Gender differentials in prevalence of self-reported non-communicable diseases (NCDs) in India: evidence from recent NSSO survey
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This study examines the current scenario of the self-reported prevalence of non-communicable diseases (NCDs) in India and states, with a gender perspective. It also explores different factors affecting the prevalence of NCDs among men and women.
Subjects and methods
The study has used data from recent NSSO (71st Round, 2014) survey. Simple bivariate analyses are used to calculate the prevalence rate of NCDs per thousand persons. Binary logistics regression is applied to examine the effects of demographic and socioeconomic variables on the prevalence of NCDs.
The overall prevalence of NCDs is 55 per thousand persons. The prevalence is higher among women (63) as compared to men (47). Among Indian states, difference in the prevalence of NCDs between men and women is the highest in Punjab (45), followed by Himachal Pradesh (44) and Uttaranchal (37), whereas among the union territories (UTs), Daman and Diu (230) shows the widest gap in the prevalence of NCDs between men and women. Rural women (86) are found at the higher risk of NCDs as compared to rural men (64) and their counterpart in urban areas (53). The NCD prevalence is significantly higher among the population aged above 60 years (OR = 8.30, p < 0.001) and in richer section (OR = 1.21, p < 0.001).
In India, women are disproportionately affected by NCDs as compared to men. Across the region, a large gap exists in NCD prevalence between men and women. Hence, there is an urgent need to address this issue in high NCD prevalent states, particularly focusing women from socio-economically disadvantaged background.
KeywordsNon-communicable diseases (NCDs) Gender gap Self-reported diseases NSSO India
Compliance with ethical standards
The data used for this study considered all the ethical issues while collecting information and it is available to all users upon request. This paper is not published previously and not submitted elsewhere.
The study is not funded by any funding agency.
Conflict of interest
The authors declare that there is no conflict of interest.
- Alliance NCD (2011) Communicable diseases: a priority for women’s health and. 1–20.Google Scholar
- Alves L, Rodrigues R (2005) Determinants of self-rated health among elderly persons in São Paulo, Brazil. PubMed Commons 17:6–7Google Scholar
- Anish TS, Shahulhameed S, Vijayakumar K, Joy TM, Shreelakshmi PR, Kuriakose A (2013) Gender difference in blood pressure, blood sugar, and cholesterol in young adults with comparable routine physical exertion. J Family Med Prim Care 2:200–203. doi: 10.4103/2249-4863.117424 CrossRefPubMedPubMedCentralGoogle Scholar
- Baruah MP, Pathak A, Kalra S, Das AK, Zargar AH, Bajaj S, Unnikrishnan AG, Sahay RK (2014) A revisit to prevailing care and challenges of managing diabetes in India: focus on regional disparities. Indian J Endocrinol Metab 18:254–263. doi: 10.4103/2230-8210.131113 CrossRefPubMedPubMedCentralGoogle Scholar
- Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P, Baugh V, Bekedam H, Billo N, Casswell S, Cecchini M, Colagiuri R, Colagiuri S, Collins T, Ebrahim S, Engelgau M, Galea G, Gaziano T, Geneau R, Haines A, Hospedales J, Jha P, Keeling A, Leeder S, Lincoln P, McKee M, MacKay J, Magnusson R, Moodie R, Mwatsama M, Nishtar S, Norrving B, Patterson D, Piot P, Ralston J, Rani M, Reddy KS, Sassi F, Sheron N, Stuckler D, Suh I, Torode J, Varghese C, Watt J (2011) Priority actions for the non-communicable disease crisis. Lancet 377:1438–1447. doi: 10.1016/S0140-6736(11)60393-0 CrossRefPubMedGoogle Scholar
- Crocetti E, De Angelis R, Buzzoni C, Mariotto A, Storm H, Colonna M, Zanetti R, Serraino D, Michiara M, Cirilli C, Iannelli A, Mazzoleni G, Sechi O, Gonzalez MES, Guzzinati S, Capocaccia R, Maso LD, AIRTUM Working group (2013) Cancer prevalence in United States, Nordic countries, Italy, Australia, and France: an analysis of geographic variability. Br J Cancer 109:219–228. doi: 10.1038/bjc.2013.311 CrossRefPubMedPubMedCentralGoogle Scholar
- Hassanzadeh J, Moradi N, Esmailnasab N, Rezaeian S, Bagheri P, Armanmehr V (2014) The correlation between gender inequalities and their health related factors in world countries: a global cross-sectional study. Epidemiol Res Int 2014:521569. doi: 10.1155/2014/521569, 8 pp
- Hosseinpoor AR, Stewart Williams J, Amin A, Araujo de Carvalho I, Beard J, Boerma T, Kowal P, Naidoo N, Chatterji S (2012) Social determinants of self-reported health in women and men: understanding the role of gender in population health. PLoS ONE 7:1–16. doi: 10.1371/journal.pone.0034799 Google Scholar
- McDonough P, Walters V (2001) Gender and health: Reassessing patterns and explanations. Soc Sci Med 52 (4):547–559. doi: 10.1016/S0277-9536(00)00159-3
- Miszkurka M, Haddad S, Langlois ÉV, Freeman EE, Kouanda S, Zunzunegul MV (2012) Heavy burden of non-communicable diseases at early age and gender disparities in an adult population of Burkina Faso: world health survey. BMC Public Health 12:24. doi: 10.1186/1471-2458-12-24 CrossRefPubMedPubMedCentralGoogle Scholar
- Mohan V, Mathur P, Deepa R, Deepa M, Shukla DK, Menon GR, Anand K, Desai NG, Joshi PP, Mahanta J, Thankappan KR, Shah B (2008) Urban rural differences in prevalence of self-reported diabetes in India: the WHO-ICMR Indian NCD risk factor surveillance. Diabetes Res Clin Pract 80:159–168. doi: 10.1016/j.diabres.2007.11.018 CrossRefPubMedGoogle Scholar
- National Sample Survey Organisation (2014) Social consumption in India, Health (NSSO 71st round, January–June 2014). New Delhi: National Sample Survey Organisation, Ministry of Statistics and Programme Implementation, Government of India, New DelhiGoogle Scholar
- Pan American Health Organization (2011) Series: chronic disease issue Brief 2: chronic diseases on global agendas. PAHO, Washington, DC Google Scholar
- Patra S, Arokiasamy P, Goli S (2014) Relevance of health knowledge in reporting maternal health complications and use of maternal health care in India. Health Care Women Int 1–19. doi: 10.1080/07399332.2014.946509
- Sen G, Östlin P (2007) Unequal, unfair, ineffective and inefficient gender inequity in health: why it exists and how we can change it. Final report submitted to the WHO Commission on Social Determinants of Health, Women and Gender Equity Knowledge Network, WHO, Geneva, 145 ppGoogle Scholar
- Silva ER, Ivankovich M, Jose R, Faramand T (2014) Addressing the unique needs of men and women in non-communicable disease services. USAID Assist Project, USAID, Bethesda, MDGoogle Scholar
- Van Minh H, Ng N, Juvekar S, Razzaque A, Ashraf A, Hadi A, Soonthornthada K, Bich TH, Kanungsukkasem U, Byass P (2008) Self-reported prevalence of chronic diseases and their relation to selected sociodemographic variables: a study in INDEPTH Asian sites, 2005. Prev Chronic Dis 5:A86PubMedPubMedCentralGoogle Scholar
- Vellakkal S, Subramanian SV, Millett C, Basu S, Stuckler D, Ebrahim S (2013) Socioeconomic inequalities in non-communicable diseases prevalence in India: disparities between self-reported diagnoses and standardized measures. doi: 10.1371/journal.pone.0068219
- Vlassoff C (2007) Gender differences in determinants and consequences of health and illness. J Heal Popul Nutr 25:47–61Google Scholar
- World Health Organization (2008) The global burden of disease: 2004 update. Update 2010:146. WHO, Geneva. doi: 10.1038/npp.2011.85
- World Health Organization (2010) Global status report on noncommunicable diseases. WHO, GenevaGoogle Scholar
- World Health Organization (2015) International classification of diseases, 10th revision. WHO, GenevaGoogle Scholar