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Education, gender, and state-level disparities in the health of older Indians: Evidence from biomarker data

Author

Listed:
  • Lee, Jinkook
  • McGovern, Mark E.
  • Bloom, David E.
  • Arokiasamy, P.
  • Risbud, Arun
  • O’Brien, Jennifer
  • Kale, Varsha
  • Hu, Peifeng

Abstract

Using new biomarker data from the 2010 pilot round of the Longitudinal Aging Study in India (LASI), we investigate education, gender, and state-level disparities in health. We find that hemoglobin level, a marker for anemia, is lower for respondents with no schooling (0.7g/dL less in the adjusted model) compared to those with some formal education and is also lower for females than for males (2.0g/dL less in the adjusted model). In addition, we find that about one third of respondents in our sample aged 45 or older have high C-reaction protein (CRP) levels (>3mg/L), an indicator of inflammation and a risk factor for cardiovascular disease. We find no evidence of educational or gender differences in CRP, but there are significant state-level disparities, with Kerala residents exhibiting the lowest CRP levels (a mean of 1.96mg/L compared to 3.28mg/L in Rajasthan, the state with the highest CRP). We use the Blinder–Oaxaca decomposition approach to explain group-level differences, and find that state-level disparities in CRP are mainly due to heterogeneity in the association of the observed characteristics of respondents with CRP, rather than differences in the distribution of endowments across the sampled state populations.

Suggested Citation

  • Lee, Jinkook & McGovern, Mark E. & Bloom, David E. & Arokiasamy, P. & Risbud, Arun & O’Brien, Jennifer & Kale, Varsha & Hu, Peifeng, 2015. "Education, gender, and state-level disparities in the health of older Indians: Evidence from biomarker data," Economics & Human Biology, Elsevier, vol. 19(C), pages 145-156.
  • Handle: RePEc:eee:ehbiol:v:19:y:2015:i:c:p:145-156
    DOI: 10.1016/j.ehb.2015.09.003
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    as
    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. Powell, Lisa M. & Wada, Roy & Krauss, Ramona C. & Wang, Youfa, 2012. "Ethnic disparities in adolescent body mass index in the United States: The role of parental socioeconomic status and economic contextual factors," Social Science & Medicine, Elsevier, vol. 75(3), pages 469-476.
    3. Fogel,Robert William, 2004. "The Escape from Hunger and Premature Death, 1700–2100," Cambridge Books, Cambridge University Press, number 9780521004886, December.
    4. Ben Jann, 2008. "A Stata implementation of the Blinder-Oaxaca decomposition," ETH Zurich Sociology Working Papers 5, ETH Zurich, Chair of Sociology, revised 14 May 2008.
    5. Datt, Gaurav, 1998. "Poverty in India and Indian states," FCND discussion papers 47, International Food Policy Research Institute (IFPRI).
    6. Sinning, Mathias & Hahn, Markus & Bauer, Thomas K., 2008. "The Blinder–Oaxaca decomposition for nonlinear regression models," Stata Journal, StataCorp LP, vol. 8(4), pages 1-13.
    7. Luis Rosero-Bixby & William H. Dow, 2009. "Surprising SES Gradients in Mortality, Health, and Biomarkers in a Latin American Population of Adults," Journals of Gerontology: Series B, Gerontological Society of America, vol. 64(1), pages 105-117.
    8. Liu, Hong & Fang, Hai & Zhao, Zhong, 2013. "Urban–rural disparities of child health and nutritional status in China from 1989 to 2006," Economics & Human Biology, Elsevier, vol. 11(3), pages 294-309.
    9. Jürgen Maurer, 2011. "Education and Male-Female Differences in Later-Life Cognition: International Evidence From Latin America and the Caribbean," Demography, Springer;Population Association of America (PAA), vol. 48(3), pages 915-930, August.
    10. Oaxaca, Ronald, 1973. "Male-Female Wage Differentials in Urban Labor Markets," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 14(3), pages 693-709, October.
    11. Fogel, Robert W, 1994. "Economic Growth, Population Theory, and Physiology: The Bearing of Long-Term Processes on the Making of Economic Policy," American Economic Review, American Economic Association, vol. 84(3), pages 369-395, June.
    12. Fogel,Robert William, 2004. "The Escape from Hunger and Premature Death, 1700–2100," Cambridge Books, Cambridge University Press, number 9780521808781, December.
    13. Thomas N. Daymonti & Paul J. Andrisani, 1984. "Job Preferences, College Major, and the Gender Gap in Earnings," Journal of Human Resources, University of Wisconsin Press, vol. 19(3), pages 408-428.
    14. Coffey, Diane, 2015. "Early life mortality and height in Indian states," Economics & Human Biology, Elsevier, vol. 17(C), pages 177-189.
    15. Alan S. Blinder, 1973. "Wage Discrimination: Reduced Form and Structural Estimates," Journal of Human Resources, University of Wisconsin Press, vol. 8(4), pages 436-455.
    16. Ackerson, Leland K. & Kawachi, Ichiro & Barbeau, Elizabeth M. & Subramanian, S.V., 2008. "Geography of underweight and overweight among women in India: A multilevel analysis of 3204 neighborhoods in 26 states," Economics & Human Biology, Elsevier, vol. 6(2), pages 264-280, July.
    17. repec:pri:rpdevs:deaton_dreze_poverty_india is not listed on IDEAS
    18. repec:eee:joecag:v:4:y:2014:i:c:p:26-34 is not listed on IDEAS
    19. Fogel, Robert W, 2004. "Health, Nutrition, and Economic Growth," Economic Development and Cultural Change, University of Chicago Press, vol. 52(3), pages 643-658, April.
    20. Ravallion, Martin & Datt, Gaurav, 2002. "Why has economic growth been more pro-poor in some states of India than others?," Journal of Development Economics, Elsevier, vol. 68(2), pages 381-400, August.
    21. Angus Deaton & Valerie Kozel, 2005. "Data and Dogma: The Great Indian Poverty Debate," World Bank Research Observer, World Bank Group, vol. 20(2), pages 177-199.
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    2. repec:eee:jeborg:v:142:y:2017:i:c:p:259-274 is not listed on IDEAS
    3. Böckerman, Petri & Bryson, Alex & Viinikainen, Jutta & Hakulinen, Christian & Pulkki-Råback, Laura & Raitakari, Olli & Pehkonen, Jaakko, 2017. "Biomarkers and long-term labour market outcomes: The case of creatine," Journal of Economic Behavior & Organization, Elsevier, vol. 142(C), pages 259-274.
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    5. repec:eee:ehbiol:v:25:y:2017:i:c:p:99-111 is not listed on IDEAS

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