| Online-Ressource |
Verfasst von: | Jung, Lara [VerfasserIn]  |
| De Neve, Jan-Walter [VerfasserIn]  |
| Chen, Simiao [VerfasserIn]  |
| Manne-Goehler, Jennifer [VerfasserIn]  |
| Jaacks, Lindsay M. [VerfasserIn]  |
| Corsi, Daniel J. [VerfasserIn]  |
| Awasthi, Ashish [VerfasserIn]  |
| Subramanian, S. V. [VerfasserIn]  |
| Vollmer, Sebastian [VerfasserIn]  |
| Bärnighausen, Till [VerfasserIn]  |
| Geldsetzer, Pascal [VerfasserIn]  |
Titel: | The interaction between district-level development and individual-level socioeconomic gradients of cardiovascular disease risk factors in India |
Titelzusatz: | a cross-sectional study of 2.4 million adults |
Verf.angabe: | Lara Jung, Jan-Walter De Neve, Simiao Chen, Jennifer Manne-Goehler, Lindsay M. Jaacks, Daniel J. Corsi, Ashish Awasthi, S.V. Subramanian, Sebastian Vollmer, Till Bärnighausen, Pascal Geldsetzer |
Jahr: | 2019 |
Umfang: | 13 S. |
Fussnoten: | Gesehen am 24.04.2020 |
Titel Quelle: | Enthalten in: Social science & medicine |
Ort Quelle: | Amsterdam [u.a.] : Elsevier Science, 1967 |
Jahr Quelle: | 2019 |
Band/Heft Quelle: | 239(2019) Artikel-Nummer 112514, 13 Seiten |
ISSN Quelle: | 1873-5347 |
Abstract: | Background - Diabetes, hypertension, and obesity tend to be positively associated with socio-economic status in low- and middle-income countries (LMICs). It has been hypothesized that these positive socio-economic gradients will reverse as LMICs continue to undergo economic development. We use population-based cross-sectional data in India to examine how a district's economic development is associated with socio-economic differences in cardiovascular disease (CVD) risk factor prevalence between individuals. - Methods - We separately analyzed two nationally representative household survey datasets - the NFHS-4 and the DLHS-4/AHS - that are representative at the district level in India. Diabetes was defined based on a capillary blood glucose measurement, hypertension on blood pressure measurements, obesity on measurements of height and weight, and current smoking on self-report. Five different measures of a district's economic development were used. We analyzed the data using district-level regressions (plotting the coefficient comparing high to low socio-economic status against district-level economic development) and multilevel modeling. - Results - 757,655 and 1,618,844 adults participated in the NFHS-4 and DLHS-4/AHS, respectively. Higher education and household wealth were associated with a higher probability of having diabetes, hypertension, and obesity, and a lower probability of being a current smoker. For diabetes, hypertension, and obesity, we found that a higher economic development of a district was associated with a less positive (or even negative) association between the CVD risk factor and education. For smoking, the association with education tended to become less negative as districts had a higher level of economic development. In general, these associations did not show clear trends when household wealth quintile was used as the measure of socio-economic status instead of education. - Conclusions - While this study provides some evidence for the “reversal hypothesis”, large-scale longitudinal studies are needed to determine whether LMICs should expect a likely reversal of current positive socioeconomic gradients in diabetes, hypertension, and obesity as their countries continue to develop economically. |
DOI: | doi:10.1016/j.socscimed.2019.112514 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext ; Verlag: https://doi.org/10.1016/j.socscimed.2019.112514 |
| Volltext: http://www.sciencedirect.com/science/article/pii/S0277953619305088 |
| DOI: https://doi.org/10.1016/j.socscimed.2019.112514 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Cardiovascular disease |
| Diabetes mellitus |
| Economic development |
| Hypertension |
| India |
| Multi-level modeling |
| Obesity |
| Smoking |
K10plus-PPN: | 1696033470 |
Verknüpfungen: | → Zeitschrift |
¬The¬ interaction between district-level development and individual-level socioeconomic gradients of cardiovascular disease risk factors in India / Jung, Lara [VerfasserIn]; 2019 (Online-Ressource)