Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India.

This study examines socio-economic inequalities in the prevalence and treatment of hypertension and diabetes among adults in India, utilising data from the National Family Health Survey (NFHS) collected before and during the COVID-19 pandemic. Disparities associated with individual demographic and s...

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Main Author: Toshiaki Aizawa
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0315867
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author Toshiaki Aizawa
author_facet Toshiaki Aizawa
author_sort Toshiaki Aizawa
collection DOAJ
description This study examines socio-economic inequalities in the prevalence and treatment of hypertension and diabetes among adults in India, utilising data from the National Family Health Survey (NFHS) collected before and during the COVID-19 pandemic. Disparities associated with individual demographic and socio-economic characteristics are measured, with the level of inequality quantified using the dissimilarity index and contributing factors analysed through decomposition analysis. The results reveal significant socio-economic gradients, with wealthier individuals more likely to have elevated blood pressure and blood glucose levels and to treat them. Socio-economic gradients in treatment are even steeper among middle-aged groups during the pandemic. These wealth- and education-related disparities become more pronounced with age. This study highlights the need for targeted interventions and policies to address socio-economic disparities in access to essential care for socio-economically disadvantaged populations.
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spelling doaj-art-c8e4c9d3a2d84243ab5affca3da7d9eb2025-08-20T03:17:44ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01204e031586710.1371/journal.pone.0315867Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India.Toshiaki AizawaThis study examines socio-economic inequalities in the prevalence and treatment of hypertension and diabetes among adults in India, utilising data from the National Family Health Survey (NFHS) collected before and during the COVID-19 pandemic. Disparities associated with individual demographic and socio-economic characteristics are measured, with the level of inequality quantified using the dissimilarity index and contributing factors analysed through decomposition analysis. The results reveal significant socio-economic gradients, with wealthier individuals more likely to have elevated blood pressure and blood glucose levels and to treat them. Socio-economic gradients in treatment are even steeper among middle-aged groups during the pandemic. These wealth- and education-related disparities become more pronounced with age. This study highlights the need for targeted interventions and policies to address socio-economic disparities in access to essential care for socio-economically disadvantaged populations.https://doi.org/10.1371/journal.pone.0315867
spellingShingle Toshiaki Aizawa
Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India.
PLoS ONE
title Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India.
title_full Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India.
title_fullStr Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India.
title_full_unstemmed Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India.
title_short Socio-economic gradients in hypertension and diabetes management amid the COVID-19 pandemic in India.
title_sort socio economic gradients in hypertension and diabetes management amid the covid 19 pandemic in india
url https://doi.org/10.1371/journal.pone.0315867
work_keys_str_mv AT toshiakiaizawa socioeconomicgradientsinhypertensionanddiabetesmanagementamidthecovid19pandemicinindia