Burden of multiple disabilities among the older population in India

Emerald - Tập 33 Số 1/2 - Trang 63-76 - 2013
LadumaiMaikho Apollo Pou1, SrinivasGoli2
1Population Studies, International Institute for Population Sciences, Mumbai, India
2Development Studies, International Institute for Population Sciences, Mumbai, India

Tóm tắt

PurposeThe aim of this study is twofold, first, to estimate the prevalence of multiple disabilities among the older population in India; second, to examine the socio economic determinants of multiple disabilities among the older population.Design/methodology/approachThis study used the India Human Development Survey Data (IHDS) for the analysis. Bivariate, multinomial logit regression and multiple classification analysis are used as methods for the study. Disability score is constructed for measuring the multiple disabilities among the older population.FindingsThe results of disability prevalence show, a high prevalence of multiple disabilities among the older population in India. Further, disability prevalence varies considerably by age and socio‐economic characteristics of the older population. Among all the socioeconomic factors, economic factor emerged as a dominant predictor of prevalence of disabilities among the older population in India. The findings of the dimension specific assessment reveal that the disability in walking is the highest among all the disabilities. The distribution of disabled older population by living arrangement and the social network indicates that a large proportion of disabled older population lives with their children. In addition, only a few of the disabled older people have social networks. The distribution of disabled older people by employment and financial source reveal that there is a meager government support to the disabled older population in India. This study evidently suggests that a significant number of older populations in India are suffering from multiple disabilities. The number of multiple disabilities increases with the decrease in the socioeconomic status. The living arrangement and financial security assessment suggest that there is an increasing need of children and government support to the disabled older population.Originality/valueThe distinctiveness of this study can be primarily found in the type of the data used, the assessment of additional disability dimensions, and the inclusion of differentials such as living arrangement, social network and work status as part of the analysis. Overall, the study with its robust statistical assessment provides a number of key insights into the social, economic security, and health care needs of the disabled older population in India.

Từ khóa


Tài liệu tham khảo

Alam, M. (2004), “Ageing, old age income security, and reforms: an exploration of Indian situation”, Economic and Political Weekly, Vol. 39 No. 33, pp. 3731‐40.

Alam, M. and Karan, A. (2011), “Older population health in India: dimension, differentials and determinants”, BKPAI Working Paper No. 3, United Nations Population Fund (UNFPA), New Delhi.

Bloom, E.D. (2011), “India's baby boomers: dividend or disaster?”, Current History, Vol. 110 No. 735, pp. 143‐9.

Bloom, E.D., Canning, D., Hu, L., Liu, Y., Mahal, A. and Yip, W. (2010), “The contribution of population health and demographic change to economic growth in China and India”, Journal of Comparative Economics, Vol. 38 No. 1, pp. 17‐33.

Chatterji, S., Kowal, P., Mathers, C., Naidoo, N., Verdes, E., Smith, J. and Suzman, R. (2008), “The health of aging populations in China and India”, Health Affairs, Vol. 27 No. 4, pp. 1052‐63.

Desai, S., Dubey, A., Joshi, B.J., Sen, M., Sharif, A. and Vanneman, R. (2010), Human Development in India: Challenges for Society in Transition, IHDS Report, Oxford University Press, New Delhi.

Freedman, V.A., Crimmins, E., Schoeni, R.F., Spillman, B.C., Aykan, H., Kramarow, E., Land, K., Lubitz, J., Manton, K., Martin, L.G., Shinberg, D. and Waidmann, T. (2004), “Resolving inconsistencies in old‐age disability trends: report from a technical working group”, Demography, Vol. 41 No. 3, pp. 417‐41.

Goli, S. and Pandey, A. (2010), “Is India getting old before getting rich: beyond demographic assessment”, in Anand, S., Kumar, I. and Srivastava, A. (Eds), Challenges of the Twenty First Century: A Trans‐Disciplinary Perspective, Macmillan Advance Research Series, Macmillan, New Delhi.

Goli, S., Singh, L., Jain, K., Arokiasamy, P. and Pou, L.M.A. (2012), “Socioeconomic determinants of health inequalities among the older population in India: a decomposition analysis”, paper presented at IARIW 32nd General Conference, Boston, MA, USA, August 5‐11.

Jeffrey, R. and Singhal, N. (2008), “Measuring disability in India”, Economic and Political Weekly, Vol. 43 Nos 12/13, pp. 22‐4.

Kennedy, J. and Minkler, M. (1998), “Disability theory and public policy: implications for critical gerontology”, International Journal of Health Services, Vol. 28 No. 4, pp. 757‐76.

Mason, A., Lee, S. and Russo, G. (2005), “Demography of aging across Asia”, in Yoon, H. and Hendricks, J. (Eds), Handbook of Asian Aging, Chapter 2, Baywood Publishing, New York, NY, pp. 25‐65.

Mitra, S. and Sambamoorthi, U. (2006), “Employment of persons with disabilities evidence from the national sample survey”, Economic and Political Weekly, Vol. 41 No. 3, pp. 199‐203.

Murray, C.J.L. and Lopez, A.D.L. (1997), “Regional patterns of disability‐free life expectancy and disability‐adjusted life expectancy: global burden of disease study”, The Lancet, Vol. 349 No. 9062, pp. 1347‐52.

National Research Council of the National Academies (2011), Preparing for the Challenges of Population Aging in Asia: Strengthening the Scientific Basis of Policy Development, National Academies Press, Washington, DC.

NSSO (2003), Disabled Persons in India: NSS 58th Round (July‐December 2002), Report No. 485 (58/26/1), National Sample Survey Organization, Ministry of Statistics and Programme Implementation, Government of India, New Delhi.

Pandey, M. (2011), “Poverty and disability among Indian older population: evidence from household survey”, Journal of Disability Policy Studies, Vol. 23 No. 1, pp. 39‐49.

Population Reference Bureau (2012), Today's Research on Aging No. 25, March.

Rajan, S.I., Perera, M. and Begum, S. (2005), “The economics of pensions and social security in South Asia”, in Khan, M. (Ed.), Economic Development in South Asia, Tata McGraw‐Hill, New Delhi.

RGI and Census Commissioner (2001), Census Report‐2001, Office of the Registrar General, Government of India, New Delhi.

Srinivas, M.N. (1957), “Caste in modern in India”, Journal of South Asian Studies, Vol. 16 No. 4, pp. 529‐48.

United Nations Population Division (2006), World Population Prospects: The 2006 Revision Population Database, Department for Economic and Social Information, New York, NY, December.

Walia, G.K. (2010), Disability in India: Chronic Diseases Factsheet, South Asia Network for Chronic Disease, New Delhi, available at: http://sancd.org/uploads/pdf/disability.pdf.

WHO (1976), Document A29/INFDOCI/1, World Health Organization, Geneva.

WHO (2004), Annex Table 4, Healthy Life Expectancy (HALE) for the WHO Member States, Estimates for 2004.

Yadav, P., Goli, S. and Arokiasamy, P. (2011), “Employment and its linkages with chronic diseases and medical care among older population in India”, paper presented at Health System Reform in Asia 2011 Conference, December 9‐12, The University of Hong Kong, Hong Kong.

IIPS and WHO (2007), Adult and Ageing Study India, International Institute for Population Sciences, World Health Organisation, Mumbai.

IIPS, HSP and Rand Health (2011), Longitudinal Study of Ageing in India, International Institute for Population Sciences, Harvard School of Public Health and Rand Health, Mumbai.

Rajan, S.I. (2006), Population Ageing and Health in India, The Centre for Enquiry into Health and Allied Themes (CEHAT), Mumbai.