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SOCIOECONOMIC AND DEMOGRAPHIC DIVERSITY IN THE HEALTH STATUS OF ELDERLY PEOPLE IN A TRANSITIONAL SOCIETY, KERALA, INDIA

Published online by Cambridge University Press:  23 July 2008

G. K. MINI
Affiliation:
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India

Summary

Kerala State in India is the most advanced in terms of demographic and epidemiological transition and has the highest proportion of elderly population. The study examines the socio-demographic correlates of health status of elderly persons in Kerala in terms of three components: perceived health status, physical mobility and morbidity level. Overall health status was measured by combining the above three components of health status. Data from the 60th National Sample Survey Organization (NSSO) on Condition and Health Care of the Aged in Kerala in 2004 was used for the study. Significant socio-demographic differentials in health status were noted. While women report less morbidity, perceived well-being and physical mobility was better for men. This anomaly can be explained by variations in the components of socio-demographic factors. The findings call for urgent health care strategies for elderly persons in different socio-demographic groups in transitional Indian states like Kerala.

Type
Research Article
Copyright
Copyright © © Cambridge University Press 2008

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References

BOLD (2001) Health Status of Elderly in India. International Institute of Ageing, United Nations, Malta.Google Scholar
Bonita, R. (1998) Women, Ageing and Health: Achieving Health across the Lifespan. World Health Organization, Geneva.Google Scholar
Ferraro, K. F. (1980) Self ratings of health among the old and old-old. Journal of Health and Social Behaviour 21, 377383.CrossRefGoogle ScholarPubMed
Fillenbaum, G. G. (1979) Social context and self assessment of health. Journal of Health and Social Behaviour 20, 4551.CrossRefGoogle Scholar
Fuchs, Z., Blumstein, T., Novikov, I., Walter-Ginzburg, A., Lyanders, M., Gindin, J., Habot, B. & Modan, B. (1998) Morbidity, comorbidity, and their association with disability among community-dwelling oldest-old in Israel. Journal of Gerontology Series A: Biological Sciences and Medical Sciences 53, M447455.CrossRefGoogle ScholarPubMed
Gupta, P. & Vohra, A. K. (1987) Pattern of Psychiatric Morbidity in the Aged. In Sharma, M. L. & Dak, T. M. (eds) Aging in India. Ajanta Publications (India), New Delhi, pp. 214221.Google Scholar
Indler, E. L. & Kasl, S. (1991) Health perceptions and survival: Do global evaluations of health status really predict mortality? Journal of Gerontology: Social Sciences 42, S5565.CrossRefGoogle Scholar
International Institute for Population Studies (IIPS) & Macro International (2007) National Family Health Survey (NFHS-3), 2005–06: India: Volume I. IIPS, Mumbai.Google Scholar
Jagger, C., Spiers, N. A. & Clarke, M. (1993) Factors associated with decline in function, institutionalization and mortality in the elderly. Age and Ageing 22, 190197.CrossRefGoogle Scholar
Joshi, K., Kumar, R. & Avasthi, A. (2003) Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India. International Journal of Epidemiology 32, 978987.CrossRefGoogle ScholarPubMed
Jun, C. Z. (2002) Living arrangements and health status of the elderly in rural China. Seminar paper submitted as the partial required work of the Master of Philosophy in Population Studies, IIPS, Mumbai.Google Scholar
Kannan, K. P., Thankappan, K. R., Kutty, R. V. & Aravindan, K. P. (eds) (1991) Health and Development in Rural Kerala: A Study of Linkages between Socio-Economic Status and Health Status. Kerala Sastra Sahithya Parishad (KSSP), Trivandrum.Google Scholar
Kutty, V. R. (2000) Historical analysis of the development of health care facilities in Kerala state, India. Health Policy Planning 15, 103109.CrossRefGoogle ScholarPubMed
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, 123129.CrossRefGoogle ScholarPubMed
Liang, J. (1986) Self reported physical health and aged adults. Journal of Gerontology 41, 248260.CrossRefGoogle ScholarPubMed
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, 11001105.CrossRefGoogle Scholar
Marton, K. G. (1988) A longitudinal study of functional change and mortality in the United States. Journal of Gerontology 43, S153161.Google Scholar
Nandal, D. S., Khatri, R. S. & Kadian, R. S. (1987) Aging problems in the structural context. In Sharma, M. L. & Dak, T. M. (eds) Aging in India. Ajanta Publications (India), New Delhi, pp. 106116.Google Scholar
National Crime Records Bureau (2006) Ministry of Home Affairs, Government of India. URL: http://ncrb.nic.in/ADSI2006/home.htm (accessed 15th February 2008).Google Scholar
National Sample Survey Organisation (NSSO) (2006) Morbidity, Health Care and the Condition of the Aged. Report No. 507. Ministry of Statistics and Programme Implementation, Government of India, New Delhi.Google Scholar
Panikar, P. G. K & Soman, C. R. (eds) (1984) Health Status of Kerala: The Paradox of Economic Backwardness and Health Development. Centre for Development Studies, Trivandrum, Kerala.Google Scholar
Population Reference Bureau (PRB) (2006) http://www.prb.org/presentations/gb-aging_all.ppt (accessed 25th August 2007).Google Scholar
Rajan, S. I. (2006) Population Ageing and Health in India. The Centre for Enquiry into Health and Allied Themes (CEHAT), Mumbai.Google Scholar
Rajan, S. I., Mishra, U. S & Sarma, P. S. (eds) (1999) India's Elderly: Burden or Challenge? Sage Publications, India Pvt Ltd, New Delhi.Google Scholar
Registrar General of India (2001) Census of India 2001. Population totals for Kerala. http://www.censusindia.net/ (accessed 20th August 2007).Google Scholar
Riley, J. C. (1990) Morbidity trends in four countries. Population and Development Review 16, 403432.CrossRefGoogle Scholar
Shah, B. & Prabhakar, A. K. (1997) Chronic morbidity profile among elderly. Indian Journal of Medical Research 106, 265272.Google ScholarPubMed
Valderrama-Gama, E., Damain, J., Ruigomez, A. & Martin-Moreno, J. M. (2002) Chronic disease, functional status, and self-ascribed causes of disabilities among non institutionalized older people in Spain. Journal of Gerontology Series A: Biological Sciences and Medical Sciences 57, M716721.CrossRefGoogle Scholar
Woo, E., Han, C., Jo, S. A., Park, A. K., Kim, S., Kim, E., Park, M. H., Lee, J & Jo, I. (2007) Morbidity and related factors among elderly people in South Korea: Results from the Ansan GEriatic (AGE) cohort study. BMC Public Health 7. URL: http://www.biomedcentral.com/1471–2458/7/10.CrossRefGoogle Scholar