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Later-Life Health Disparities in Nepal: Intersection of Gender and Socioeconomic Status

机译:尼泊尔后期生活健康差异:性别和社会经济地位的交叉

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Abstract This study focuses on Nepal, a country still undergoing capitalist expansion, to examine intersectional effects of fundamental causes on later life health outcomes. Sandwiched between the republic of China and India, Nepal still has remnants of pre-capitalist social and economic formations. Despite growing focus on independent effects of SES and gender on health, the intersectional influences of such fundamental causes on later life health in Nepal has, however, been largely unexplored. Drawing from the World Health Survey (WHS) survey data (n=2,250 aged 50 years and older), we rely on negative binomial regression models to examine whether the effect of education and household wealth on chronic diseases and functional limitations differs between men and women. Findings indicate intersectional effects of gender, wealth, and education on health. Women do not incur health benefits from education and wealth. Statistically significant negative effect of education on functional limitations (OR=0.87, p0.01) was documented only for men. Contrary to our theoretical expectations, we observed significantly higher count of chronic diseases among women (OR=1.13, p0.01) with higher levels of education relative to lower educated women. Similarly, men in higher wealth quintiles reported significantly higher count of chronic diseases (OR=1.05, p0.01) than their counterparts in lower wealth quintiles. Our study paves a way for future research on a range of structural mechanisms such as gendered labor market, patriarchal cultural expectations, and inequities in health care that could mediate intersectional effects of gender and education on later life health disparities in the Global South.
机译:摘要本研究侧重于尼泊尔,该国仍在进行资本主义扩张,检查基本原因对后期生命卫生结果的交符。尼泊尔夹在中华民国和印度之间,尼泊尔仍有遗址预先是资本主义的社会和经济形成。尽管越来越关注SES和性别对健康的独立影响,但这种根本原因对尼泊尔后期生命健康的交叉影响程度在很大程度上是未开发的。从世界卫生调查(WHS)调查数据(n = 2,250岁以上),我们依靠负二项式回归模型来检查男女教育和家庭财富对慢性病和职能的影响。调查结果表明性别,财富和教育对健康的交符。女性不会从教育和财富产生健康效益。仅针对男性记录了对功能限制(或= 0.87,P <0.01)的统计上显着的负面影响。与我们的理论期望相反,我们观察到妇女的慢性疾病数目较高,相对于受过较低受过教育的女性的教育水平更高的慢性疾病计数(或= 1.13,P <0.01)。同样,高等财富昆虫的男性报告的慢性疾病的数量明显高于其较低财富昆泰的对应物的慢性疾病(或= 1.05,P <0.01)。我们的研究为未来的一系列结构机制铺平了一种方法,例如性别劳动力市场,父权制文化期望和医疗保健的不公平,这可能会在全球南方的后期生命健康差异中介绍性别和教育的交符。

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