ArticleBMJ open2019
Socioeconomic inequality in functional deficiencies and chronic diseases among older Indian adults: a sex-stratified cross-sectional decomposition analysis.
Article in BMJ open, 2019. 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.
- Exploring the intersectional dynamics of co-morbidities and risk factors among the older population in India.Archives of public health = Archives belges de sante publique · 2025Article
- Decomposition analysis on the equity of health examination utilization for the middle-aged and elderly people in China: based on longitudinal CHARLS data from 2011 to 2018.BMC public health · 2024Article
- Prevalence and potential determinants of chronic disease among elderly in India: Rural-urban perspectives.PloS one · 2022Article
- A web-based dynamic Nomogram for predicting instrumental activities of daily living disability in older adults: a nationally representative survey in China.BMC geriatrics · 2021Article
- Racial Disparities in End-of-Life Care Between Black and White Adults With Metastatic Cancer.Journal of pain and symptom management · 2021Article
- Horizontal inequity in self-reported morbidity and untreated morbidity in India: Evidence from National Sample Survey Data.International journal for equity in health · 2021Article
- Instrumental Activities of Daily Living (iADL) Limitations in Europe: An Assessment of SHARE Data.International journal of environmental research and public health · 2020Article
- Inequalities in health-related quality of life and the contribution from socioeconomic status: evidence from Tibet, China.BMC public health · 2020Article
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4 authors.
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Abstract
objectivesOlder adults with adverse socioeconomic conditions suffer disproportionately from a poor quality of life. Stratified by sex, income-related inequalities have been decomposed for functional deficiencies and chronic diseases among older adults, and the degree to which social and demographic factors contribute to these inequalities was identified in this study.
designCross-sectional study.
participantsData used for this study were retrieved from the WHO Study on Global AGEing and Adult Health Wave 1. A total of 3753 individuals (men: 1979, and women: 1774) aged ≥60 years were found eligible for the analysis. MEASURES: Instrumental Activity of Daily Living (IADL) deficiency and presence of chronic diseases.
methodThe decomposition method proposed by Adam Wagstaff and his colleagues was used. The method allows estimating how determinants of health contribute proportionally to inequality in a health variable.
resultsCompared with men, women were disproportionately affected by both functional deficiencies and chronic diseases. The relative contribution of sociodemographic factors to IADL deficiency was highest among those with poor economic status (38.5%), followed by those who were illiterate (22.5%), which collated to 61% of the total explained inequalities. Similarly, for chronic diseases, about 93% of the relative contribution was shared by those with poor economic status (42.3%), rural residence (30.5%) and illiteracy (20.3%). Significant difference in predictors was evident between men and women in IADL deficiency and chronic illness.
conclusionPro-poor intervention strategies could be designed to address functional deficiencies and chronic diseases, with special attention to women.
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