Jumping the gun: the problematic discourse on socioeconomic status and cardiovascular health in India

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dc.contributor.author Subramanian, S. V.
dc.contributor.author Corsi, Daniel J.
dc.contributor.author Subramanyam, Malavika A.
dc.contributor.author Smith, George Davey
dc.date.accessioned 2014-03-18T15:53:40Z
dc.date.available 2014-03-18T15:53:40Z
dc.date.issued 2013-10
dc.identifier.citation Subramanyam, Malavika A. et al., “Jumping the gun: the problematic discourse on socioeconomic status and cardiovascular health in India”, International Journal of Epidemiology, DOI: 10.1093/ije/dyt017, Otc. 2013. en_US
dc.identifier.issn 0300-5771
dc.identifier.issn 1464-3685
dc.identifier.uri http://dx.doi.org/10.1093/ije/dyt017
dc.identifier.uri https://repository.iitgn.ac.in/handle/123456789/896
dc.description.abstract There has been an increased focus on non-communicable diseases (NCDs) in India, especially on cardiovascular diseases and associated risk factors. In this essay, we scrutinize the prevailing narrative that cardiovascular risk factors (CVRF) and cardiovascular disease (CVD) are no longer confined to the economically advantaged groups but are an increasing burden among the poor in India. We conducted a comprehensive review of studies reporting the association between socioeconomic status (SES) and CVRF, CVD, and CVD-related mortality in India. With the exception of smoking and low fruit and vegetable intake, the studies clearly suggest that CVRF/CVD is more prevalent among high SES groups in India than among the low SES groups. Although CVD-related mortality rates appear to be higher among the lower SES groups, the proportion of deaths from CVD-related causes was found to be greatest among higher SES groups. The studies on SES and CVRF/CVD also reveal a substantial discrepancy between the data presented and the authors’ interpretations and conclusions, along with an unsubstantiated claim that a reversal in the positive SES-CVRF/CVD association has occurred or is occurring in India. We conclude our essay by emphasizing the need to prioritize public health policies that are focused on the health concerns of the majority of the Indian population. Resource allocation in the context of efforts to make health care in India free and universal should reflect the proportional burden of disease on different population groups if it is not to entrench inequity. en_US
dc.description.statementofresponsibility by Malavika A. Subramanyam et al.,
dc.format.extent Vol. 42, No. 5, pp. 1410-1426
dc.language.iso en en_US
dc.publisher Oxford University Press (OUP) en_US
dc.subject Cardiovascular disease en_US
dc.subject Cardiovascular disease en_US
dc.subject Cardiovascular mortality en_US
dc.subject Cardiovascular risk factors en_US
dc.subject Non communicable diseases en_US
dc.subject Socioeconomic status en_US
dc.title Jumping the gun: the problematic discourse on socioeconomic status and cardiovascular health in India en_US
dc.type Article en_US
dc.relation.journal International Journal of Epidemiology

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