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Influence of socioeconomic status, wealth and financial empowerment on gender differences in health and healthcare utilization in later life: evidence from India

  • Roy, Kakoli
  • Chaudhuri, Anoshua
Registered author(s):

    Empirical studies from developed countries observe that women report worse health and higher healthcare utilization than men, but the health disadvantage diminishes with age; gender differences in self-rated health often vanish or are reversed in older ages. Comparable assessments of health during later life from developing countries are limited because of the lack of large-scale surveys that include older women. Our study attempts to address the shortage of developing country studies by examining gender differences in health and healthcare utilization among older adults in India. Both ordered and binary logit specifications were used to assess significant gender differences in subjective and objective health, and healthcare utilization after controlling for demographics, medical conditions, traditional indicators of socioeconomic status like education and income, and additional wealth indicators. The wealth indicators, measured by property ownership and economic independence, are regarded as financially empowering older adults to exercise greater control over their health and well-being. Data are drawn from a nationally representative decennial socioeconomic and health survey of 120,942 Indian households conducted during 1995-1996. The study sample comprises 34,086 older men and women aged >=60 years. Our results indicate that older women report worse self-rated health, higher prevalence of disabilities, marginally lower chronic conditions, and lower healthcare utilization than men. The health disadvantage and lower utilization among women cannot be explained by demographics and the differential distribution of medical conditions. While successive controls for education, income, and property ownership narrows the gender gap in both health and healthcare utilization, significant differentials still persist. Upon controlling for economic independence, gender differentials disappear or are reversed, with older women having equal or better health than otherwise similar men. Financial empowerment might confer older women the health advantage reflected in developed societies by enhancing a woman's ability to undertake primary and secondary prevention during the life course.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(08)00041-5
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    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 66 (2008)
    Issue (Month): 9 (May)
    Pages: 1951-1962

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    Handle: RePEc:eee:socmed:v:66:y:2008:i:9:p:1951-1962
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    1. Anne Case & Christina Paxson, 2004. "Sex Differences in Morbidity and Mortality," Working Papers 244, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    2. Bird, Chloe E. & Rieker, Patricia P., 1999. "Gender matters: an integrated model for understanding men's and women's health," Social Science & Medicine, Elsevier, vol. 48(6), pages 745-755, March.
    3. Shelah Bloom & David Wypij & Monica Gupta, 2001. "Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 67-78, February.
    4. John Strauss & Paul J. Gertler & Omar Rahman & Kristin Fox, 1993. "Gender and Life-Cycle Differentials in the Patterns and Determinants of Adult Health," Journal of Human Resources, University of Wisconsin Press, vol. 28(4), pages 791-837.
    5. Anne Case & Angus Deaton, 2009. "Health and Well-Being in Udaipur and South Africa," NBER Chapters, in: Developments in the Economics of Aging, pages 317-349 National Bureau of Economic Research, Inc.
    6. McDonough, Peggy & Walters, Vivienne, 2001. "Gender and health: reassessing patterns and explanations," Social Science & Medicine, Elsevier, vol. 52(4), pages 547-559, February.
    7. repec:pri:rpdevs:case_deaton_health_wellbeing_udaipur_sa_05_%20revisedjan06.pdf is not listed on IDEAS
    8. Arber, Sara & Ginn, Jay, 1993. "Gender and inequalities in health in later life," Social Science & Medicine, Elsevier, vol. 36(1), pages 33-46, January.
    9. Arber, Sara & Cooper, Helen, 1999. "Gender differences in health in later life: the new paradox?," Social Science & Medicine, Elsevier, vol. 48(1), pages 61-76, January.
    10. repec:pri:cheawb:case_deaton_health_wellbeing_udaipur_sa_05_%20revisedjan06.pdf is not listed on IDEAS
    11. Santow, Gigi, 1995. "Social roles and physical health: The case of female disadvantage in poor countries," Social Science & Medicine, Elsevier, vol. 40(2), pages 147-161, January.
    12. Anson, Ofra & Sun, Shifang, 2002. "Gender and health in rural China: evidence from HeBei province," Social Science & Medicine, Elsevier, vol. 55(6), pages 1039-1054, September.
    13. Hunt, Kate & Annandale, Ellen, 1999. "Relocating gender and morbidity: examining men's and women's health in contemporary Western societies. Introduction to Special Issue on Gender and Health," Social Science & Medicine, Elsevier, vol. 48(1), pages 1-5, January.
    14. Macintyre, Sally & Hunt, Kate & Sweeting, Helen, 1996. "Gender differences in health: Are things really as simple as they seem?," Social Science & Medicine, Elsevier, vol. 42(4), pages 617-624, February.
    15. Huisman, Martijn & Kunst, Anton E. & Mackenbach, Johan P., 2003. "Socioeconomic inequalities in morbidity among the elderly; a European overview," Social Science & Medicine, Elsevier, vol. 57(5), pages 861-873, September.
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