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The relationship of household assets and amenities with child health outcomes: an exploratory cross-sectional study in India 2015–2016

Karlsson, Omar LU ; Kim, Rockli ; Joe, William and Subramanian, SV (2020) In SSM - Population Health 10.
Abstract
Healthy development of children in India is far from ensured. Proximate determinants of poor child health outcomes are infectious diseases and undernutrition, which are linked to socioeconomic status. In low- and middle-income countries, researchers rely on wealth indices, constructed from information on households’ asset ownership and amenities, to study socioeconomic disparities in child health. Some of these wealth index items can, however, directly affect the proximate determinants of child health. This paper explores the independent association of each item used to construct the Demographic and Health Surveys’ wealth index with diverse child health outcomes. This cross-sectional study used nationally representative sample of 245,866... (More)
Healthy development of children in India is far from ensured. Proximate determinants of poor child health outcomes are infectious diseases and undernutrition, which are linked to socioeconomic status. In low- and middle-income countries, researchers rely on wealth indices, constructed from information on households’ asset ownership and amenities, to study socioeconomic disparities in child health. Some of these wealth index items can, however, directly affect the proximate determinants of child health. This paper explores the independent association of each item used to construct the Demographic and Health Surveys’ wealth index with diverse child health outcomes. This cross-sectional study used nationally representative sample of 245,866 children, age 0–59 months, from the Indian National Family Health Surveys conducted in 2015–16. The study used conditional Poisson regression models as well as a range of sensitivity specifications. After controlling for socioeconomic status, health care use, maternal factors, community-level factors, and all wealth index items, the following wealth index items were the most consistently associated with child health; type of toilet facilities, water source, refrigerator, pressure cooker, type of cooking fuel, having a bank account, land usable for agriculture, floor material, roof material, mobile phone, and motorcycle/scooter. The association with type of toilet facilities and water source was particularly strong for mortality, showing a 16-35% and 14-26% lower mortality, respectively. Most items used to construct the Demographic and Health Surveys’ wealth index only indicate household socioeconomic status, while a few items may affect child health directly, and can be useful targets for policy intervention. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Child health, India, Household wealth, proximate determinants, assets and amenities, nutrition
in
SSM - Population Health
volume
10
article number
100513
publisher
Elsevier Limited
external identifiers
  • scopus:85075265255
ISSN
2352-8273
DOI
10.1016/j.ssmph.2019.100513
language
English
LU publication?
yes
id
22a49c7f-0b3c-4c42-89fb-09fcc6b550ae
date added to LUP
2019-11-05 23:29:38
date last changed
2020-10-07 06:46:04
@article{22a49c7f-0b3c-4c42-89fb-09fcc6b550ae,
  abstract     = {Healthy development of children in India is far from ensured. Proximate determinants of poor child health outcomes are infectious diseases and undernutrition, which are linked to socioeconomic status. In low- and middle-income countries, researchers rely on wealth indices, constructed from information on households’ asset ownership and amenities, to study socioeconomic disparities in child health. Some of these wealth index items can, however, directly affect the proximate determinants of child health. This paper explores the independent association of each item used to construct the Demographic and Health Surveys’ wealth index with diverse child health outcomes. This cross-sectional study used nationally representative sample of 245,866 children, age 0–59 months, from the Indian National Family Health Surveys conducted in 2015–16. The study used conditional Poisson regression models as well as a range of sensitivity specifications. After controlling for socioeconomic status, health care use, maternal factors, community-level factors, and all wealth index items, the following wealth index items were the most consistently associated with child health; type of toilet facilities, water source, refrigerator, pressure cooker, type of cooking fuel, having a bank account, land usable for agriculture, floor material, roof material, mobile phone, and motorcycle/scooter. The association with type of toilet facilities and water source was particularly strong for mortality, showing a 16-35% and 14-26% lower mortality, respectively. Most items used to construct the Demographic and Health Surveys’ wealth index only indicate household socioeconomic status, while a few items may affect child health directly, and can be useful targets for policy intervention.},
  author       = {Karlsson, Omar and Kim, Rockli and Joe, William and Subramanian, SV},
  issn         = {2352-8273},
  language     = {eng},
  publisher    = {Elsevier Limited},
  series       = {SSM - Population Health},
  title        = {The relationship of household assets and amenities with child health outcomes: an exploratory cross-sectional study in India 2015–2016},
  url          = {http://dx.doi.org/10.1016/j.ssmph.2019.100513},
  doi          = {10.1016/j.ssmph.2019.100513},
  volume       = {10},
  year         = {2020},
}