Showing papers by "Ashish Singh published in 2019"

Socio-economic disparity in the occurrence of disability among older adults in six low and middle income countries

Abstract: Nearly 200m people in the world experience considerable functioning difficulties. Also, more than three-fourth of the population aged 50 years and over is suffering from some kind of disability in India, China, Ghana, Russia, Mexico and South Africa. Despite the compelling nature of this issue, evidence on socioeconomic disparity in the occurrence of disability is lacking throughout the world and particularly in the aforementioned countries. The purpose of this paper is twofold – first, to examine the socioeconomic inequalities in the prevalence of disability in the selected countries; and second, to investigate the cross-country differentials in the prevalence of disability by socioeconomic characteristics.,The authors use data from the Study on Global Ageing and Adult Health (SAGE) conducted in China, Ghana, India, Mexico, Russia and South Africa during 2007–2010. Disability scores have been constructed using Item Response Theory Partial Credit Model based on eight health and functioning domains. Bivariate analysis, concentration curves, concentration indices and multivariate regressions have been used in the analysis presented in this paper.,The authors find that the prevalence of disability varied considerably across sociodemographic groups. Moreover, this variation is not uniform across all countries. Also, age, Sex, work status, years of schooling and economic status emerged out as significant predictors of disability among the studied countries.,This is perhaps the first study which examines the socioeconomic inequality in disability conceptualized in a comprehensive manner among older adults spread across low to upper middle income countries. The alarming level of prevalence of disability among sociodemographic disadvantage groups calls for immediate attention in terms of detailed study of risk factors, effective policy and timely intervention.

Inequality of Opportunity in Indian Women

Abstract: Inequality of opportunity (IOp) in any society is defined as that part of overall inequality which arises from factors beyond the control of an individual (circumstances) such as parental education, caste, gender, religion etc. and is thus considered unfair and is against the meritocratic values of a society. Hence, it needs to be controlled and compensated. We estimate the IOp in economic outcomes among Indian women by using the nationally representative India Human Development Survey 2011–2012. We include parental education, caste, religion and region of birth as circumstances. The overall IOp in income ranges from 18–25% and 16–21% (of total income inequality) in urban and rural areas, respectively. The corresponding figures for consumption expenditure are 16–22% and 20–23% in urban and rural areas, respectively. We also estimate the partial contributions of the circumstances to the overall IOp. We find that the parental education is the most significant contributor to IOp in urban areas, whereas, region of birth is the most significant contributor to IOp in rural areas. Fortunately, findings imply that socially and culturally imbedded factors like caste and religion which are more persistent do contribute to the IOp, but, the largest contribution is due to factors like parental education and region which can be relatively easily tackled and addressed with policy interventions.

Disability and social cohesion among older adults: a multi-country study

Abstract: Purpose Disabled are often vulnerable to social exclusion due to the lack of social protection schemes. Therefore, in the absence of adequate social welfare systems, social cohesion is of enormous importance for the disabled older adults. That said, the purpose of this paper is to explore the link between disability and social cohesion among the older adults in China, Ghana, India, Mexico, Russia and South Africa. Design/methodology/approach Data from the Study on Global Ageing and Adult Health (SAGE) conducted in China, Ghana, India, Mexico, Russia and South Africa during 2007–2010 have been used for the analysis. Disability scores and social cohesion scores have been constructed using the Item Response Theory Partial Credit Model. Also, bivariate, multivariate and path analyses have been used for the examination. Findings Results show that disability substantially and significantly restricts social cohesion of the older adults in the selected countries. Moreover, path analysis indicates that, among others, disability affects physical activity which, in turn, leads to a lower socially active life. In addition, social cohesion is significantly lower among the older adults who are females, residing in urban areas, in poorer classes, widowed, not working and not having formal education. Originality/value To the best of the authors’ search, this study is perhaps the first attempt to look into the association between disability and social cohesion in a comprehensive and holistic manner in a multi-country context. A socially cohesive society provides a sense of belonging, participation, inclusion, and recognition to all. So, it is high time to create a socially as well as economically sensitive environment which can provide due recognition and inclusion to the disabled older adults.

Disability-based disparity in outpatient health system responsiveness among the older adults in low- to upper-middle-income countries.

Abstract: Health system responsiveness (HSR) has been identified as one of the intrinsic goals of health systems for improvement in health and well-being of population. The HSR deals with the non-medical, legitimate expectations of a population in its interaction with the health system. It becomes essential in case of vulnerable groups like older adults with disability, who are more sensitive and risk-prone to the adversities of healthcare challenges. This paper uses data from the Study on Global Ageing and Adult Health conducted in China, Ghana, India, Mexico, Russia and South Africa during 2007-10 and examines the disability-based disparity in outpatient HSR among the older adults in the above-mentioned countries. Disability and HSR scores have been constructed using Item Response Theory Partial Credit Model. Also, the paper uses bivariate and multivariate analysis and finds that the HSR is significantly and substantially lower among the disabled and severely disabled older adults in all the study countries (except Ghana) as compared with those older adults who are not (or mildly) suffering from any form of disability. The policy efforts in the studied countries should focus on monitoring and reducing these disparities for improving HSR in order to make it inclusive.

Heterogeneity in the effect of mid-childhood height and weight gain on human capital at age 14-15 years: Evidence from Ethiopia, India, Peru, and Vietnam.

Abstract: BACKGROUND Under-nutrition in early childhood has harmful impacts on human capital formation in children, with implications for educational, adult health, and labor market outcomes. We investigate the association of linear growth and weight gain in mid-childhood with years of schooling, the Peabody Picture Vocabulary Test score, and math test score during the adolescent age of 14-15 years. METHODS Data were derived from the Young Lives study conducted in four low- and middle-income countries (Ethiopia, India, Peru, and Vietnam). The data had detailed information on the children anthropometry and characteristics of the child, household, and community. Multivariate regression analysis, adjusted for the confounding variables, was used to investigate the association between mid-childhood health, measured by conditional linear growth and relative weight gain, and human capital outcomes in adolescent age. RESULTS After controlling for several confounders, one cm increase in conditional linear growth increased years of schooling by 0.034 years and the Peabody Picture Vocabulary Test score and math test score by 0.474 and 0.083 points respectively. Relative weight gain was negatively associated with years of schooling and math test score. There is no evidence of heterogeneous effects by rural, gender, and household wealth. In the quantile regression analyses, the association between conditional linear growth and outcomes is stronger at the lower level of years of schooling and the Peabody Picture Vocabulary Test score. CONCLUSION Our study highlights that mid-childhood nutritional intervention targeted for students at the lower level of education distribution can accelerate the rate of human capital accumulation in low- and middle-income countries.

Do Indian daughters shadow their mothers?: A case of intergenerational educational mobility among women

Abstract: A few studies in India have related daughters’ education to their fathers, but there is little to no evidence when it comes to the intergenerational relation between daughters and mothers’ education. Using India Human Development Survey (IHDS) 2011–2012, the purpose of this paper is to investigate intergenerational educational mobility among women (15–49 years) (vis-a-vis their mothers) for all India.,The study uses transition/mobility matrices and multiple mobility measures for the examination of intergenerational educational mobility among women (15–49 years) in India. The data have been taken from the “India Human Development Survey 2011-12.”,Findings indicate that intergenerational educational mobility at the all-India level is about 0.69, that is, 69 percent of the women acquire a level of education different from their mothers. Of the overall mobility, about 80 percent is contributed by upward mobility whereas the rest is downward. Mobility is greater in urban areas and is highest among the socially advantaged “Others” (or upper) caste group. Also, the upward component is substantially lower for socially disadvantaged groups compared to others. Further, there are large inter-regional variations, with the situation being worst in the central and eastern states such as Uttaranchal, Chhattisgarh, Bihar, Jharkhand, Assam, Arunachal Pradesh, Meghalaya, Manipur, Mizoram, Tripura, etc. Moreover, mobility (overall and upward) increases consistently as one moves up the income distribution.,This study is perhaps the first study which comprehensively studies intergenerational educational mobility for women (15–49 years) at an all-India level. Findings not only capture the mobility at the aggregate level but also for different caste groups as well as regional variations and income effect.