SOCIOECONOMIC INEQUALITIES IN HEALTH IN URBAN PAKISTAN
Author(s)
Jahangeer RAPakistan Institute of Development Economics (PIDE), Islamabad, Pakistan
OBJECTIVES: The objective of this analysis is to examine socioeconomic inequalities in health. It investigates whether, and to what extent, household economic status and other socio-demographic variables are associated with the health of individuals residing in urban areas of Pakistan. METHODS: The study uses data from the Pakistan Socioeconomic Survey (PSES) and analysis is based on 11,069 individuals who belong to 1,435 urban households. Health status is based on self-reported morbidity during the two weeks preceding the interview. Household economic status is measured by a wealth index constructed using data from the survey on ownership of durable assets and housing conditions. Principal components analysis (PCA) is used to construct the index and households are categorised into quintiles by PCA scores. The logistic regression is used to estimate the effects of various social, demographic, economic and regional characteristics of individuals/households on health status. RESULTS: Overall, 12.7% individuals reported any health complaint during the two weeks preceding the interview. Male household members have lower prevalence of morbidity (10.6%) compared to females (14.9%). A total of 17.6% members of the lowest quintile reported any health complaint compared to 11% of the highest quintile. Furthermore, highest morbidity was reported by members of Muslim households (12.9%), widowed/divorced/separated members (26.2%), those with no education (16.8%), agriculture/fisheries workers (18.3%) and those residing in urban areas of Balochistan (14.2%). The logistic regression exhibits a strong significant (p<0.01) association between household economic status and health status. Members of poorest, poor, middle and rich households are significantly (p<0.01) more likely to report any health complaint compared to members of the richest households, controlling for gender and age, religion, marital status, education, occupation, and residence in an area. CONCLUSIONS: Socioeconomic inequalities in health are widespread in urban Pakistan. Public health policies aimed at reducing gaps between health status of poor and non-poor need to be initiated.
Conference/Value in Health Info
2012-11, ISPOR Europe 2012, Berlin, Germany
Value in Health, Vol. 15, No. 7 (November 2012)
Code
PHP66
Topic
Health Policy & Regulatory
Topic Subcategory
Health Disparities & Equity
Disease
Multiple Diseases