Socioeconomic inequalities in the low-moderate level 0f physical activity among older Indian population:: A decomposition analysis
Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
Introduction: Population ageing and growing prevalence of non-communicable diseases (NCDs) pose public health, economic and societal challenges to India. An important way to reduce NCDs is to focus on diminishing the risk factors associated with NCDs. Current endorsement of voluntary Global Action Plan will put more emphasized on the physical inactivity in the population. Tackling to socioeconomic differences in ill health behaviours is worth to be considered.
Aims: This study measures the socioeconomic inequalities in the low-moderate level of physical activity and evaluates the determinants of such inequalities as well as the contribution of the determinants to the inequalities amongst the Indian older population.
Methods: Data derived from the India SAGE study with 6298 respondents of age 50 years and above. Concentration index (CI) was calculated as a measure of socioeconomic inequalities in low-moderate level of physical activity, and contributions of each determinant to the inequalities were evaluated using the decomposition method.
Results: The weighted prevalence of low-moderate level of physical activity was 47.7%. The CI for low-moderate level of physical activity was 0.0952, representing that there were more rich people who reported less physically active lifestyle. The marginal effects obtained by the probit model showed that being in the oldest age group, being currently not working, being in the second older group (70-79 years) and having never worked significantly increased the probability of less physical activity. Meanwhile, participants who were women, lived in the rural areas, being in the other religious groups engaged in more physical activity. The largest contributions to inequality were attributed to the richest quintile (72%), rural residence (58%), and no schooling (-28%).
Conclusion: In summary, this study reveals the existence of socioeconomic inequalities in the low-moderate level of physical activity amongst the older population in India. Unlike other ill- health behaviours, the rich and the urban residents are the neglected victims of the low-moderate level of physical activity. Therefore, high impact and cost-effective interventions are urgently needed. The legislative policies should focus on the creation of conducive environments where older people can adopt healthy lifestyles easily.
Place, publisher, year, edition, pages
2016. , 40 p.
Centre for Public Health Report Series, ISSN 1651-341x ; 2016:33
physical inactivity, inequality, elderly population, concentration index, decomposition
Public Health, Global Health, Social Medicine and Epidemiology
IdentifiersURN: urn:nbn:se:umu:diva-131687OAI: oai:DiVA.org:umu-131687DiVA: diva2:1075281
SAGE Data - Paul Kowal
Master's Programme in Public Health
2016-05-23, Umeå Universitet, Umeå, 15:43 (English)
Ng, Nawi, Professor
Lindholm, Lars, Professor