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Inequality of Chronic Non-Communicable Diseases Across Various Wealth Groups Of India: Results From Latest Cross Sectional Survey
Authors: Mustafa Akif and Ansari Salman
Source: National Journal of Community Medicine, Volume: 11, Issue: 11; DOI: 10.5455/njcm.20200806035409
Topic(s): Diabetes
Non-Communicable Diseases (NCDs)
Wealth Index
Country: Asia
Published: NOV 2020
Abstract: Background: Non-communicable diseases are the major contributor to mortality and morbidity all over the world including India. About 60% (5.87 million) of all deaths in India are attributed to NCDs. In the present study we have tried to analyze the socioeconomic inequality in the prevalence of the selected four NCDs (Diabetes, Hypertension, Thyroid disorder and Obesity) among the Indian population while paying special attention to urban rural differentials. Data and Methods: The data of NFHS-4 (2015-16), were used for the present study. To find out the level of inequalities concentration curve and its associated concentration index (CI) were calculated for the selected NCDs. For further clarification odds ratios were calculated using binary logistic regression. Results: Socioeconomic inequalities were found in the prevalence of all the four selected NCDs. According to the values of CI, highest inequality was in the prevalence of obesity (CI=0.44, p=0.00) and lowest for hypertension (CI=0.06, p=0.00). The values of CI and odds ratios for rural and urban areas are depicting that in both the areas the NCDs are disproportionately concentrated among the rich population. Conclusion: There is a need of potential target based approach to fight against NCDs keeping the high risk groups in mind.