Dehury Bidyadhar, Mohanty Sanjay K
International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai, Maharashtra 400088 India.
Department of Fertility Studies, International Institute for Population Sciences, Mumbai, India.
Genus. 2017;73(1):3. doi: 10.1186/s41118-017-0019-1. Epub 2017 Jun 2.
Using the unit data from the second round of the Indian Human Development Survey (IHDS-II), 2011-2012, which covered 42,152 households, this paper examines the association between multidimensional poverty, household environmental deprivation and short-term morbidities (fever, cough and diarrhoea) in India. Poverty is measured in a multidimensional framework that includes the dimensions of education, health and income, while household environmental deprivation is defined as lack of access to improved sanitation, drinking water and cooking fuel. A composite index combining multidimensional poverty and household environmental deprivation has been computed, and households are classified as follows: multidimensional poor and living in a poor household environment, multidimensional non-poor and living in a poor household environment, multidimensional poor and living in a good household environment and multidimensional non-poor and living in a good household environment. Results suggest that about 23% of the population belonging to multidimensional poor households and living in a poor household environment had experienced short-term morbidities in a reference period of 30 days compared to 20% of the population belonging to multidimensional non-poor households and living in a poor household environment, 19% of the population belonging to multidimensional poor households and living in a good household environment and 15% of the population belonging to multidimensional non-poor households and living in a good household environment. Controlling for socioeconomic covariates, the odds of short-term morbidity was 1.47 [CI 1.40-1.53] among the multidimensional poor and living in a poor household environment, 1.28 [CI 1.21-1.37] among the multidimensional non-poor and living in a poor household environment and 1.21 [CI 1.64-1.28] among the multidimensional poor and living in a good household environment compared to the multidimensional non-poor and living in a good household environment. Results are robust across states and hold good for each of the three morbidities: fever, cough and diarrhoea. This establishes that along with poverty, household environmental conditions have a significant bearing on short-term morbidities in India. Public investment in sanitation, drinking water and cooking fuel can reduce the morbidity and improve the health of the population.
本文利用2011 - 2012年印度人类发展调查第二轮（IHDS - II）的单位数据，该调查涵盖42152户家庭，研究了印度多维贫困、家庭环境匮乏与短期疾病（发烧、咳嗽和腹泻）之间的关联。贫困在一个多维框架中衡量，该框架包括教育、健康和收入维度，而家庭环境匮乏被定义为缺乏改善的卫生设施、饮用水和烹饪燃料。计算了一个结合多维贫困和家庭环境匮乏的综合指数，并将家庭分类如下：多维贫困且生活在贫困家庭环境中、多维非贫困且生活在贫困家庭环境中、多维贫困且生活在良好家庭环境中以及多维非贫困且生活在良好家庭环境中。结果表明，在30天的参考期内，约23%属于多维贫困家庭且生活在贫困家庭环境中的人口经历了短期疾病，相比之下，属于多维非贫困家庭且生活在贫困家庭环境中的人口为20%，属于多维贫困家庭且生活在良好家庭环境中的人口为19%，属于多维非贫困家庭且生活在良好家庭环境中的人口为15%。在控制社会经济协变量后，与多维非贫困且生活在良好家庭环境中的人口相比，多维贫困且生活在贫困家庭环境中的人口短期发病几率为1.47[置信区间1.40 - 1.53]，多维非贫困且生活在贫困家庭环境中的人口为1.28[置信区间1.21 - 1.37]，多维贫困且生活在良好家庭环境中的人口为1.21[置信区间1.64 - 1.28]。结果在各邦都很稳健，对三种疾病（发烧、咳嗽和腹泻）中的每一种都适用。这表明，除了贫困之外，家庭环境条件对印度的短期疾病有重大影响。对卫生设施、饮用水和烹饪燃料的公共投资可以降低发病率并改善人口健康。
