Socioeconomic Gradients of Cardiovascular Risk Factors in China and India: Results from the China Health and Retirement Longitudinal Study and Longitudinal Aging Study in India

18 Pages Posted: 16 Oct 2016

See all articles by Peifeng Hu

Peifeng Hu

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

Serena Wang

Independent

Jinkook Lee

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

Date Written: October 14, 2016

Abstract

Objectives: Cardiovascular disease has become a major public health challenge in developing countries. The goal of this study is to compare socioeconomic status (SES) gradients of cardiovascular risk factors both within and between China and India.

Methods: We used data from the China Health and Retirement Longitudinal Study (CAHRLS) and the Longitudinal Aging Study in India (LASI) to analyze the associations between cardiovascular risk factors (waist circumference, body mass index, and hypertension) and SES, particularly education attainment and per capita expenditure.

Results: The multivariate logistic regression analyses showed that obesity, defined by either waist circumference or body mass index, was positively correlated with higher education levels in Indian men and women, but inversely associated with education levels among Chinese women. Similar pattern was observed between education attainment and hypertension based on self-reported physician diagnosis and direct blood pressure measurements.

Conclusions: SES is associated with cardiovascular risk factors in both China and India. However, the direction of this relationship varies across these two countries, suggesting that this association is not fixed, but is subjective to time and context-dependent causal pathways.

Keywords: socioeconomic status, cardiovascular risk factor, aging, China, India

Suggested Citation

Hu, Peifeng and Wang, Serena and Lee, Jinkook, Socioeconomic Gradients of Cardiovascular Risk Factors in China and India: Results from the China Health and Retirement Longitudinal Study and Longitudinal Aging Study in India (October 14, 2016). CESR-Schaeffer Working Paper No. 2016-016. Available at SSRN: https://ssrn.com/abstract=2852538 or http://dx.doi.org/10.2139/ssrn.2852538

Peifeng Hu (Contact Author)

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

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

Serena Wang

Independent ( email )

No Address Available

Jinkook Lee

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

CA
United States

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

635 Downey Way
Suite 312
Los Angeles, CA 90089-0191
United States

HOME PAGE: http://p2aging.org

RAND Corporation ( email )

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P.O. Box 2138
Santa Monica, CA 90407-2138
United States

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