ArticleBMC geriatrics2017
Disability and ageing in China and India - decomposing the effects of gender and residence. Results from the WHO study on global AGEing and adult health (SAGE).
Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 64 citations in OpenAlex.
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- Socioeconomic and geographic variations of disabilities in India: evidence from the National Family Health Survey, 2019-21.International journal of health geographics · 2024Article
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- Trends and disparities in disease burden of age-related macular degeneration from 1990 to 2019: Results from the global burden of disease study 2019.Frontiers in public health · 2023Article
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- Underweight is an important predictor for functional impairment among the older adults in Urban West Bengal, India: A cross sectional analytical study.Journal of family medicine and primary care · 2022Article
- Changes of inequality in functional disability of older populations in China from 2008 to 2018: a decomposition analysis.BMC geriatrics · 2022Article
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- Factors associated with self-medication in children and the decomposition of rural-urban disparities in China.BMC public health · 2021Article
- Determinants of acquired disability and recovery from disability in Indian older adults: longitudinal influence of socio-economic and health-related factors.BMC geriatrics · 2021Article
- An assessment of anthropometric indices and its association with NCDs among the older adults of India: evidence from LASI Wave-1.BMC public health · 2021Article
- Rural-Urban Inequalities in Poor Self-Rated Health, Self-Reported Functional Disabilities, and Depression among Chinese Older Adults: Evidence from the China Health and Retirement Longitudinal Study 2011 and 2015.International journal of environmental research and public health · 2021Article
- Systematic review of methods used to study the intersecting impact of sex and social locations on health outcomes.SSM - population health · 2020Article
- Changing family structures and self-rated health of India's older population (1995-96 to 2014).SSM - population health · 2020Article
- Understanding Frailty, Functional Health and Disability among Older Persons in India: A Decomposition Analysis of Gender and Place of Resident.Journal of research in health sciences · 2020Article
- Lipidomics profiling of skin surface lipids in senile pruritus.Lipids in health and disease · 2020Article
- Diversity in the Factors Associated with ADL-Related Disability among Older People in Six Middle-Income Countries: A Cross-Country Comparison.International journal of environmental research and public health · 2019Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundChina and India are the world's two most populous countries. Although their populations are growing in number and life expectancies are extending they have different trajectories of economic growth, epidemiological transition and social change. Cross-country comparisons can allow national and global insights and provide evidence for policy and decision-making. The aim of this study is to measure and compare disability in men and women, and in urban and rural dwellers in China and India, and assess the extent to which social and other factors contribute to the inequalities.
methodsNational samples of adults aged 50 to 79 years in China (n = 11,694) and India (n = 6187) from the World Health Organization (WHO) longitudinal Study on global AGEing and adult health (SAGE) Wave 1 were analysed. Stratified multiple linear regressions were undertaken to assess disability differences by sex and residence, controlling for other biological and socioeconomic determinants of disability. Oaxaca-Blinder decomposition partitioned the two-group inequalities into explained and unexplained components.
resultsIn both countries women and rural residents reported more disability. In India, the gender inequality is attributed to the distribution of the determinants (employment, education and chronic conditions) but in China about half the inequality is attributed to the same. In India, more than half of the urban rural inequality is attributed to the distribution of the determinants (education, household wealth) compared with under 20% in China.
conclusionsEducation and employment were important drivers of these measured inequalities. Overall inequalities in disability among older adults in China and India were shaped by gender and residence, suggesting the need for policies that target women and rural residents. There is a need for further research, using both qualitative and quantitative methods, to question and challenge entrenched practices and institutions and grasp the implications of global economic and social changes that are impacting on population health and ageing in China and India.
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