IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0315867.html
   My bibliography  Save this article

Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India

Author

Listed:
  • Toshiaki Aizawa

Abstract

This study examines socio-economic inequalities in the prevalence and treatment of hypertension and diabetes among adults in India, utilising data from the National Family Health Survey (NFHS) collected before and during the COVID-19 pandemic. Disparities associated with individual demographic and socio-economic characteristics are measured, with the level of inequality quantified using the dissimilarity index and contributing factors analysed through decomposition analysis. The results reveal significant socio-economic gradients, with wealthier individuals more likely to have elevated blood pressure and blood glucose levels and to treat them. Socio-economic gradients in treatment are even steeper among middle-aged groups during the pandemic. These wealth- and education-related disparities become more pronounced with age. This study highlights the need for targeted interventions and policies to address socio-economic disparities in access to essential care for socio-economically disadvantaged populations.

Suggested Citation

  • Toshiaki Aizawa, 2025. "Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India," PLOS ONE, Public Library of Science, vol. 20(4), pages 1-21, April.
    • Handle: RePEc:plo:pone00:0315867
    DOI: 10.1371/journal.pone.0315867
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0315867
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0315867&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0315867?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Pinka Chatterji & Heesoo Joo & Kajal Lahiri, 2015. "Examining the education gradient in chronic illness," Education Economics, Taylor & Francis Journals, vol. 23(6), pages 735-750, December.
    2. Mark Montgomery & Michele Gragnolati & Kathleen Burke & Edmundo Paredes, 2000. "Measuring living standards with proxy variables," Demography, Springer;Population Association of America (PAA), vol. 37(2), pages 155-174, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ravi Prakash & Abhishek Singh, 2014. "Who Marries Whom? Changing Mate Selection Preferences in Urban India and Emerging Implications on Social Institutions," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(2), pages 205-227, April.
    2. Barik, Debasis & Desai, Sonalde & Vanneman, Reeve, 2018. "Economic Status and Adult Mortality in India: Is the Relationship Sensitive to Choice of Indicators?," World Development, Elsevier, vol. 103(C), pages 176-187.
    3. M Mahmud Khan & Sebastian Taylor & Chris Morry & Shyamkumar Sriram & Ibrahim Demir & Mizan Siddiqi, 2023. "How reliable is the asset score in measuring socioeconomic status? Comparing asset ownership reported by male and female heads of households," PLOS ONE, Public Library of Science, vol. 18(2), pages 1-15, February.
    4. Janina Isabel Steinert & Lucie Dale Cluver & G. J. Melendez-Torres & Sebastian Vollmer, 2018. "One Size Fits All? The Validity of a Composite Poverty Index Across Urban and Rural Households in South Africa," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(1), pages 51-72, February.
    5. Kinyondo, Abel Alfred & Ntegwa, Magashi Joseph & Masawe, Cresencia Apolinary, 2022. "Socioeconomic Inequality in Maternal Healthcare Services: The Case of Tanzania," African Journal of Economic Review, African Journal of Economic Review, vol. 10(01), January.
    6. Pritha Dev & Blessing U. Mberu & Roland Pongou, 2016. "Ethnic Inequality: Theory and Evidence from Formal Education in Nigeria," Economic Development and Cultural Change, University of Chicago Press, vol. 64(4), pages 603-660.
    7. Assaad, Ragui & Hendy, Rana & Salehi-Isfahani, Djavad, 2019. "Inequality of opportunity in educational attainment in the Middle East and North Africa: Evidence from household surveys," International Journal of Educational Development, Elsevier, vol. 66(C), pages 24-43.
    8. Samia Badji, 2016. "The Wealth Paradox for Whom? Child Labor and the Identification of Households Excluded from the Land and the Labor Markets in Madagascar," Working Papers 1638, Groupe d'Analyse et de Théorie Economique Lyon St-Étienne (GATE Lyon St-Étienne), Université de Lyon.
    9. Sabina Alkire & Maria Emma Santos, 2010. "Acute Multidimensional Poverty: A New Index for Developing Countries," Human Development Research Papers (2009 to present) HDRP-2010-11, Human Development Report Office (HDRO), United Nations Development Programme (UNDP).
    10. Abderrahman Yassine & Fatima Bakass, 2022. "Do Education and Employment Play a Role in Youth’s Poverty Alleviation? Evidence from Morocco," Sustainability, MDPI, vol. 14(18), pages 1-25, September.
    11. Dodoo, F. Nii-Amoo & Zulu, Eliya M. & Ezeh, Alex C., 2007. "Urban-rural differences in the socioeconomic deprivation-Sexual behavior link in Kenya," Social Science & Medicine, Elsevier, vol. 64(5), pages 1019-1031, March.
    12. Giulia Greco, 2018. "Setting the Weights: The Women’s Capabilities Index for Malawi," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 135(2), pages 457-478, January.
    13. Vial, Virginie & Hanoteau, Julien, 2015. "Returns to Micro-Entrepreneurship in an Emerging Economy: A Quantile Study of Entrepreneurial Indonesian Households’ Welfare," World Development, Elsevier, vol. 74(C), pages 142-157.
    14. Ranjan Kumar Prusty & Amit Bhanot & Hanimi Reddy & Ranjan Kumar Panda, 2018. "Trends in Contraceptive Use and Method Mix from Equity Perspective in the Past Two Decades: Evidence from Two East Indian States," Global Journal of Reproductive Medicine, Juniper Publishers Inc., vol. 4(1), pages 1-9, March.
    15. Stephen P. Jenkins & John Micklewright, 2007. "New Directions in the Analysis of Inequality and Poverty," Discussion Papers of DIW Berlin 700, DIW Berlin, German Institute for Economic Research.
    16. Hai‐Anh Dang & Dean Jolliffe & Calogero Carletto, 2019. "Data Gaps, Data Incomparability, And Data Imputation: A Review Of Poverty Measurement Methods For Data‐Scarce Environments," Journal of Economic Surveys, Wiley Blackwell, vol. 33(3), pages 757-797, July.
    17. Xinxin Wang & Shidan Xu & Yubo Zhuo & Julian Chun-Chung Chow, 2023. "Higher Income but Lower Happiness with Left-Behind Experience? A Study of Long-Term Effects for China’s Migrants," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(1), pages 411-434, February.
    18. Carlo Azzarri & Gero Carletto & Benjamin Davis & Alberto Zezza, 2006. "Monitoring Poverty Without Consumption Data : An Application Using the Albania Panel Survey," Eastern European Economics, Taylor & Francis Journals, vol. 44(1), pages 59-82, February.
    19. Filmer,Deon P., 2002. "Fever and its treatment among the more and less poor in Sub-Saharan Africa," Policy Research Working Paper Series 2798, The World Bank.
    20. Laurie F. DeRose, 2007. "Women’s Work and Breastfeeding Simultaneously Rise in Ghana," Economic Development and Cultural Change, University of Chicago Press, vol. 55, pages 583-612.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0315867. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.