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Testing the regional Convergence Hypothesis for the progress in health status in India during 1980–2015
Journal of Biosocial Science ( IF 2.148 ) Pub Date : 2020-06-10 , DOI: 10.1017/s0021932020000255
Mohammad Zahid Siddiqui 1 , Srinivas Goli 1, 2 , Anu Rammohan 3
Affiliation  

The key challenges of global health policy are not limited to improving average health status, with a need for greater focus on reducing regional inequalities in health outcomes. This study aimed to assess health inequalities across the major Indian states used data from the Sample Registration System (SRS, 1981–2015), National Family Health Survey (NFHS, 1992–2015) and other Indian government official statistics. Catching-up plots, absolute and conditional β-convergence models, sigma (σ) plots and Kernel Density plots were used to test the Convergence Hypothesis, Dispersion Measure of Mortality (DMM) and the Gini index to measure progress in absolute and relative health inequalities across the major Indian states. The findings from the absolute β-convergence measure showed convergence in life expectancy at birth among the states. The results from the β- and σ-convergences showed convergence replacing divergence post-2000 for child and maternal mortality indicators. Furthermore, the estimates suggested a continued divergence for child underweight, but slow improvements in child full immunization. The trends in inter-state inequality suggest a decline in absolute inequality, but a significant increase or stationary trend in relative health inequality during 1981–2015. The application of different convergence metrics worked as robustness checks in the assessment of the convergence process in the selected health indicators for India over the study period.

中文翻译:

检验 1980-2015 年印度健康状况进展的区域趋同假设

全球卫生政策的主要挑战不仅限于改善平均健康状况,还需要更加关注减少健康结果方面的区域不平等。本研究旨在评估印度主要州的健康不平等,使用的数据来自样本登记系统(SRS,1981-2015)、全国家庭健康调查(NFHS,1992-2015)和其他印度政府官方统计数据。追赶图,绝对和条件β-收敛模型,sigma (σ) 图和核密度图用于检验收敛假设、死亡率离散度测量 (DMM) 和基尼指数,以衡量印度主要州的绝对和相对健康不平等的进展情况。绝对的调查结果β- 收敛测量显示各州出生时的预期寿命趋同。结果来自β- 和σ- 2000 年后儿童和孕产妇死亡率指标的趋同表明趋同取代了分歧。此外,估计表明儿童体重不足的情况继续存在差异,但儿童全面免疫接种的进展缓慢。国家间不平等的趋势表明绝对不平等在下降,但在 1981-2015 年期间,相对健康不平等显着增加或呈稳定趋势。不同收敛指标的应用在研究期间印度选定健康指标的收敛过程评估中起到了稳健性检查的作用。
更新日期:2020-06-10
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