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Multiple Chronic Diseases and Their Linkages with Functional health and Subjective Wellbeing among adults in the low-middle income countries: An Analysis of SAGE Wave1 Data, 2007/10


  • Arokiasamy, Perianayagam
  • Uttamacharya, Uttamacharya
  • Jain, Kshipra


This paper examines the prevalence and determinants of multiple chronic diseases and their association with the self-rated health, functional health and quality of life among adults in six SAGE countries: China, India, Russia, South Africa Mexico and Ghana. We use ADL and IADL activities as measures of functional health and WHOQoL index as a measure of quality of life. Poisson regression models are estimated to understand the social determinants of multiple chronic diseases. Logit models and OLS are estimated to examine the association between multiple chronic morbidities and self-rated health, functional health and quality of life. Russia had the highest prevalence of multi-morbidity (32.8%, 95%CI=25.5-41.1) followed by South Africa (22%, 95%CI=17.7-26.9); the other four countries had prevalence of multi-morbidity around 21%. Measures of socioeconomic status: education and wealth were found negatively associated with the number of chronic diseases. Higher number of chronic conditions was associated with the poorer self rated health, functional health and WHOQoL.

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  • Arokiasamy, Perianayagam & Uttamacharya, Uttamacharya & Jain, Kshipra, 2013. "Multiple Chronic Diseases and Their Linkages with Functional health and Subjective Wellbeing among adults in the low-middle income countries: An Analysis of SAGE Wave1 Data, 2007/10," MPRA Paper 54914, University Library of Munich, Germany, revised Mar 2014.
  • Handle: RePEc:pra:mprapa:54914

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    References listed on IDEAS

    1. David E. Bloom & Elizabeth T. Cafiero & Mark E. McGovern & Klaus Prettner & Anderson Stanciole & Jonathan Weiss & Samuel Bakkila & Larry Rosenberg, 2013. "The Economic Impact of Non-Communicable Disease in China and India: Estimates, Projections, and Comparisons," NBER Working Papers 19335, National Bureau of Economic Research, Inc.
    2. David E. Bloom & Elizabeth Cafiero & Eva Jané-Llopis & Shafika Abrahams-Gessel & Lakshmi Reddy Bloom & Sana Fathima & Andrea B. Feigl & Tom Gaziano & Ali Hamandi & Mona Mowafi & Danny O’Farrell & Emre, 2012. "The Global Economic Burden of Noncommunicable Diseases," PGDA Working Papers 8712, Program on the Global Demography of Aging.
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    More about this item


    Multiple morbidity; Chronic diseases; Developing Countries; SAGE;

    JEL classification:

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

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