Borooah, Vani (2010): Inequality in health outcomes in India: the role of caste and religion. Published in: Blocked by Caste: Economic Discrimination in Modern India (2010): pp. 179-207.
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The “social gradient to health” - whereby people belonging to groups higher up the social ladder had better health outcomes than those belonging to groups further down - is essentially a Western construct; there has been very little investigation into whether, in developing countries also, people’s state of health is dependent on their social status. The purpose of this paper is to evaluate the relative strengths of economic and social status in determining the health status of persons in India. In other words, even after controlling for non-community factors, did the fact that Indians belonged to different social groups, encapsulating different degrees of social status, exercise a significant influence on the state of their health? The existence of a social group effect would suggest that there was a “social gradient” to health outcomes in India. Furthermore, there was the possibility that the “social gradient” existed with respect to some outcomes but not to others. In investigating this, the paper addresses, in the Indian context, an issue which les at the heart of social epidemiology: estimating the relative strengths of individual and social factors in determining health outcomes.
|Item Type:||MPRA Paper|
|Original Title:||Inequality in health outcomes in India: the role of caste and religion|
|English Title:||Inequality in health outcomes in India: the role of caste and religion|
|Keywords:||Health outcomes, Caste, Religion, India|
|Subjects:||I - Health, Education, and Welfare > I1 - Health > I12 - Health Production|
|Depositing User:||Vani / K Borooah|
|Date Deposited:||13. Jan 2010 02:04|
|Last Modified:||12. Feb 2013 13:23|
Birdi, Kamaljit, Warr, Peter, and Oswald, Andrew, 1995. “Age Differences in Three Components of Employee Well-Being,” Applied Psychology, vol. 44, pp. 345-73.
Black, Douglas, Morris, Jerry, Smith, Cyril, Townsend, Peter. (1980), Inequalities in Health: A Report of a Research Working Group, London: Department of Health and Social Security.
Borooah, Vani K., Dubey, Amaresh, and Iyer, Sriya, 2007. “The Effectiveness of Jobs Reservation: Caste, Religion, and Economic Status in India”, Development & Change, vol. 38, pp. 423-455..
Brunner, Eric and Marmot, Michael, 1999. “Social Organisation, Stress and Health”, in M. Marmot and R. Wilkinson (eds), The Social Determinants of Health, Oxford University Press: New York, pp. 17-43.
Epstein, Helen, 1998. “Life and Death on the Social ladder”, The New York Review of Books, vol. XLV, pp. 26-30.
Griffin, Joan M., Fuhrer, Rebecca, Stansfeld, Stephen A., and Marmot, Michael, 2002. “The Importance of Low Control at Work and Home on Depression and Anxiety: Do These Effects Vary by Gender and Social Class?”, Social Science and Medicine, vol. 54, pp. 783-98.
Guha, Ramchandra, 2007. “Adivasis, Naxalities, and Indian Democracy”, Economic and Political Weekly, vol. XLII, pp. 3305-3312.
Karassek, Robert, and Marmot, Michael, 1996. “Refining Social Class: Psychosocial Job Factors”, paper presented at The Fourth International Congress of Behavioral Medicine, Washington, D.C., March 13-16.
Marmot, Michael, 1986. “Does Stress Cause Heart Attacks”, Postgraduate Medical Journal, vol. 62, pp. 683-686.MARMOT, MICHAEL, 2000, “Multilevel Approaches to Understanding Social Determinants”, in L. Berkman and I. Kawachi (eds), Social Epidemiology, Oxford University Press: New York, pp. 349-367.
Marmot, Michael, 2004. Status Syndrome: How Our Position on the Social Gradient Affects Longevity and Health, London: Bloomsbury Publishing.
Sen, Gita, Iyer Aditi, and George, Asha, 2007. “Systematic Hierarchies and Systemic Failures: Gender and Health Inequalities in Koppal District”, Economic and Political Weekly, vol. XLII, pp. 682-690.
Sengupta, Jhumur and Sarkar, Debnarayan, 2007. “Discrimination in Ethnically Fragmented Localities”, Economic and Political Weekly, vol. XLII, pp. 3313-3322.
Tendulkar, Suresh. (2007), “National Sample Surveys” in K. Basu (ed), The Oxford Companion to Economics in India, New Delhi: Oxford University Press (p. 367-370).
Wilkinson, Richard G. and Marmot, Michael, 1998. Social Determinants of Health: The Solid Facts, World Health Organisation: Copenhagen.