ArticleThe Indian journal of medical research2015
Wealth related inequalities in self reported morbidity: Positional objectivity or epidemiological transition?
Article in The Indian journal of medical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Health-related quality of life and its determinants among cancer patients: evidence from 12,148 patients of Indian database.Health and quality of life outcomes · 2024Article
- Framework for responsive financing of district hospitals of India.Frontiers in public health · 2024Article
- Morbidity and utilisation of healthcare services among people with cardiometabolic disease in three diverse regions of rural India.Chronic illness · 2023Article
- Article
- Do people with different sociodemographic backgrounds value their health differently? Evaluating the role of positional objectivity.Frontiers in public health · 2023Article
- Horizontal inequity in self-reported morbidity and untreated morbidity in India: Evidence from National Sample Survey Data.International journal for equity in health · 2021Article
- Horizontal inequity in outpatient care use and untreated morbidity: evidence from nationwide surveys in India between 1995 and 2014.Health policy and planning · 2017Article
- Health-Related Quality of Life Among Liver Disorder Patients in Northern India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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5 authors.
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Abstract
BACKGROUND &
objectivesMorbidity is self reported at a higher rate among the rich than the poor. However, objective measures suggest the contrary. We examined the role of epidemiological transition in wealth related inequalities in self-reported morbidity (SRM).
methodsWe analyzed data of two States, Bihar and Kerala, from 60 [th] Round of National Sample Survey (NSS). Bivariate analysis was performed to study the associations between various socio-demographic variables and self-reported morbidity. A prediction model based on hierarchical logistic regression was developed to identify determinants of self-reported morbidity.
resultsIn Bihar, acute morbidities (26 per 1000) were reported more often than chronic morbidities (19 per 1000) while in Kerala the reverse was true (89 acute and 123 chronic morbidities per 1000 person). In both the states, the rate of SRM showed an increasing trend from the poorest to the richest quintiles. The rising gradient in the odds of SRM across increasing socio-economic strata was more pronounced in Bihar [OR (richest)=2.52; 1.85-3.42] as compared to Kerala [OR (richest) =1.66; 1.37-2.0]. Moreover, this gradient was more on account of chronic diseases [OR (richest) =2.7; 1.8-4.0] for Bihar; [OR (richest) =1.6; 1.26-2.0 for Kerala] than the acute diseases [OR (richest) =1.82; 1.1-2.9 for Bihar]; [OR (richest) =1.4; 1.1-1.8 for Kerala]. INTERPRETATION &
conclusionsThe present analysis shows that the epidemiologic transition results in higher prevalence and reporting of chronic ailments by the rich than the poor. This phenomenon is more evident in the early stages of transition. In later stages of transition, positional objectivity plays an important role to explain wealth related inequalities in SRM.
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