Barik Debasis, Desai Sonalde, Vanneman Reeve
Associate Fellow, National Council of Applied Economic Research.
Professor of Sociology, University of Maryland College Park And Senior Fellow, National Council of Applied Economic Research.
World Dev. 2018 Mar;103:176-187. doi: 10.1016/j.worlddev.2017.10.018. Epub 2017 Nov 21.
Research on economic status and adult mortality is often stymied by the reciprocity of this relationship and lack of clarity on which aspect of economic status matters. While financial resources increase access to healthcare and nutrition and reduce mortality, sickness also reduces labor force participation, thereby reducing income. Without longitudinal data, it is difficult to study the linkage between economic status and mortality. Using data from a national sample of 132,116 Indian adults aged 15 years and above, this paper examines their likelihood of death between wave 1 of the India Human Development Survey (IHDS), conducted in 2004-2005 and wave 2, conducted in 2011-2012. The results show that mortality between the two waves is strongly linked to the economic status of the household at wave 1 regardless of the choice of indicator for economic status. However, negative relationship between economic status and mortality for individuals already suffering from cardiovascular and metabolic conditions varies between three markers of economic status - income, consumption and ownership of consumer durables - varies, reflecting two-way relationship between short and long term markers of economic status and morbidity.
经济状况与成人死亡率之间的关系相互交织，且经济状况的哪个方面至关重要也不明确，这常常阻碍了对二者的研究。虽然经济资源增加了获得医疗保健和营养的机会并降低了死亡率，但疾病也会减少劳动力参与，从而降低收入。没有纵向数据，就很难研究经济状况与死亡率之间的联系。本文利用来自132116名年龄在15岁及以上的印度成年人的全国样本数据，考察了他们在2004 - 2005年进行的印度人类发展调查（IHDS）第一轮和2011 - 2012年进行的第二轮调查之间的死亡可能性。结果表明，无论选择何种经济状况指标，两轮调查之间的死亡率都与第一轮调查时家庭的经济状况密切相关。然而，对于已经患有心血管和代谢疾病的个体，经济状况与死亡率之间的负相关关系在经济状况的三个指标——收入、消费和耐用消费品拥有量——之间存在差异，这反映了经济状况的短期和长期指标与发病率之间的双向关系。
