Education Level, Monthly Per-Capita Expenditure, and Healthy Aging in the Older Indonesian Population: The Indonesia Family Life Survey 2007 and 2014

Nurrika, Dieta; Zhang, Shu; Discacciati, Andrea; Tomata, Yasutake; Liu, Yingxu; Sugawara, Yumi; Tsuji, Ichiro

doi:10.1620/tjem.250.95

Cited by 10 publications

(6 citation statements)

References 28 publications

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Section: Methodsmentioning

confidence: 99%

“…Monthly PCE in the IFLS data were assessed using Indonesian rupiah (IDR) and then converted into US dollars (USD) using the 2014 exchange rate (USD 1=IDR 11 865.211) [18]. As a result, monthly PCE were categorized into 2 groups: ≤USD 60 or >USD 60 [19]. Awareness of accessible health care facilities was classified as "yes" (respondents who knew the location of at least 1 healthcare facility) or "no" (respondents who did not know the locations of any healthcare facilities).…”

Section: Study Variablesmentioning

confidence: 99%

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The Determinants of Undiagnosed Hypertension Among Indonesian Adults: A Cross-sectional Study Based on the 2014-2015 Indonesia Family Life Survey

Mahwati¹,

Nurrika

Latif

2022

J Prev Med Public Health

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Objectives: This study investigated the determinants of undiagnosed hypertension among Indonesian adults.Methods: This study involved an analysis of secondary data from the 2014 Indonesia Family Life Survey (IFLS) on 5914 Indonesian adults (≥40 years). The determinant variables examined in this cross-sectional study were education level, monthly per capita expenditures (PCE), whether the participant experienced headaches in the morning, and other general health variables. The outcome variable was undiagnosed hypertension, which was defined as participants with hypertension who had not received a hypertension diagnosis from a health professional and had never been prescribed medication for treating hypertension. The data were analyzed using logistic regression.Results: A total of 3322 participants (56.2%) were found to have undiagnosed hypertension. The odds ratios (ORs) and 95% confidence intervals (CIs) of undiagnosed hypertension were significantly higher among those who completed primary school or lower (OR, 1.60; 95% CI, 1.29 to 1.98), had low monthly PCE (OR, 1.28; 95% CI, 1.13 to 1.43), did not report experiencing headaches in the morning (OR, 1.97; 95% CI, 1.76 to 2.21), and reported a general health status of healthy (OR, 2.05; 95% CI, 1.82 to 2.30) than those who had a higher education level, had high monthly PCE, experienced headaches in the morning, and were unhealthy.Conclusions: Education level, monthly PCE, the experience of headaches in the morning, and general health status were associated with undiagnosed hypertension. The monitoring system for detecting undiagnosed hypertension cases must be strengthened. Health promotion is also necessary to reduce the prevalence of undiagnosed hypertension.

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Section: Methodsmentioning

confidence: 99%

Section: Study Variablesmentioning

confidence: 99%

The Determinants of Undiagnosed Hypertension Among Indonesian Adults: A Cross-sectional Study Based on the 2014-2015 Indonesia Family Life Survey

Mahwati¹,

Nurrika

Latif

2022

J Prev Med Public Health

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“…Observing the contribution of education level to the inequitable use of outpatient services. People with lower levels of education are less well-off and do not have a higher level of health awareness [ 54 ]. Over time, an increasing number of people with low education levels had used outpatient services, suggesting that China’s health care reform policies had shown stronger policy benefits for people with low education levels.…”

Section: Discussionmentioning

confidence: 99%

Horizontal inequity trends of health care utilization in rural China after the medicine and healthcare system reform: based on longitudinal data from 2010 to 2018

Tian

Sun³

et al. 2023

Int J Equity Health

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Background To assess the effectiveness of China's medicine and health care reform in promoting equity in health care utilization among rural residents, it is necessary to analyze temporal trends in equity in health care utilization among rural residents in China. This study is the first to assess horizontal inequity trends in health care utilization among rural Chinese residents from 2010 to 2018 and provides evidence for improving government health policies. Methods Longitudinal data obtained from China Family Panel Studies from 2010 to 2018 were used to determine trends in outpatient and inpatient utilization. Concentration index, concentration curve, and horizontal inequity index were calculated to measure inequalities. Decomposition analysis was applied to measure the contribution of need and non-need factors to the unfairness. Results From 2010 to 2018, outpatient utilization among rural residents increased by 35.10%, while inpatient utilization increased by 80.68%. Concentration indices for health care utilization were negative in all years. In 2012, there was an increase in the concentration index for outpatient utilization (CI = -0.0219). The concentration index for inpatient utilization decreased from -0.0478 in 2010 to -0.0888 in 2018. Except for outpatient utilization in 2012 (HI = 0.0214), horizontal inequity indices for outpatient utilization were negative in all years. The horizontal inequity index for inpatient utilization was highest in 2010 (HI = -0.0068) and lowest in 2018 (HI = -0.0303). The contribution of need factors to the inequity exceeded 50% in all years. Conclusions Between 2010 and 2018, low-income groups in rural China used more health services. This seemingly pro-poor income-related inequality was due in large part to the greater health care need among low-income groups. Government policies aimed at increasing access to health services, particularly primary health care had helped to make health care utilization in rural China more equitable. It is necessary to design better health policies for disadvantaged groups to reduce future inequities in the use of health services by rural populations.

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“…This finding also supports the findings of Jayawardana et al (2021) related to increasing family income, receiving government benefits in the form of goods, scholarships for school goods, reducing child labor rates, and having a positive impact on children's education. In addition, working mothers also have a positive effect on the level of household consumption where the higher household expenditure per month, the higher the education of children (Nurrika et al 2020). However, Hoque et al (2017) suggest that family income is not the sole contributing factor.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Working Mother Status on Children’s Education Attainment: Evidence from Longitudinal Data

2022

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This study builds on the debate on whether mothers‘ employment in the early life of children bring positive or negative impact to children in later life. This is based on the fact that employment often result in reduced family time in which mother may not be able to take care of their children fully. This study estimated the effects of mothers’ employment status on children’s education in the short-term and in the long-term in 24 provinces in Indonesia. This study used data on children from three waves of the Indonesia Family Life Survey (IFLS): IFLS-3 (in 2000) aged 0–7 years, IFLS-4 (in 2007) aged 7–14 years, and IFLS-5 (in 2014) aged 14–21 years. The outcome variable was the children’s education and the variable of interest was the mother’s employment status. To overcome endogeneity, the analysis of the relationship between outcome and interest variables in this study was done by using the ordinary least square estimation (OLS) method and instrumental variables (IV). This study also used a cross-sectional design which estimated IFLS-4 (in 2007) and IFLS-5 (in 2014), separately. The main finding suggests that the mother’s employment status positively influenced children’s education both in the short- and long-term, as evidenced by the ordinary least square estimation (OLS) results. The instrumental variable (IV) estimate showed that decision-making was a strong instrument; and, it further revealed that mothers’ decision-making within the family affected their opportunity to work. This research could contribute to strengthening working mothers’ self-border and the concept of work-family facilitation in a family. It could also become a reference for stakeholders involved in the policy making to regulate policies which facilitate and support working mother to create ideal working environment. This condition is expected to supports children’s development as well as creating equity for working mothers in Indonesia.

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Education Level, Monthly Per-Capita Expenditure, and Healthy Aging in the Older Indonesian Population: The Indonesia Family Life Survey 2007 and 2014

Cited by 10 publications

References 28 publications

The Determinants of Undiagnosed Hypertension Among Indonesian Adults: A Cross-sectional Study Based on the 2014-2015 Indonesia Family Life Survey

The Determinants of Undiagnosed Hypertension Among Indonesian Adults: A Cross-sectional Study Based on the 2014-2015 Indonesia Family Life Survey

Horizontal inequity trends of health care utilization in rural China after the medicine and healthcare system reform: based on longitudinal data from 2010 to 2018

The Effect of Working Mother Status on Children’s Education Attainment: Evidence from Longitudinal Data

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