Markers and Drivers: Cardiovascular Health of Middle-Age and Older Indians

27 Pages Posted: 10 Dec 2011

See all articles by Jinkook Lee

Jinkook Lee

University of Southern California - Center for Economic & Social Research; Program on Global Aging, Health & Policy, Center for Economic & Social Research; RAND Corporation

P. Arokiasamy

International Institute for Population Sciences (IIPS)

Amitabh Chandra

Harvard University - Harvard Kennedy School (HKS); National Bureau of Economic Research (NBER); IZA Institute of Labor Economics

Peifeng Hu

University of California, Los Angeles (UCLA) - David Geffen School of Medicine

Jenny Liu

affiliation not provided to SSRN

Kevin Feeney

Independent

Date Written: October 13, 2011

Abstract

Using the 2010 pilot study of the Longitudinal Aging Study in India (LASI), the authors examine the socioeconomic and behavioral risk factors for poor cardiovascular health among middle-aged and older Indians, focusing on self-reported and directly measured hypertension. The LASI pilot survey (N=1,683) was fielded in four states: Karnataka, Kerala, Punjab, and Rajasthan. These four states were chosen to capture regional variations and socioeconomic and cultural differences. They find significant inter-state differences across multiple measures of cardiac health and risk factors for hypertension, including body mass index, waist-to-hip ratio, and health behaviors. In contrast to the findings from developed countries, they find education and other markers of higher socioeconomic status (SES) to be positively associated with hypertension. Among the hypertensive, however, they find that those at higher SES are less likely to be undiagnosed and more likely to be in better control of their blood pressure than respondents with low SES. They also find significant inter-state variations in hypertension prevalence, diagnosis, and management that remain even after accounting for socio economic differences, obesity, and health behaviors. They conclude by discussing these findings and their implications for public health and economic development in India and the developing country context more generally.

Suggested Citation

Lee, Jinkook and Arokiasamy, P. and Chandra, Amitabh and Hu, Peifeng and Liu, Jenny and Feeney, Kevin, Markers and Drivers: Cardiovascular Health of Middle-Age and Older Indians (October 13, 2011). RAND Working Paper Series No. WR-888. Available at SSRN: https://ssrn.com/abstract=1970068 or http://dx.doi.org/10.2139/ssrn.1970068

Jinkook Lee (Contact Author)

University of Southern California - Center for Economic & Social Research ( email )

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Program on Global Aging, Health & Policy, Center for Economic & Social Research ( email )

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RAND Corporation ( email )

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P. Arokiasamy

International Institute for Population Sciences (IIPS) ( email )

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Amitabh Chandra

Harvard University - Harvard Kennedy School (HKS) ( email )

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National Bureau of Economic Research (NBER)

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IZA Institute of Labor Economics

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Peifeng Hu

University of California, Los Angeles (UCLA) - David Geffen School of Medicine ( email )

1000 Veteran Avenue, Box 956939
Los Angeles, CA 90095-6939
United States

Jenny Liu

affiliation not provided to SSRN ( email )

Kevin Feeney

Independent ( email )

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