Socioeconomic Inequality of Chronic Non-Communicable Diseases in India

Akif Mustafa , International institute for popu

Objective The objective of the present study is to find out the relationship between four NCDs (Diabetes, Hypertension, Goiter, Obesity) and socioeconomic status among the Indian population while paying special attention to urban rural differentials. Data and Methods The data of the fourth iteration of National Family Health Survey (NFHS-4) which was conducted in 2015-2016, were used for the present study. To find out the relationship 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 According to the values of CI, highest inequality was in the prevalence of obesity (CI=0.42) and lowest for hypertension (CI=0.061). The highest odds ratios were found in case of obesity the chance of becoming obese were 13 times high in richest group than the poorest group. For hypertension the inequality is not that much high, the chance of having hypertension was 1.35 times more among the richest group then the poorest group. The values of CI, concentration curves and odds ratios for rural and urban areas are depicting that in both the areas the NCDs were concentrated among the rich population. Conclusion In the present study, we found that wealthy stratum of the population is at higher risk of diabetes, hypertension, goiter, and obesity. So keeping the vulnerable groups in mind a targeted intervention approach should be there to address the growing burden of NCDs and risk factors related to it.

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 Presented in Session P2. Poster Session Ageing, Health and Mortality