Burden, determinants, consequences and care of multimorbidity in rural and urbanising Telangana, India: protocol for a mixed-methods study within the APCAPS cohort
Poppy Alice Carson Mallinson,
Sanjay Kinra,
Om Kurmi,
Anoop SV Shah,
Hemant Mahajan,
Judith Lieber,
Santhi Bhogadi,
Sureshkumar Kamalakannan,
Srivalli Addanki,
Bharati Kulkarni,
Nick Birk,
Teena Dasi,
Santosh Kumar Banjara,
Wenbo Song,
Gowri Iyer,
Raghu Kishore Galla,
Shilpa Sadanand
Affiliations
Poppy Alice Carson Mallinson
Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine Faculty of Epidemiology and Population Health, London, UK
Sanjay Kinra
Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine Faculty of Epidemiology and Population Health, London, UK
Om Kurmi
Coventry University, Coventry, UK
Anoop SV Shah
Centre for Global Chronic Conditions, Faculty of Epidemiology and Population Health, Department of Non-communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
Hemant Mahajan
National Institute of Nutrition, Hyderabad, Telangana, India
Judith Lieber
Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine Faculty of Epidemiology and Population Health, London, UK
Santhi Bhogadi
Public Health Foundation of India, New Delhi, India
Sureshkumar Kamalakannan
SACDIR, Public Health Foundation of India, New Delhi, India
Srivalli Addanki
Public Health Foundation of India, New Delhi, India
Bharati Kulkarni
National Institute of Nutrition, Hyderabad, Telangana, India
Nick Birk
Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine Faculty of Epidemiology and Population Health, London, UK
Teena Dasi
National Institute of Nutrition, Hyderabad, Telangana, India
Santosh Kumar Banjara
National Institute of Nutrition, Hyderabad, Telangana, India
Wenbo Song
Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine Faculty of Epidemiology and Population Health, London, UK
Gowri Iyer
Indian Institute of Public Health Hyderabad, Hyderabad, India
Raghu Kishore Galla
Enact Health Private Limited, Hyderabad, India
Shilpa Sadanand
Indian Institute of Public Health Hyderabad, Hyderabad, India
Introduction The epidemiological and demographic transitions are leading to a rising burden of multimorbidity (co-occurrence of two or more chronic conditions) worldwide. Evidence on the burden, determinants, consequences and care of multimorbidity in rural and urbanising India is limited, partly due to a lack of longitudinal and objectively measured data on chronic health conditions. We will conduct a mixed-methods study nested in the prospective Andhra Pradesh Children and Parents’ Study (APCAPS) cohort to develop a data resource for understanding the epidemiology of multimorbidity in rural and urbanising India and developing interventions to improve the prevention and care of multimorbidity.Methods and analysis We aim to recruit 2100 APCAPS cohort members aged 45+ who have clinical and lifestyle data collected during a previous cohort follow-up (2010–2012). We will screen for locally prevalent non-communicable, infectious and mental health conditions, alongside cognitive impairments, disabilities and frailty, using a combination of self-reported clinical diagnosis, symptom-based questionnaires, physical examinations and biochemical assays. We will conduct in-depth interviews with people with varying multimorbidity clusters, their informal carers and local healthcare providers. Deidentified data will be made available to external researchers.Ethics and dissemination The study has received approval from the ethics committees of the National Institute of Nutrition and Indian Institute of Public Health Hyderabad, India and the London School of Hygiene and Tropical Medicine, UK. Meta-data and data collection instruments will be published on the APCAPS website alongside details of existing APCAPS data and the data access process (www.lshtm.ac.uk/research/centres-projects-groups/apcaps).
