Husain, Zakir and Ghosh, Saswata (2010): Is health status of elderly worsening in India:A comparison of successive rounds of National Sample Survey data.
Download (374kB) | Preview
The increasing graying of India’s population raises concerns about the welfare and health status of the aged. One important source of information of health status of the elderly is the National Sample Survey Rounds on Morbidity and Health Care Expenditure. Using unit level data for 1995-96 and 2004 this paper has examined changes in reported health status of elderly in India and analyzed their relationship with living arrangements and extent of economic dependency. It appears that even after controlling for factors like caste, education, age, economic status and place of residence, there has been deterioration in self-perceived current health status of elderly. This paper argues that, although there have been changes in the economic condition and traditional living arrangements - with a decline in co-residential arrangements - this is not enough to explain the decline in reported health status and calls for a closer look at narratives of neglect being voiced in developing countries.
|Item Type:||MPRA Paper|
|Original Title:||Is health status of elderly worsening in India:A comparison of successive rounds of National Sample Survey data|
|Keywords:||economic independence; co-residence; elderly; health status; ordered logit model; India|
|Subjects:||J - Labor and Demographic Economics > J1 - Demographic Economics > J14 - Economics of the Elderly ; Economics of the Handicapped ; Non-Labor Market Discrimination
C - Mathematical and Quantitative Methods > C3 - Multiple or Simultaneous Equation Models ; Multiple Variables > C35 - Discrete Regression and Qualitative Choice Models ; Discrete Regressors ; Proportions
|Depositing User:||Zakir Husain|
|Date Deposited:||19. Oct 2010 08:01|
|Last Modified:||31. Dec 2015 11:09|
Agewell Advocacy and Research Centre (2010) Isolation in old age. Accessed at http://agewell-initiatives.blogspot.com/ on 14 March 2010.
Alam, M. (2006) Ageing in India: Socio-Economic and Health Dimensions. Academic Foundation, New Delhi.
Alam, M. & Karim, M. (2006) Changing demographics, emerging risks of economic-demographic mismatch and vulnerabilities faced by the aged in South Asia: A review of situation in India and Pakistan. Asia Pacific Population Journal 21(3), 63-92.
Alam, M. & Mukherjee, M. (2005) Ageing, activities of daily living disabilities and the need for public health initiatives: Some evidence from a household survey in Delhi. Asia Pacific Population Journal 20(2), 47-76.
Alam, M. (2008) Ageing, socio-economic disparities and health outcomes: Some evidence from rural India. Working Paper E/290/2008, Institute of Economic Growth, Delhi.
Albert, S.M., Alam, M. & Nizamuddin, M. (2005) Comparative study of functional limitation and disability in old age: Delhi and New York city. Journal of Cross-Cultural Gerontology. 20, 231-241.
Arifin, E.N. (2006) Living arrangements of older persons in east Java”. Asia Pacific Population Journal 21(3), 93-112.
Bagchi, K. (ed) (1997) Elderly Females in India; their Status and Suffering. Society for Gerontological Research and Help Age, New Delhi.
Bali, A. (ed.) (1999) Understanding greying people in India. Indian Council of Social Science Research, New Delhi.
Ball, R., & Bethell, T. (1998) Straight talk about social security: An analysis of the issues in the current debate. A Century Foundation/Twentieth Century Fund Report. The Century Foundation Press, New York.
Beckett, M., Weinstein, M. Goldman, N. & Yu-Hsuan, L. (2000) Do health interview surveys yield reliable data on chronic illness among older respondents? American Journal of Epidemiology 151, -23.
Bose, A. & Shankardass, M. K. (2004) Growing Old in India: Voices Reveal, Statistics Speak. BR Publishing Company, New Delhi.
Brant, R. (1990) Assessing Proportionality in the Proportional Odds Model for Ordered Logit Regression. Biometrics 46(4), 1171-1178.
Chan, A. (1997) An overview of the living arrangements and social support exchanges of older Singaporeans. Asia Pacific Population Journal, 12(4), 35-50.
Chou, K.L. & Chi, I. (2002) Successful aging among the young-old, old-old and oldest-old Chinese. International Journal of Aging and Human Development 54, 1-14.
Gangrade, K.D. (1999) Emerging conception of aging in India – A socio-cultural perspective. In A. Bali (ed.) Understanding greying people in India, Indian Council of Social Science Research, New Delhi, pp. 36-57.
Ghosh, S. & Husain, Z. (2010) Economic Independence, Family Support and Perceived Health Status of Elderly: Recent Evidences from India. Asia Pacific Population Journal 25(1), 47-77.
Gokhale, S.D. (2003) Towards a policy for aging in India. Journal of Aging & Social Policy 15(2/3), 213-234. Government of India (2006) Report on the Social, Economic and Educational Status of Muslim Community in India. Prime Minister’s High Level Committee, Cabinet Secretariat, New Delhi.
Gupta, I. & Sankar, D. (2003) Health of the elderly in India: A multivariate analysis. Journal of Health & Population in Developing Countries, Accessed at http://www.longwoods.com/home.php?cat=394 on 12 March 2010.
Guilmoto, C. Z. & Rajan, S. I. (2002) District Level Estimates of Fertility From India’s 2001 Census. Economic and Political Weekly 37(7), 665-672.
Idler, E. L., & Kasl, S. (1995) Self-ratings of health: Do they also predict change in functional ability? Journal of Gerontology 50B(6), S344-S353.
Idler, E. L. & Benyamini, Y. (1997) Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behaviour 38, 21-37.
Jagger, C., Spiers, N. A. & Clarke, M. (1993) Factors associated with decline in function, institutionalization and mortality in the elderly. Age and Ageing 22, 190-197.
Knodel, J. & Chayovan, N. (1997) Family Support and Living Arrangements of Thai Elderly. Asia Pacific Population Journal 12(4), 51-68.
Knodel, J. & Debavalya, N. (1997) Living arrangement and support among the elderly in South-east Asia: An introduction. Asia Pacific Population Journal 12(4), 5-16.
Kumar, P.V. (1999) Elderly women in rural India: Need for policy intervention. Help Age India. 5(3), 27-30.
Kumar, V. (Eds) (1996) Indian Perspective and Global Scenario. All India Institute of Medical Sciences, New Delhi.
Kumar, V. S. (2003) Economic Security for the Elderly in India: An Overview. Journal of Ageing and Social Policy 15(2-3), 45-65.
Lall, R.B. & Seal, S.C. (1949) General rural health survey: Singur health centre 1944. All India Institute of Hygiene and Public Health, Kolkata.
Lee, Y. (2000) The predictive value of self assessed general, physical, and mental health of functional decline and mortality in older adults. Journal of Epidemiology and Community Health 54, 123-129.
Long, J.S. & Freese, J. (2006) Regression Models for Categorical Variables Using Stata, 2nd ed. Stata Press, College Station, Texas.
McCallum, J., Shadbolt, B. & Wang, D. (1994) Self-rated health and survival: A seven year follow-up study of Australian elderly. American Journal of Public Health 84, 1100-1105.
Manton, K. G, Stallard, E. and Cordel, R. (1997) Changes in age dependence of mortality and disability: Cohort and other determinants. Demography 34, 135-157.
Mini, G.K. (2009) Socioeconomic and demographic diversity in the health status of elderly of elderly people in a transitional society, Kerala, India. Journal of Biosocial Science 41(4), 457-467.
National Sample Survey Organization (2006) Morbidity, Health Care and the Condition of the Aged, Report No. 507. Ministry of Statistics and Programme Implementation, Government of India, New Delhi.
Natividad, J.N. & Cruz, G.T. (1997) Patterns in living arrangements and familial support for the elderly in Philippines. Asia Pacific Population Journal 12(4), 17-34.
Nayyar, B.K. (1999) Changing role of the family in the care of the old. In A. Bali (ed.) Understanding greying people in India, Indian Council of Social Science Research, New Delhi pp. 94-124.
Nyce, S.A. & Schieber, S.J. (2005) The Economic Implications of Aging Societies: The Cost of Living Happily Ever After. Cambridge University Press, Cambridge.
Palloni, A. (2001) Living arrangements of older persons. Population Bulletin of the United Nations, Spl. Issue (Living arrangements of older persons – Critical issues and policy responses) 42/43, 54-110.
Planning Commission (2001) National Human Development Report 2001. Government of India, New Delhi.
Rahman, M.O. & Barsky, A.J. (2003) Self-reported health among older Bangladeshis: How good a health indicator is it? The Gerontologist 43, 856-863.
Rajan, S.I. (2006) Population Ageing and Health in India. The Centre for Enquiry into Health and Allied Themes (CEHAT), Mumbai.
Rajan, S.I. & Kumar, S. (2003) Living Arrangements among Indian Elderly: New Evidence from National Family Health Survey. Economic and Political Weekly 38(3), 75-80.
Rajan, S.I., Misra, U.S. & Sarma, P. S. (1999) India’s Elderly – Burden or Challenge. Sage Publications, New Delhi.
Schechter, S., Beatty, P. & Willis, G.B. (1998) Asking survey respondents aboul health status: Judgment and response issues. In Schwarz., N., Park, D., Knauper, B. & Sudman, S. (eds.) Cognition, Aging, and Self-reports. Taylor & Francis, Ann Arbor, MI: pp. 229-247.
Sen, A.K. (1985) Commodities and capabilities, Oxford University Press, New Delhi.
Sen, A.K. (1993) Positional objectivity. Philosophy and Public Affairs 22(2), 126-145.
Sen, A.K. (2006) The Possibility of Social Choice. In Agarwal, B., Humphries, J. & Robeyns, I. (eds) Capabilities, Freedom and Equality: Amartya Sen’s Work from a Gender Perspective. Oxford University Press, New Delhi, pp. 369-419.
Sen, M. & Noon, J. (2007) Living arrangement: How does it relate to the health of the elderly in India? Paper presented at the Annual Meeting of the Population Association of America, New York, March 29-31.
Smith, J. (1994) Measuring health and economic status of older adults in developing countries. Gerontologist 34, 491-496.
Sobieszczyk, T., Knodel, J. & Chayovan, N. (2002) Gender and well-being among the elderly in Thailand. PSC Research report No. 02-531, Population Studies Centre at the Institute of Social Research.
Sokolovsky, J. (2001) Living arrangements of older persons and family support in less developed countries. Population Bulletin of the United Nations, Spl. Issue (Living arrangements of older persons – Critical issues and policy responses) 42/43, 162-192.
Soldo B.J. & Hill, M. (1995) Family structure and transfer measures in the health and retirement study: background and overview. Journal of Human Resources, Supplement 30(5), S108- S37.
Subrahmanya, R.K.A. (2005) Social Security for Elderly. Shipra Publications, New Delhi.
United Nations (2005) Population Challenges and Development Goals. Department of Economic and Social affairs, Population Division, New York.
Visaria, P. (2001) Demographics of Aging in India. Economic and Political Weekly 36(22), 1967-1975.
Wallace R.B. & Herzog A.R. (1995) Overview of the health measures in health and retirement study. Journal of Human Resources, Supplement 30(5), S84-S107.
Williams, R. (2006) Generalized Ordered Logit/ Partial Proportional Odds Models for Ordinal Dependent Variables. The Stata Journal 6(1), 58-82.
World Bank (1993) World Development Report: Investing in Health. Oxford University Press, Oxford.