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Economic dependency, chronic illness, and insurance coverage among the elderly: a comparative study between EAG and non-EAG states of India

Economic dependency, chronic illness, and insurance coverage among the elderly: a comparative study between EAG and non-EAG states of India
Economic dependency, chronic illness, and insurance coverage among the elderly: a comparative study between EAG and non-EAG states of India
Using data from the 75th round of the National Sample Survey, 2018, this chapter examines the patterns, differences, and determinants of economic dependency, chronic illness, and insurance coverage among the elderly in EAG* and non-EAG states of India. Descriptive statistics, absolute gaps, and binary logistic regression analysis were performed in this chapter. The finding reveals that non-EAG states have about two times greater risk of chronic illness and are more likely to have insurance coverage than EAG* states. Interestingly, sex is a strong determinant of economic dependency, where elderly women have ten times greater chances of being economically dependent than men. Age groups, physical mobility status, household size, hospitalizations, current SRH, and living arrangements also showed strong predictors of economic dependency. Educational attainments and household income gradient showed a reverse association with economic dependence but a strong positive association with chronic illness and insurance coverage. Elderly Muslims have a greater chance of being economically dependent and with chronic illness risks and are less likely to have insurance coverage than Hindus. Meanwhile, the elderly belonging to the OBC, SC, and ST caste groups have significantly lower risks of chronic illness and greater insurance coverage compared to the general caste group. Age-appropriate treatment is limiting the effective interventions among the elderly population that may be due to insufficient financial security, aggravated user fees, and social and employment security. This has substantial consequences for current and future policies and programs aimed at improving the well-being of the elderly. The study’s finding suggests that policymakers and other health experts encourage people to have health insurance to protect individuals against significant unexpected medical risks.
Springer Singapore
Akhtar, Saddaf Naaz
aa7e6bda-4317-4905-bbde-1582a6a7bf58
Saikia, Nandita
62aac0cc-9c33-4a67-a6a6-fb71089c21d1
Irudaya Rajan, S.
Akhtar, Saddaf Naaz
aa7e6bda-4317-4905-bbde-1582a6a7bf58
Saikia, Nandita
62aac0cc-9c33-4a67-a6a6-fb71089c21d1
Irudaya Rajan, S.

Akhtar, Saddaf Naaz and Saikia, Nandita (2023) Economic dependency, chronic illness, and insurance coverage among the elderly: a comparative study between EAG and non-EAG states of India. In, Irudaya Rajan, S. (ed.) Handbook of Aging, Health and Public Policy: Perspectives from Asia. Springer Singapore. (doi:10.1007/978-981-16-1914-4_202-1).

Record type: Book Section

Abstract

Using data from the 75th round of the National Sample Survey, 2018, this chapter examines the patterns, differences, and determinants of economic dependency, chronic illness, and insurance coverage among the elderly in EAG* and non-EAG states of India. Descriptive statistics, absolute gaps, and binary logistic regression analysis were performed in this chapter. The finding reveals that non-EAG states have about two times greater risk of chronic illness and are more likely to have insurance coverage than EAG* states. Interestingly, sex is a strong determinant of economic dependency, where elderly women have ten times greater chances of being economically dependent than men. Age groups, physical mobility status, household size, hospitalizations, current SRH, and living arrangements also showed strong predictors of economic dependency. Educational attainments and household income gradient showed a reverse association with economic dependence but a strong positive association with chronic illness and insurance coverage. Elderly Muslims have a greater chance of being economically dependent and with chronic illness risks and are less likely to have insurance coverage than Hindus. Meanwhile, the elderly belonging to the OBC, SC, and ST caste groups have significantly lower risks of chronic illness and greater insurance coverage compared to the general caste group. Age-appropriate treatment is limiting the effective interventions among the elderly population that may be due to insufficient financial security, aggravated user fees, and social and employment security. This has substantial consequences for current and future policies and programs aimed at improving the well-being of the elderly. The study’s finding suggests that policymakers and other health experts encourage people to have health insurance to protect individuals against significant unexpected medical risks.

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Accepted/In Press date: 4 February 2023
e-pub ahead of print date: 12 October 2023

Identifiers

Local EPrints ID: 491642
URI: http://eprints.soton.ac.uk/id/eprint/491642
PURE UUID: 3eaf02ce-7150-4c29-a438-14430b3acb2f
ORCID for Saddaf Naaz Akhtar: ORCID iD orcid.org/0000-0002-0346-5220

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Date deposited: 03 Jul 2024 09:27
Last modified: 12 Jul 2024 02:14

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Contributors

Author: Saddaf Naaz Akhtar ORCID iD
Author: Nandita Saikia
Editor: S. Irudaya Rajan

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