Differences in health related quality of life among older migrants and nonmigrants in India

Abstract 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 popu...

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Main Authors: Vasim Ahamad, Ram B. Bhagat
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-87947-z
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author Vasim Ahamad
Ram B. Bhagat
author_facet Vasim Ahamad
Ram B. Bhagat
author_sort Vasim Ahamad
collection DOAJ
description Abstract 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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spelling doaj-art-0ac7aad93de543a6a275a92e620cce242025-02-09T12:28:28ZengNature PortfolioScientific Reports2045-23222025-02-0115111610.1038/s41598-025-87947-zDifferences in health related quality of life among older migrants and nonmigrants in IndiaVasim Ahamad0Ram B. Bhagat1Department of Migration and Urban Studies, International Institute for Population SciencesDepartment of Migration and Urban Studies, International Institute for Population SciencesAbstract 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.https://doi.org/10.1038/s41598-025-87947-zHRQoLMigrantsAgeingEQ-5DIndia
spellingShingle Vasim Ahamad
Ram B. Bhagat
Differences in health related quality of life among older migrants and nonmigrants in India
Scientific Reports
HRQoL
Migrants
Ageing
EQ-5D
India
title Differences in health related quality of life among older migrants and nonmigrants in India
title_full Differences in health related quality of life among older migrants and nonmigrants in India
title_fullStr Differences in health related quality of life among older migrants and nonmigrants in India
title_full_unstemmed Differences in health related quality of life among older migrants and nonmigrants in India
title_short Differences in health related quality of life among older migrants and nonmigrants in India
title_sort differences in health related quality of life among older migrants and nonmigrants in india
topic HRQoL
Migrants
Ageing
EQ-5D
India
url https://doi.org/10.1038/s41598-025-87947-z
work_keys_str_mv AT vasimahamad differencesinhealthrelatedqualityoflifeamongoldermigrantsandnonmigrantsinindia
AT rambbhagat differencesinhealthrelatedqualityoflifeamongoldermigrantsandnonmigrantsinindia