and one's own health status.
Purpose of the Study:
- To estimate the association between living with someone with a chronic condition and an individual's own chronic condition status.
- To explore concordance of specific chronic conditions within households.
Main Methods:
- Cross-sectional analysis of household and individual data from diverse settings in India.
- Surveyed 7,522 adults across 2,574 households.
- Measured diabetes, common mental disorder, hypertension, obesity, and high cholesterol using logistic regression.
Main Results:
- Adults living with someone with any chronic condition had higher odds of having one themselves (aOR=1.29).
- Stronger associations observed for specific condition concordance (e.g., diabetes, mental disorder, obesity).
- Significant condition concordance found in parent-adult child and spousal dyads.
Conclusions:
- Strong concordance of chronic conditions exists within co-residing adults in India.
- Household-based approaches may enhance chronic disease prevention and control strategies.
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