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Diseases of the Rich? The Social Patterning of Hypertension in Six Low- and Middle-Income Countries

Author

Listed:
  • Peter Lloyd-Sherlock

    (University of East Anglia)

  • Nadia Minicuci

    (National Research Council)

  • Barbara Corso

    (National Research Council)

  • John Beard

    (WHO)

  • Somnath Chatterji

    (WHO)

  • Shah Ebrahim

    (London School of Hygiene & Tropical Medicine)

Abstract

This paper identifies a general perception among development policymakers that health conditions such as hypertension and other non-communicable diseases (NCDs) disproportionately affect privileged socioeconomic groups. The paper argues that this framing of the issue is derived more from established discourses and institutional dynamics than from evidence. The paper then assesses the validity of this view, with reference to the social patterning of hypertension in China, Ghana, India, Mexico, the Russian Federation and South Africa. Using data for adults aged 50+ from the WHO Survey of Ageing and Adult Health, it finds the social patterning of hypertension prevalence varies markedly between the study countries, but that hypertension awareness and control rates are generally lower for less-advantaged groups. This reveals a need to challenge misleading representations of NCD pandemics and for interventions that specifically target the poor.

Suggested Citation

  • Peter Lloyd-Sherlock & Nadia Minicuci & Barbara Corso & John Beard & Somnath Chatterji & Shah Ebrahim, 2017. "Diseases of the Rich? The Social Patterning of Hypertension in Six Low- and Middle-Income Countries," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 29(4), pages 827-842, August.
    • Handle: RePEc:pal:eurjdr:v:29:y:2017:i:4:d:10.1057_s41287-016-0063-2
    DOI: 10.1057/s41287-016-0063-2
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    References listed on IDEAS

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    1. Johnston, David W. & Propper, Carol & Shields, Michael A., 2009. "Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient," Journal of Health Economics, Elsevier, vol. 28(3), pages 540-552, May.
    2. Rachel A. Nugent Andrea B. Feigl, 2010. "Where Have All the Donors Gone? Scarce Donor Funding for Non-Communicable Diseases - Working Paper 228," Working Papers 228, Center for Global Development.
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    Cited by:

    1. William Kofi Bosu & Siobhan Theresa Reilly & Justice Moses Kwaku Aheto & Eugenio Zucchelli, 2019. "Hypertension in older adults in Africa: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-25, April.

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