Pandey Anamika, Ladusingh Laishram
International Institute for Population Sciences, Deonar, Mumbai, India
International Institute for Population Sciences, Deonar, Mumbai, India.
J Appl Gerontol. 2015 Oct;34(7):879-905. doi: 10.1177/0733464813481850. Epub 2013 Apr 15.
Assessment of the health status of the older adults can go a long way in controlling the disease burden and monitoring the path to healthy aging in India. In the absence of a population-based clinical survey to collect data on morbidities and other health conditions through biomarkers, self-rated health by nationally representative older population is used for understanding factors contributing to the gender differential in health status. Socioeconomic status is the most important factor explaining 59% of the gender gap in self-assessed health among older adults. The vulnerability of older women in terms of educational attainment, occupational status, and economic dependency is responsible for the higher level of poor self-assessed health. The gender gap in self-assessed poor health among older Indian adults, which perpetuates over the life course resulting in severe health disadvantages at old age can be reduced considerably through social empowerment and gender sensitive public policies.
评估老年人的健康状况对于控制印度的疾病负担以及监测健康老龄化进程大有帮助。由于缺乏通过生物标志物收集发病率和其他健康状况数据的基于人群的临床调查,因此采用具有全国代表性的老年人群的自评健康状况来了解导致健康状况性别差异的因素。社会经济地位是解释老年人自评健康中59%的性别差距的最重要因素。老年女性在教育程度、职业地位和经济依赖方面的脆弱性导致了较高水平的自评健康不佳。印度老年成年人自评健康不佳方面的性别差距在整个生命过程中持续存在,导致老年时严重的健康劣势,通过社会赋权和对性别问题敏感的公共政策,可以大幅缩小这一差距。