Living Arrangement and Economic Dependency among the Elderly in India: a Comparative Analysis of EAG and Non EAG States

Abstract

An increase proportion of elderly means additional national responsibility to meet the emerging challenges to ensure well-being. Family, kinship, and community which were the strong sources of social support and care for the elderly in India has become weaker in recent times. Eight of India’s states are considered to be relatively socioeconomically backward, and are referred to as the Empowered Action Group (EAG) states, while rest of the states are demographically more advanced and many have achieved replacement level of fertility. The purpose of this paper is to compare the pattern of living arrangements and economic dependency among elderly in EAG and non-EAG states of India. Data from the National Sample Survey 71st round was used for analysis (N = 27,245). Results suggest that majority of the elderly co-resided both in EAG and non-EAG states. The major difference in living alone between EAG and non- EAG states is found according to religion, consumer expenditure quintile, and perceived health. Overall, 72% elderly are economically dependent on others. The differences between EAG and non-EAG states in economic dependency are considerable according to marital status, education, religion, and consumer expenditure quintile. Multivariate analysis revealed that the chances of living alone and economic dependency are higher in non-EAG states than EAG states. Number of surviving children, education, and consumer expenditure quintile are the significant predictors of living alone, while age, gender, and education significantly influence economic dependency. The findings call for making appropriate changes in policies and programmes to ensure social security and health of the elderly.

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Abbreviations

EAG:

Empowered Action Group

UMPCE:

Usual Monthly per-capita Consumer Expenditure

References

  1. Agrawal, S. (2012). Effects of living arrangement on the health status of elderly in India: finding from a national cross sectional survey. Asian Population Studies, 8, 87–101.

    Article  Google Scholar 

  2. Audinarayana, N. (2000). Factors affecting the work participation of elderly: an empirical investigation. [Unpublished] 2000. Presented at the Millennium Conference on Population Development and Environment Nexus, New Delhi:India, February 14–16 2000. Retrieved from https://www.popline.org/node/174308. Accessed 25 Aug 2017

  3. Bloom, B., & Covington, S. (2008). Addressing the mental health needs of women offenders. Women’s Mental Health Issues Across the Criminal Justice System, Rosemary Gidos and Lanette Dalley. Retrieved from http://stephaniecovington.com/assets/files/FinalAddressingtheMentalHealthNeeds.pdf. Accessed 25 Aug 2017

  4. Bolina, A. F., & Tavares, D. M. D. S. (2016). Living arrangements of the elderly and the sociodemographic and health determinants: a longitudinal study. Revista Latino-Americana de Enfermagem, 24(0).

  5. Bongaarts, J., & Zimmer, Z. (2002). Living arrangements of older adults in the developing world: an analysis of demographic and health survey household surveys. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57(3), S145–S157.

    Article  Google Scholar 

  6. Burholt, V., & Scharf, T. (2013). Poor health and loneliness in later life: The role of depressive symptoms, social resources, and rural environments. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 69(2), 311–324.

    Article  Google Scholar 

  7. Chaudhuri, A., & Roy, K. (2007). Gender differences in living arrangements among older persons in India. Journal of Asian and African Studies, 44(3), 259–277.

    Article  Google Scholar 

  8. Clark, R. L., York, E. A., & Anker, R. (1997). Retirement and economic development: An international analysis. In R. De jong Phillip & R. Marmor Theodore (Eds.), Social policy and the labour market (pp. 117–146). Ashgate, Brookfield.

  9. D’Souza, V. (1989). Changing social scene and its implications for the aged. In K. Desai (Ed.), Aging in India. New Delhi: Ashish Publication house.

    Google Scholar 

  10. Dean, A., Kolody, B., Wood, P., & Matt, G. E. (1992). The influence of living alone on depression in elderly persons. Journal of Aging and Health, 4(1), 3–18.

    Article  Google Scholar 

  11. Help Age India. (2015). State of the elderly in India. Research and Development Division., 182 Retrieved from https://www.helpageindia.org/images/pdf/state-elderly-india-2014.pdf. Accessed 25 Aug 2017

  12. 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.

    Article  Google Scholar 

  13. International Institute for Population Sciences and Macro International. (2007). National Family Health Survey (NFHS-3): Volume-I. Health (San Francisco) (Vol. I). https://doi.org/10.1016/S0140-6736(05)17806-4.

    Article  Google Scholar 

  14. Jadhav, A., Sathyanarayana, K. M., Kumar, S., & James, K. S. (2013). Living Arrangements of the Elderly in India: Who lives alone and what are the patterns of familial support ? Session 301: Living Arrangement and Its Effect on Older People in Ageing Societies, 243–256. Retrieved from https://iussp.org/sites/default/files/event_call_for_papers/301_Jadhavet al_0.pdf. Accessed 25 Aug 2017

  15. Kharicha, K., Iliffe, S., Harari, D., Swift, C., Gillmann, G., & Stuck, A. E. (2007). Health risk appraisal in older people : Are older people living alone an “at-risk” group? British Journal of General Practice, 57(537), 271–276.

    Google Scholar 

  16. Kumar, S. (1996). The aged in India: comparative study of socio-economic conditions in Kerala and Uttar Pradesh. Unpublished PhD Thesis submitted to International Institute For Population Sciences, Mumbai,India.

  17. Kumar, S. V. (2003). Economic security for the elderly in India: An overview. Journal of Aging & Social Policy, 153(2), 45–65.

    Article  Google Scholar 

  18. Lau, D. T., & Kirby, J. B. (2009). The relationship between living arrangement and preventive care use among community-dwelling elderly persons. American Journal of Public Health, 99(7), 1315–1321.

    Article  Google Scholar 

  19. Ministry of Health and Family Welfare. (2011). Family welfare statistics in India 2011. New Delhi: Statistical division, Ministry of Health and Family Welfare, Government of India.

    Google Scholar 

  20. Ministry of Social Justice & Empowerment. (2014). National Policy for Older Persons. Retrieved September 18, 2017, from http://pib.nic.in/newsite/PrintRelease.aspx?relid=108092

  21. Mor, V., Murphy, J., Masterson-Allen, S., Willey, C., Razmpour, A., Elizabeth Jackson, M., & Katz, S. (1989). Risk of functional decline among well elders. Journal of Clinical Epidemiology, 42(9), 895–904.

    Article  Google Scholar 

  22. National Sample Survey Organisation, (NSSO). (1998). Morbidity and Treatment of Ailments: 52nd round Report no.441. New Delhi:NSSO, Government of India. Retrieved from http://mospi.nic.in/sites/default/files/publication_reports/441_final.pdf. Accessed 25 Aug 2017

  23. National Sample Survey Organisation (NSSO). (2004). Morbidity Health Care and the Condition of Aged: 60th round Report no.507. New Delhi:NSSO, Government of India. Retrieved from http://mospi.nic.in/sites/default/files/publication_reports/507_final.pdf. Accessed 25 Aug 2017

  24. Office of the Registrar General & Census Commissioner of India. (2013). Census of India 2011: Primary Census Abstract, Data Highlights, India, Series 1. Office of the Registrar General and Census Commissioner, Government of India. New Delhi. Retrieved from http://www.censusindia.gov.in/2011census/Cseries/%250AC-13.html. Accessed 25 Aug 2017

  25. Office of the Registrar General and Census Commissioner of India. (2016). SRS Based Abridged Life Table 2010–14. New Delhi, India. Retrieved from http://www.censusindia.gov.in/Vital_Statistics/SRS_Life_Table/2.Analysis_2010-14.pdf.

  26. Panigrahi, A. (2013). Living arrangements of elderly in India: a comparative study of Uttar Pradesh and Kerala. Indian Journal of Gerontology, 27(3), 530–540.

    Google Scholar 

  27. Perissinotto, C. M., Cenzer, I. S., & Covinsky, K. E. (2012). Loneliness in older persons: a predictor of functional decline and death. Archives of Internal Medicine, 172(14), 1078–1083.

    Article  Google Scholar 

  28. Prasad, S. (2011). Deprivation and vulnerability among elderly in India WP-2011-013, (July), 38. Retrieved from http://oii.igidr.ac.in:8080/xmlui/bitstream/handle/2275/140/WP-2011-013.

  29. Rajan, S. I. (2008). India. In S. I. Rajan (Ed.), Social security for the elderly: Experiences from South Asia (pp. 39–106). New Delhi: Routledge Publication.

    Google Scholar 

  30. Rajan, S. I., & Balagopal, G. (2017). Caring India: An introduction. In Elderly Care in India (pp. 1–36). Singapore: Springer Singapore. https://doi.org/10.1007/978-981-10-3439-8_1.

    Google Scholar 

  31. Rajan, S. I., & Kumar, S. (2003). Living arrangements among Indian elderly: New Evidence from National Family Health Survey. Economic and Political Weekly, 38, 75–80.

    Google Scholar 

  32. Rajan, S. I., Mishra, U., & Sarma, P. S. (1995). Living arrangements among Indian elderly. Hongkong Journal of Gerontology, 9(2), 20–28.

    Google Scholar 

  33. Raju, S. S. (2002). Economic condition of the elderly. In S. Raju (Ed.), Health status of urban elderly: A medico-social study (pp. 51–77). New Delhi: Br Publishing Corporation.

    Google Scholar 

  34. Raju, S. S. (2011). Studies on ageing in India: A review. BKPAI Working Paper No 2. Population Ageing in India. United Nations Population Fund (UNFPA), New Delhi. https://doi.org/10.1017/CCO9781139683456.009

  35. Sarwari, A. R., Fredman, L., Langenberg, P., & Magaziner, J. (1998). Prospective study on the relation between living arrangement and change in functional health status of elderly women. American Journal of Epidemiology, 147(4), 370–378.

    Article  Google Scholar 

  36. United Nations. (2015). World Population Ageing 2015. Department of Economic and Social Affairs, Population Division. https://doi.org/ST/ESA/SER.A/390. Accessed 25 Aug 2017

  37. Wang, H., Chen, K., Pan, Y., Jing, F., & Liu, H. (2013). Associations and impact factors between living arrangements and functional disability among older Chinese adults. PLoS ONE, 8(1).

  38. Williams, A. (2003). Ageing and poverty in Africa: Ugandan livelihoods in a time of HIV/AIDS. Aldershot: Ashgate Retrieved from https://www.popline.org/node/258083. Accessed 25 Aug 2017

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Acknowledgments

The authors would like to acknowledge the National Sample Survey Organization (NSSO) for making the raw data openly available online.

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Correspondence to Shailendra Kumar.

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Kumar, S., Kumar, K.A. Living Arrangement and Economic Dependency among the Elderly in India: a Comparative Analysis of EAG and Non EAG States. Ageing Int 44, 352–370 (2019). https://doi.org/10.1007/s12126-019-9344-3

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Keywords

  • Elderly
  • Living arrangements
  • Economic dependency
  • EAG states
  • India