The literature on socioeconomic status and health suggests that those in higher positions have better health, and those in lower positions have worse health. There is little evidence of an SES gradient in non-industrialized countries, however, and it is uncertain whether the health gradient established in many Western countries would apply in developing countries. In this study, the authors examine patterns in health outcomes by caste and religion in India, a developing country. Results from a nationally representative sample, the Indian Human Development Survey, suggest that while high SES social groups report less communicable disease, they report a higher prevalence of chronic diseases than low SES groups. This study demonstrates the need to examine diseases of affluence among high SES groups in developing countries while also identifying the particular health concerns that are prevalent among low SES groups.
AbegundeD.O., MathersC.D., AdamT., OrtegonM., StrongK.The burden and costs of chronic diseases in low-income and middle-income countries. Lancet.2007; 370(9603): 1929–38.
2.
AcharyaS.Caste and patterns of discrimination in rural public health care services. In: ThoratS., NeumanK.S., editors. Blocked by Caste.New Delhi: Oxford University Press; 2010.
3.
AnjanaR.M., AliM.K., PradeepaR., DeepaM., DattaM., UnnikrishnanR., RemaM., MohanV.The need for obtaining accurate nationwide estimates of diabetes prevalence in India - rationale for a national study on diabetes. Indian J Med Res.2011; 133(4): 369–80.
4.
BlaneD.The life-course, the social gradient, and health. In: WilkinsonR.G., MarmotM., editors. Social determinants of health.New York: Oxford University Press; 2006. p. 54–77.
5.
BorooahV.K.Inequality in health outcomes in India: the role of caste and religion. In: ThoratS., NewmanK.S., editors. Blocked by Caste: economic discrimination in modern India.New Delhi: Oxford; 2010. p. 179–207.
6.
BorooahV.K.Social identity and educational attainment: the role of caste and religion in explaining differences between children in India. J Dev Stud.2012; 48(7): 887–903.
7.
DesaiS., KulkarniV.Changing educational inequalities in India in the context of affirmative action. Demography.2008; 45(2): 245–70.
8.
DeshpandeA.Caste at birth?: Redefining disparity in India. Rev Dev Econ.2001; 5(1): 130–44.
9.
DeshpandeA.Asset versus autonomy? The changing face of the gender-caste overlap in India. Fem Econ.2002; 8(2): 19–35.
10.
EzzatiM., van der HoornS., LawesC.M.M., LeachR., JamesW.P.T., LopezA.D., RodgersA., MurrayC.J.L.Rethinking the “diseases of affluence” paradigm: global patterns of nutritional risks in relation to economic development. PLoS Med.2005; 2(5): e133.
11.
GeorgeL.K., EllisonC.G., LarsonD.B.Explaining the relationships between religious involvement and health. Psychol Inq.2002; 13(3): 190–200.
12.
KaplanG.A., KeilJ.E.Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation.1993; 88(4 Pt 1): 1973–98.
13.
KoenigH., KingD., CarsonV.B.Handbook of religion and health.New York: Oxford University Press; 2012.
14.
KusumaY.S., BabuB.V., NaiduJ.M.Prevalence of hypertension in some cross-cultural populations of visakhapatnam district, South India. Ethn Dis.2004; 14(2): 250–9.
15.
LinkB.G., PhelanJ.Social conditions as fundamental causes of disease. J Health Soc Behav.1995; 35: 80–94.
16.
LynchJ., KaplanG.A.Socioeconomic position. In: BerkmanL.F., KawachiI., editors. Social epidemiology.New York: Oxford University Press; 2000. p. 13–35.
17.
MarmotM.G., StansfeldS., PatelC., NorthF., HeadJ., WhiteI., BrunnerE., AmandaF., MarmotM.G., Davey SmithG.Health inequalities among British civil servants: the whitehall II study. Lancet.1991; 337(8754): 1387–93.
18.
OmranA.R.The epidemiological transition: a theory of the epidemiology of population change. Bull World Health Organ.2001; 79(2): 161.
19.
PeltzerK., NzewiE., MohanK.Attitudes towards HIV-antibody testing and people with AIDS among university students in India, South Africa and United States. Indian J Med Sci.2004; 58(3): 95.
20.
PowerC., AthertonK., StrachanD.P., ShepherdP., FullerE., DavisA., GibbI., KumariM., LoweG., MacfarlaneG.J.Life-course influences on health in British adults: effects of socio-economic position in childhood and adulthood. Int J Epidemiol.2007; 36(3): 532–9.
21.
RahmanM.H., SinghA.Socio-economic inequalities in the risk of diseases and associated risk factors in India. J Public Health Epidemiol.2011; 3(11): 520–8.
22.
RavishankarA.K.Double burden of malnutrition: Indian regional perspective. Indian J Public Health Res Dev.2013; 4(2): 1–6.
23.
ReddyK.K.R., RaoA.P., ReddyT.P.K.Socioeconomic status and the prevalence of coronary heart disease risk factors. Asia Pac J Clin Nutr.2002; 11(2): 98–103.
Singh-ManouxA., FerrieJ.E., ChandolaT., MarmotM.Socioeconomic trajectories across the life course and health outcomes in midlife: evidence for the accumulation hypothesis?Int J Epidemiol.2004; 33(5): 1072–9.
26.
SmithG.D., BartleyM., BlaneD.The black report on socioeconomic inequalities in health 10 years on. BMJ Br Med J.1990; 301(6748): 373–7.
27.
SubramanianS.V., PoJ.Y.T.Mortality burden and socioeconomic status in India. PLoS One.2011; 6(2): e16844.
28.
ThoratA.Ethnicity, caste, and religion: implications for poverty outcomes. Econ Polit Wkly.2010; 45(51): 47–53.
29.
ThoratS., NeumanK.S.Blocked by caste: economic discrimination in modern India.New Delhi: Oxford University Press; 2012.
30.
VannemanR., NoonJ., SenM., DesaiS., ShariffA.Social networks in India: caste, tribe, and religious variations. In: India human development survey working paper no 3.College Park: University of Maryland; 2006.
31.
YachD., CorinnaH., Linn GouldC., HofmanK.J.The global burden of chronic diseases: overcoming impediments to prevention and control. JAMA J Am Med Assoc.2004; 291(21): 2616–22.
32.
YusufS., ReddyS., ÔunpuuS., AnandS.Global burden of cardiovascular diseases part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation.2001; 104(22): 2746–53.
