IDEAS home Printed from https://ideas.repec.org/p/pra/mprapa/54912.html
   My bibliography  Save this paper

Socioeconomic and age gradients of health of Indian adults: an assessment of self-reported and performance-based measures of health

Author

Listed:
  • Arokiasamy, Perianayagam
  • Uttamacharya, Uttamacharya
  • Kowal, Paul

Abstract

Objectives: This paper describes the age patterns of socioeconomic gradients of health of Indian adults for multiple health indicators encompassing the multidimensional nature of health. Methods: Cross-sectional data on 11,230 Indians aged 18-plus from the WHO-SAGE India Wave 1, 2007 is used. Multivariate logit models were estimated to examine the effects of socioeconomic status (education and household wealth) and age on four health measures: self-rated health, self-reporting functioning, chronic diseases, and performance-based health indicators. Findings: Socioeconomic status was positively associated with each health measure but with considerable heterogeneity across age groups. SES relationship with biomarkers (hypertension and COPD) was inconclusive. SES effects are significant while adjusting for background characteristics and health risk factors. The age patterns of SES gradient of health depict divergence with age, however, no conclusive age pattern emerged for performance-based health indicators. Discussion: Overall, results in this paper dispelled the conclusion of negative SES-health association found in some previous Indian studies and reinforced the hypothesis of positive association of SES with health for Indian adults. Higher prevalence of negative health outcomes and SES disparities of health outcomes among older age-groups highlight need for inclusive and focused health care interventions for older adults across socioeconomic spectrum.

Suggested Citation

  • Arokiasamy, Perianayagam & Uttamacharya, Uttamacharya & Kowal, Paul, 2013. "Socioeconomic and age gradients of health of Indian adults: an assessment of self-reported and performance-based measures of health," MPRA Paper 54912, University Library of Munich, Germany, revised Feb 2014.
  • Handle: RePEc:pra:mprapa:54912
    as

    Download full text from publisher

    File URL: https://mpra.ub.uni-muenchen.de/54912/1/MPRA_paper_54912.pdf
    File Function: original version
    Download Restriction: no

    References listed on IDEAS

    as
    1. repec:aph:ajpbhl:1997:87:9:1484-1490_2 is not listed on IDEAS
    2. Smith, Kimberly V. & Goldman, Noreen, 2007. "Socioeconomic differences in health among older adults in Mexico," Social Science & Medicine, Elsevier, vol. 65(7), pages 1372-1385, October.
    3. Dale Dannefer, 2003. "Cumulative Advantage/Disadvantage and the Life Course: Cross-Fertilizing Age and Social Science Theory," Journals of Gerontology: Series B, Gerontological Society of America, vol. 58(6), pages 327-337.
    4. Zimmer, Zachary & Amornsirisomboon, Pattama, 2001. "Socioeconomic status and health among older adults in Thailand: an examination using multiple indicators," Social Science & Medicine, Elsevier, vol. 52(8), pages 1297-1311, April.
    5. 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.
    6. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
    7. Ai, Chunrong & Norton, Edward C., 2003. "Interaction terms in logit and probit models," Economics Letters, Elsevier, vol. 80(1), pages 123-129, July.
    8. Elo, Irma T. & Preston, Samuel H., 1996. "Educational differentials in mortality: United States, 1979-1985," Social Science & Medicine, Elsevier, vol. 42(1), pages 47-57, January.
    9. Lantz, Paula M. & Lynch, John W. & House, James S. & Lepkowski, James M. & Mero, Richard P. & Musick, Marc A. & Williams, David R., 2001. "Socioeconomic disparities in health change in a longitudinal study of US adults: the role of health-risk behaviors," Social Science & Medicine, Elsevier, vol. 53(1), pages 29-40, July.
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    Socioeconomic status; gradients; self rated health; functional health; chronic disease; biomarkers;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    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:pra:mprapa:54912. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Joachim Winter) or (Rebekah McClure). General contact details of provider: http://edirc.repec.org/data/vfmunde.html .

    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 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.

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

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.