Upcoming Need of Geriatric Healthcare: An investigation in India

Authors

  • Dona Ghosh
  • Lalatendu Kesari Jena

Keywords:

Sectorial geriatric health; Health trajectory; Reported Health; Aging; India.

Abstract

Purpose: With the background of surging greying population India has emerging pressure on the healthcare system because aged people are more susceptible to health problems. Therefore, present study aims: firstly to explore how the health complains among the elders are distributed across the rural-urban sectors; and secondly, what is the nexus between socioeconomic status and health complains.

Research Design: The study has analysed unit-level data for the elderly (60 years and above).The analysis has two parts: firstly, the study explored the distribution of health complains using the descriptive statistics and econometric analysis explored the relationship between socioeconomic status and health complains across the sectors.

Findings: The study finds that health situation of the elderly has deteriorated and the rural-urban sectorial gap has widened during over time. Findings suggest that socioeconomic status has close congruence with the self-reported health status but the relationship largely varies due to sectorial residency.

Implications: Firstly, the study identified the trend of the elderly population's perception of their health over a decade, which can help to understand the future healthcare demand. Secondly, the study conducted an in-depth analysis to comprehend how socioeconomic characteristics influence perceptions of health in a rural-urban framework, which can shed light on the sources of emerging healthcare needs.

Originality:   To the best of my knowledge, this is the first study to make an effort to pinpoint the sectorial geriatric health trajectory, the health gap, and related contributing socioeconomic determinants of the aged over a decade, specifically in the context of India.

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References

Abdulraheem, I. S., Amodu, M. O., Salami, S. K., Adegboye, A., Fatiregun, A., & Tobin-West,

C. (2017). Prevalence and Pattern of Multi-Morbidity among Elderly People in Rural Nigeria: Implications for Health Care System. Journal of Community Medicine and Health Care, 2(3), 001-013.

Alam, M. (2009). Ageing, socio-economic disparities and health outcomes: Some evidence from rural India. Indian Journal of Human Development, 3(1), 47-76.

Agrawal, T. (2014). Educational inequality in rural and urban India. International Journal of Educational Development, 34, 11-19.

Beckett, M. (2000). Converging health inequalities in later life-an artifact of mortality selection?

Journal of Health and Social Behavior, 41(1), 106-119.

Chandola, T., Ferrie, J., Sacker, A., & Marmot, M. (2007). Social inequalities in self reported health in early old age: follow-up of prospective cohort study. Bmj, 334(7601), 990.

Cotten, S. R., & Gupta, S. S. (2004). Characteristics of online and offline health information seekers and factors that discriminate between them. Social Science & Medicine, 59(9), 1795- 1806.

Crystal, S., & Shea, D. (1990). Cumulative advantage, cumulative disadvantage, and inequality among elderly people. The Gerontologist, 30(4), 437-443.

Das, D., & Pathak, M. (2012). The growing rural-urban disparity in india: some issues. International Journal of Advancements in Research & Technology, 1(5), 1-7.

Duggal, R. (2007). Poverty & health: Criticality of public financing. Indian Journal of Medical Research, 126(4), 309.

Ellis, R. P., Alam, M., & Gupta, I. (2000). Health insurance in India: prognosis and prospectus. Economic and Political Weekly, 207-217.

Ferraro, K. F., & Farmer, M. M. (1996). Double jeopardy to health hypothesis for African Americans: Analysis and critique. Journal of health and social behavior, 27-43.

Gupta, I. & Sankar, D. (2003) Health of the elderly in India: a multivariate analysis. Journal of Health & Population in Developing Countries.

Hnatkovska, V., & Lahiri, A. (2013). The rural-urban divide in India. Int Growth Centr Work Pap.

Hosseinpoor, A.R., Williams, J.S., Amin, A., De Carvalho, I.A., Beard, J., Boerma, T., Kowal, P., Naidoo, N. and Chatterji, S. (2012). Social determinants of self-reported health in women and men: Understanding the role of gender in population health. PloS one, 7(4), e34799.

Husain, Z., & Ghosh, D. (2017). Analysis of perceived health status among elderly in India: Gender and positional objectivity. In Cross-Cultural and Cross-Disciplinary Perspectives in Social Gerontology (pp. 177-202). Springer, Singapore.

Husain, Z., & Ghosh, S. (2011). Is health status of elderly worsening in India? A comparison of successive rounds of national sample survey data. Journal of Biosocial Science, 43(2), 211- 231.

Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(March), 21-37.

Idler, E. L., & Kasl, S. V. (1995). Self-ratings of health: Do they also predict change in functional ability? Journals of Gerontology Series B: Psychological Sciences and Social Science, 50B(6), 344-353.

Ingle, G. K., & Nath, A. (2008). Geriatric health in India: Concerns and solutions. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine, 33(4), 214.

Joung, I. M., Stronks, K., Van de Mheen, H., & Mackenbach, J. P. (1995). Health behaviours explain part of the differences in self-reported health associated with partner/marital status in The Netherlands. Journal of Epidemiology & Community Health, 49(5), 482-488.

Kaur, G., Bansal, R., Anand, T., Kumar, A., & Singh, J. (2017). Morbidity profile of noncommunicable diseases among elderly in a city in North India. Clinical Epidemiology and Global Health.

Kawachi, I., & Berkman, L. F. (Eds.). (2003). Neighborhoods and health. Oxford University Press.

Kumar, A. S., Chen, L. C., Choudhury, M., Ganju, S., Mahajan, V., Sinha, A., & Sen, A. (2011). Financing health care for all: Challenges and opportunities. The Lancet, 377(9766), 668-679.

Liang, J., Bennett, J., Krause, N., Kobayashi, E., Kim, H., Brown, J. W., ... & Jain, A. (2002). Old age mortality in Japan: Does the socioeconomic gradient interact with gender and age?. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57(5), S294-S307.

Manton, K. G., Stallard, E., & Corder, L. (1997). Changes in the age dependence of mortality and disability: Cohort and other determinants. Demography, 34(1), 135-157.

Marmot, M. G., & Shipley, M. J. (1996). Do socioeconomic differences in mortality persist after retirement? 25 year follow up of civil servants from the first Whitehall study. Bmj, 313(7066), 1177-1180.

Minkler, M., & Fuller-Thomson, E. (1999). The health of grandparents raising grandchildren: Results of a national study. American Journal of Public Health, 89(9), 1384-1389.

Mini, G. K. (2009). Socioeconomic and demographic diversity in the health status of elderly people in a transitional society, Kerala, India. Journal of Biosocial Science, 41(4), 457-467.

Mirowsky, J., & Ross, C. E. (2005). Education, cumulative advantage, and health. Ageing International, 30(1), 27-62.

Nagaraja K, Veerabhadrappa B. (2018). Rural-urban health disparities in India. Indian Journal of Applied Research, 8, 31–33.

Pal, R. (2012). Analysing catastrophic OOP health expenditure in India: Concepts, determinants and policy implications.

Pradhan, B. K., Roy, P. K., Saluja, M. R., & Venkatram, S. (2000). Rural-urban disparities: income distribution, expenditure pattern and social sector. Economic and Political Weekly, 2527-2539.

Rahman, M. O., & Barsky, A. J. (2003). Self-reported health among older Bangladeshis: How good a health indicator is it? The Gerontologist, 43(6), 856-863.

Saberwal, S (2010), “On the Making of Muslims in India Historically”, in Basant R and Shariff, A (eds.) (2010), Handbook of Muslims in India: Empirical and Policy Perspectives, Oxford University Press. Chapter 3: 37-67.

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, G., Östlin, P., & George, A. (2007). Unequal, unfair, ineffective and inefficient. Gender inequity in health: why it exists and how we can change it. Final report to the WHO Commission on Social Determinants of Health.

Shorrocks, A. F. (2013). Decomposition procedures for distributional analysis: a unified framework based on the Shapley value. Journal of Economic Inequality, 1-28.

Shields, M., & Shooshtari, S. (2001). Determinants of self-perceived health. Health Reports, 13(1), 35-52.

Singh, P., Pandey, J., Tiwari, S., Pandey, K., & Maurya, P. (2009). Perceived justice of available opportunities and self-esteem, collective esteem and social exclusion: A study of three religious groups in India. Psychological Studies, 54(2), 124-132.

Sørensen, J. F. (2016). Rural–urban differences in bonding and bridging social capital. Regional Studies, 50(3), 391-410.

Tiwari, A. K., Shahbaz, M., & Islam, F. (2013). Does financial development increase rural-urban income inequality? Cointegration analysis in the case of Indian economy. International Journal of Social Economics, 40(2), 151-168.

Wallace, R. B., & Herzog, A. R. (1995). Overview of the health measures in the health and retirement study. Journal of Human Resources, 30(Special issue on the health and retirement study: Data quality and early results), 84-107.

Wilson, W. J. (2012). The truly disadvantaged: The inner city, the underclass, and public policy.

University of Chicago Press.

World Health Organization (WHO). (2006). A State of Complete Physical Mental and Social Well-Being and Not Merely the Absence of Disease or Infirmity. Constitution of the World Health Organization Basic Documents, Forty-fifth edition, Supplement.

World Health Organization (WHO). (2015). World report on ageing and health. World Health Organization.

Yadav, J. P. (2006). Securing old Age in Indian Family System. Indian Journal of Gerontology. Yang, Y. (2007). Age/period/cohort distinctions. Encyclopedia of health and aging, 20-22.

Yip, W., & Mahal, A. (2008). The health care systems of China and India: Performance and future challenges. Health Affairs, 27(4), 921-932.

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Published

2022-12-31

How to Cite

Ghosh, D. ., & Jena, L. K. . (2022). Upcoming Need of Geriatric Healthcare: An investigation in India. The Journal of Contemporary Issues in Business and Government, 28(4), 2078–2095. Retrieved from https://cibgp.com/au/index.php/1323-6903/article/view/2747