Gender disparities in the burden of non-communicable diseases in India: Evidence from the cross-sectional study

Sharma, Santosh Kumar; Vishwakarma, Deepanjali; Puri, Parul

doi:10.1016/j.cegh.2019.11.011

Cited by 28 publications

(30 citation statements)

References 15 publications

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“…Hypertension and diabetes were highlighted as frequently occurring chronic conditions in other studies conducted in LMICs. 15 , 27 , 28 Our study findings highlighted that the prevalence of thyroid disorder, cancer, and neurological disorder is also booming over time. This increased disease prevalence could be caused by the cognizance that hypertension, diabetes, cardiovascular disease, and cancer have received amidst the national programme for prevention & control of cancer, diabetes, cardiovascular diseases & stroke (2010).…”

Section: Discussionmentioning

confidence: 63%

Temporal dynamics, patterns and correlates of single and multimorbidity in India, 1994–2018

Puri

Singh

2021

Journal of Multimorbidity and Comorbidity

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Objective As a consequence of the epidemiological transition, multimorbidity has been identified as a critical public health challenge in India. The majority of the studies in the domain are grounded on hospital-based data or are based on small sample size, findings from which can only be generalized to a specific sub-group. These studies recommend exploring multimorbidity holistically at a national level to ensure adequate healthcare management in the country. Therefore, the present study examines the pattern and correlates of single and multimorbidity over the past two decades in India. Methods The study utilized data on 397901, 257519, and 399705 individuals from 52nd (1994–1995), 60th (2004–2005), and 75th (2018) rounds of cross-sectional data from the National Sample Survey (NSS). Univariate, bivariate, and multivariable statistical methods were applied to draw inferences from the data. The findings depict an increase in single and multimorbidity burden over individuals’ age and NSS rounds. Results Hypertension and diabetes were the fastest-growing morbidities over time. Higher education, urban residence, and belonging to an affluent class were significantly associated with both single and multimorbidity occurrence over time. Conclusion The burden of single and multimorbidity increases over time among India’s older adults. Therefore, there is an urgent need to recuperate chronic disease management strategies for older adults in the Indian healthcare infrastructure.

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Section: Discussionmentioning

confidence: 63%

Temporal dynamics, patterns and correlates of single and multimorbidity in India, 1994–2018

Puri

Singh

2021

Journal of Multimorbidity and Comorbidity

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“…Some reflections from north India show that females are more affected by diabetes, while other studies from southern India have shown a higher prevalence among males 14 , 15 . Several other studies have also demonstrated variations in the prevalence of diabetes by sex and concluded that men are more affected by diabetes than women in the country 16 , 17 . Studies have analysed socio-economic inequality in the prevalence of diabetes but left the gender differential analysis in its prevalence across different socio-economic groups 18 , 19 .…”

Section: Introductionmentioning

confidence: 93%

“…Few studies have looked into gender differences in the prevalence of diabetes. Still, these studies have either focused on a single state of the country or have not captured some critical factors such as hypertension, body mass index, vegetarian status and frequency of watching television which also affect the occurrence of diabetes among different genders 17 , 26 . After seeing the above literature on diabetes, we found a lack of studies focused exclusively on the role of socio-economic and risk factors in the incidence of diabetes separately among men and women in India.…”

Section: Introductionmentioning

confidence: 99%

Unequal burden of equal risk factors of diabetes between different gender in India: a cross-sectional analysis

Sujata

Thakur

2021

Sci Rep

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Many studies have supported that the burden of diabetes is shared differently by different genders due to various factors associated with it. This study aims at capturing whether women and men with a similar background, dietary and smoking habits, and biological conditions (blood pressure and body mass index (BMI)) are being affected equally or differently by diabetes. We have used cross-sectional data of NFHS-4 by covering the age group 15–49 years. Association between socio-economic background, dietary habits, biological conditions, and diabetes has been estimated using two separate multivariate logistic regression models. Results show that the overall prevalence of diabetes is higher among men (2.63%) than women (2.35%). Whereas, women belonging to urban areas (3.53%), Christian category (3.92%), richer section (3.22%), women with no schooling (2.51%), those reported never to consume pulses (2.66%) and green vegetables (2.40%) and daily consuming eggs (3.66%) and chicken or meat (3.54%) are more affected by diabetes than their men counterparts. Whereas men residing in rural areas (2.30%), belonging to the general category (3.12%), SCs (2.37%) and STs (1.72%) are more affected than their women counterparts. Results have also shown a higher prevalence of diabetes among obese men (11.46%), non-vegetarian (2.71%) and those who watch television almost every day (3.03%) as compared to their women counterparts. Regression analyses show that the richest, hypertensive, and obese women and men are significantly more likely to suffer from diabetes. This study concludes that women and men with similar socio-economic status, biological conditions, dietary and smoking habits are being affected differently by diabetes. Thus, there is a need for gender dimension in research to understand and validate the differences in the needed interventions for diabetes control in India.

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“…For women (age group 15-49 years) prevalence of hypertension and hyperglycaemia ranged from 8-18% and 3% to11% respectively (9). Sharma et al, based on NFHS-4 (2015-16) report observed that prevalence of having at least one NCD is higher among women than men and some other studies also showed that NCD burden is more upon women than men which may be due to the biological and social factors of women (10). So Indian women, who have been kept in the centre of Sustainable Development Growth (2015-30) need more surveillances to lessen their burden of NCDs.…”

Section: Introductionmentioning

confidence: 99%

Comparative assessment of two behavioural risk factors (physical inactivity and unhealthy diet) among obese Bengalee women in rural and urban areas of West Bengal, India

Bose¹,

Sultana²,

Banerjee

et al. 2022

Preprint

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Background:Unhealthy diet and physical inactivity are the behavioural risks, closely associated with obesity which is a metabolic risk leading to the development of Non Communicable Diseases (NCDs). Dietary transition and sedentary living is also significant even in rural India which might be accountable to uprising NCDs there. So the aim of our study was to assess dietary pattern and unhealthy dietary factors, to determine the prevalence of physical inactivity among obese bengalee women in rural and urban areas of West BengalMethods:This study was conducted in Hooghly district of West Bengal, India and 150 female subjects (75 from rural area and 75 from urban area) of 20-40 years age group were recruited for the study considering inclusion and exclusion criteria. Different physical and socio-demographic variables were measured and dietary information was collected using questionnaire. Global Physical Activity Questionnaire (GPAQ) was used to collect information about physical activities of the study participants. Different anthropometric parameters (body weight, height, Body Mass Index [BMI], waist circumference [WC], hip circumference [HC], waist to hip ratio [WHR] and waist to height ratio [WHtR]) were measures as the strong prediction tools for assessing their risks related to NCDs.Results:We found that most of the daily energy comes from carbohydrate in the diet of both groups, consumption of food groups like animal protein and dairy products, fruits, visible fat and sugar were significantly higher in urban group whereas dietary fibre, green leafy and other vegetables, pulses and nuts intake was significantly high in rural group. Physical inactivity prevalence was 64% in rural and 78.7% in urban and there was significant difference between rural and urban group regard to all the anthropometric indices.Conclusions:In summary, the behavioural risk factors those were assessed are undoubtedly apprehensive and anthropometric indices are pointing out towards associated possible metabolic risks which were poorer in urban group than rural, so further clinical investigation along with proper intervention measure is indispensible.

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Gender disparities in the burden of non-communicable diseases in India: Evidence from the cross-sectional study

Cited by 28 publications

References 15 publications

Temporal dynamics, patterns and correlates of single and multimorbidity in India, 1994–2018

Temporal dynamics, patterns and correlates of single and multimorbidity in India, 1994–2018

Unequal burden of equal risk factors of diabetes between different gender in India: a cross-sectional analysis

Comparative assessment of two behavioural risk factors (physical inactivity and unhealthy diet) among obese Bengalee women in rural and urban areas of West Bengal, India

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