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1 – 10 of 33Varsha Shukla, Rahul Arora and Sahil Gupta
The present study examines the fluctuations in Socioeconomic and demographic (SED) factors and the prevalence of Non-Communicable Diseases (NCDs) across clusters of states in…
Abstract
Purpose
The present study examines the fluctuations in Socioeconomic and demographic (SED) factors and the prevalence of Non-Communicable Diseases (NCDs) across clusters of states in India. Further, it attempts to analyze the extent to which the SED determinants can serve as predictive indicators for the prevalence of NCDs.
Design/methodology/approach
The study uses three rounds of unit-level National Sample Survey self-reported morbidity data for the analysis. A machine learning model was constructed to predict the prevalence of NCDs based on SED characteristics. In addition, probit regression was adopted to identify the relevant SED variables across the cluster of states that significantly impact disease prevalence.
Findings
Overall, the study finds that the disease prevalence can be reasonably predicted with a given set of SED characteristics. Also, it highlights age as the most important factor across a cluster of states in understanding the distribution of disease prevalence, followed by income, education, and marital status. Understanding these variations is essential for policymakers and public health officials to develop targeted strategies that address each state’s unique challenges and opportunities.
Originality/value
The study complements the existing literature on the interplay of SEDs with the prevalence of NCDs across diverse state-level dynamics. Its predictive analysis of NCD distribution through SED factors adds valuable depth to our understanding, making a notable contribution to the field.
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Manesh Muraleedharan, Mounika P.A. and Alaka Chandak
Kerala, a southern state in India, is acknowledged for its socio-economic reforms such as quality health care, gender parity, high literacy rate and more. However, recent trends…
Abstract
Purpose
Kerala, a southern state in India, is acknowledged for its socio-economic reforms such as quality health care, gender parity, high literacy rate and more. However, recent trends show that the state has the highest incidence of various noncommunicable diseases in the country, including diabetes, hypertension and heart coronary artery disease. This research paper aims to examine the link between the Kerala population’s lifestyle, diet and genetic factors and its correlation with a heightened cardio-metabolic risk.
Design/methodology/approach
Using Dixon Wood’s interpretive synthesis, this qualitative literature review is systematically used by searching, gathering articles, theme building, comparing and criticising the evidence.
Findings
The result shows that only minimal evidence is available regarding the genetic makeup of the Kerala community, food patterns and its link to the high prevalence of non-communicable diseases (NCDs). However, limited and contradicting evidence and studies restricted to a particular region in the state demand more research on this domain.
Originality/value
It is vital to review the diet habits of Keralites due to the alarmingly high prevalence of NCDs. To the best of the authors’ knowledge, this is the first comprehensive review of the diet habits of Kerala and their link to NCDs.
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The World Health Organisation recognises that health and well-being are essential to achieve the United Nations Development Agenda 2030. Non-communicable diseases (NCDs) are the…
Abstract
Purpose
The World Health Organisation recognises that health and well-being are essential to achieve the United Nations Development Agenda 2030. Non-communicable diseases (NCDs) are the leading causes of ill-health worldwide. Much of the global burden of NCD is caused by individual unhealthy behaviours. A behavioural mindset shift is needed to reduce premature NCD mortality. This article provides an exploratory analysis to understand whether Portuguese society is on the path to achieving better health by considering certain unacceptable individual lifestyles that contribute to diseases and could be avoided.
Design/methodology/approach
An online questionnaire was used to collect data from 558 Portuguese citizens. Descriptive statistics and non-parametric tests were used to (1) assess whether respondents were aware of premature mortality caused by NCDs, (2) explore whether individuals should be accountable for their disease-related behaviours, and (3) test for associations between this accountability and respondents sociodemographic and health characteristics.
Findings
Overall, respondents were unaware of the rate of premature mortality associated with chronic diseases and were unwilling to hold fellow citizens accountable for their unhealthy lifestyles. Following a healthy lifestyle proved relevant in the moralisation of others' unhealthy lifestyles, especially those who practice physical exercise.
Originality/value
This study is the first attempt to awaken attention to the impact that societies' procrastination for others' harmful health behaviours may have on achieving Sustainable Development GoalS (SDGs) and sustainable development.
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Amos Gavi, Emma Plugge and Marie Claire Van Hout
The dual epidemic of non-communicable diseases (NCDs) and human immuno-deficiency virus (HIV) in Sub-Saharan Africa has increased substantially in recent years, with…
Abstract
Purpose
The dual epidemic of non-communicable diseases (NCDs) and human immuno-deficiency virus (HIV) in Sub-Saharan Africa has increased substantially in recent years, with cardiovascular disease representing a significant contributor to the regional burden of disease. Very little is known about the cardiovascular health of people deprived of their liberty in the region. The purpose of this study was to collate extant literature on the topic.
Design/methodology/approach
A scoping review mapped and described what is known about cardiovascular disease in prison populations in Sub-Saharan Africa. A systematic search of empirical literature with no date limitation was conducted in English. Sixteen studies representing six Sub-Saharan African countries (Cameroon, Nigeria, Guinea, Burkina Faso, Ghana and Ethiopia) were charted, categorised and thematically analysed.
Findings
Seven key themes were identified: custodial deaths and autopsy; cardiorespiratory fitness and exercise; cardiovascular disease and elderly people in prison; cardiovascular disease and women in prison; dietary deficiencies; influence of sleep patterns on cardiovascular disease; and other associated risk factors. Most natural deaths at autopsy of custodial deaths were due to cardiovascular disease. Cardiorespiratory fitness was low in prisons, and poor sleep patterns and dietary deficiencies are likely contributors to the burden of cardiovascular disease in prisons. The needs of elderly and female prison populations are ill-considered.
Originality/value
To the best of the authors’ knowledge, this is the first known attempt to scope extant literature on cardiovascular disease in Sub-Saharan African prisons. A strategic focus on the cardiovascular health of people in prison is warranted. Routine monitoring and expansion of existing prison health-care services and integration of NCD services with infectious disease (HIV and tuberculosis) programmes in prisons are required.
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Sanju Kaladharan, M. Dhanya and G. Rejikumar
Eat Right India (ERI) is a flagship initiative by the Food Safety and Standards Authority of India to transform the food system to ensure sustainable, safe and healthy food for…
Abstract
Purpose
Eat Right India (ERI) is a flagship initiative by the Food Safety and Standards Authority of India to transform the food system to ensure sustainable, safe and healthy food for all. The study summarizes the strategies, policies and programs using the NOURISHING framework.
Design/methodology/approach
This study identifies and reviews documents related to ERI through a comprehensive search of research literature, policy documents and information available from the institutional websites. The NOURISHING framework, which proposes a methodology to categorize, report and monitor actions to promote healthy eating, is used as a guiding framework.
Findings
Upon analyzing various strategies put forward by the ERI initiative, it was found that there are many inter-sectoral collaborations, successful institutionalizations and behavioral interventions implemented through the initiative. However, there are a few areas that require attention, which include health taxation, children's exposure to unhealthy food marketing, regulations in food advertisements and the incentivization of retailers and consumers for healthy food delivery and consumption. There is a need for a holistic approach with a congruence of health and food systems in the backdrop of a strong and efficient policy and regulatory framework to tackle the threat of Non-communicable diseases (NCD).
Originality/value
This article contributes to a significant discussion about transforming food systems to tackle (NCDs). It summarizes the existing initiatives in India for establishing healthy food environments and also suggests a few strategies for taking it forward. The study calls the policymakers to action for restructuring the food and health system into resilient, contextually relevant and interoperable mechanisms to address the threat of NCDs.
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P. Padma Sri Lekha, E.P. Abdul Azeez and Ronald R. O'Donnell
Contextual to the recognition of the complex interplay between health and behavioral aspects, integrated behavioral health (IBH) has emerged. Although this model is becoming…
Abstract
Purpose
Contextual to the recognition of the complex interplay between health and behavioral aspects, integrated behavioral health (IBH) has emerged. Although this model is becoming popular in the Western world, its presence in the global context is not promising. This paper aims to explore the need for IBH in India and address its barriers to implementation and possible solutions.
Design/methodology/approach
We analyzed the case of IBH and its potential implications for India using the current evidence base, authors' reflections and experience of implementing similar programs.
Findings
This paper identifies contextual factors, including increased instances of non-communicable diseases and psychosocial and cultural determinants of health, that necessitate the implementation of IBH programs in India. The key features of different IBH models and their applicability are outlined. The current status of IBH and potential challenges in implementation in India in terms of human resources and other factors are delineated. We also discuss the potential models for implementing IBH in India.
Originality/value
Integrating behavioral health in primary care is considered an effective and sustainable model to promote health and well-being across various target populations. Towards this end, this paper is the first to discuss the contextual factors of IBH in India. It is a significant addition to the knowledge base on IBH and its possible implementation barriers and strategies in low- and middle-income countries.
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Sik Sumaedi, I Gede Mahatma Yuda Bakti, Tri Rakhmawati and Nidya Astrini
This study aimed to identify the quality consumers expect from functional food. This study investigated the quality dimensions and indicators female consumers expect in functional…
Abstract
Purpose
This study aimed to identify the quality consumers expect from functional food. This study investigated the quality dimensions and indicators female consumers expect in functional food.
Design/methodology/approach
This study used a quantitative approach. Data were collected through a survey using a self-administered questionnaire from 149 women aged 17 years and over in the Greater Jakarta area. Data analysis consists of three stages: exploratory factor analysis (EFA), confirmatory factor analysis-structural equation modeling (CFA-SEM) and consumer expectation value analysis. Statistical Package for the Social Sciences (SPSS) and Lisrel software were used to assist the analysis.
Findings
The analysis results showed that women expect functional food products to fulfill the aspects of product presentation, product assurance, convenience, health benefits and safety and sensory characteristics. These five aspects are referred to as the expected quality dimensions. Twenty-one indicators can be used to measure the quality of functional food expected by women.
Research limitations/implications
Other researchers can use this study to understand functional food female consumers' behavior. Furthermore, functional food companies can utilize it to measure consumers' expectations of their products' quality and performance.
Originality/value
This research is believed to be the first study to identify the dimensions of functional food quality expected by female consumers. Most existing research on the perceived quality of functional food measures functional food quality based on performance and ignored the differences in expectations between men and women.
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Climate change and the COVID-19 pandemic are complex and have multifaceted effects on countries in an unpredictable and unprecedented manner. While both COVID-19 and the climate…
Abstract
Climate change and the COVID-19 pandemic are complex and have multifaceted effects on countries in an unpredictable and unprecedented manner. While both COVID-19 and the climate crisis share similarities, they also have some notable differences. Being both systemic in nature with knock-on and cascading effects that propagate due to high connectedness of countries, COVID-19, however, presents imminent and directly visible dangers, while the risks from climate change are gradual, cumulative and often distributed dangers. Climate change has more significant medium and long-term impacts which are likely to worsen over time. There is no vaccine for climate change compared to COVID-19. In addition, those most affected by extreme climatic conditions have usually contributed the least to the root causes of the crisis. This is in fact the case of island economies. The chapter thus investigates into the vulnerability and resilience of 38 Small Islands Developing States (SIDs) to both shocks. Adopting a comprehensive conceptual framework and data on various indices from the literature and global databases, we assess the COVID-19 and climate change vulnerabilities of SIDs on multiple fronts. The results first reveal a higher vulnerability across all dimensions for the Pacific islands compared to the other islands in the sample. There is also evidence of a weak correlation between climate change risk and the COVID-19 pandemic confirming our premise that there are marked differences between these two shocks and their impacts on island communities.
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Pooja Kansra and Amiya Abdul Khadar
Population ageing is a demographic transition and burdens every country’s health sector. A lack of social security combined with low government health-sector spending has made…
Abstract
Purpose
Population ageing is a demographic transition and burdens every country’s health sector. A lack of social security combined with low government health-sector spending has made health-care utilisation difficult among elderly in many developing countries like India. This makes population ageing a global phenomenon for policymakers, researchers and stakeholders to discuss and debate in 21st century. The purpose of this paper is to examine the behavioural determinants of health-care utilisation among elderly population in Punjab.
Design/methodology/approach
This study examines health-care utilisation among the elderly population in Punjab. A structured questionnaire was used to collect the data in the state of Punjab, with a multi-stage stratified random sample of 385 respondents. Logit regression was used to analyse the association between several behavioural factors like age, gender, place of residence, source of livelihood, education and frequency of visits with health-care utilisation among elderly aged 60 and above.
Findings
This study revealed that gender, age, place of residence, source of livelihood, education and frequency of visits were significant determinants of health-care utilisation among elderly population.
Originality/value
This study directs the need to improve health-care utilisation in a country, reducing inequalities that exist among the elderly population with respect to socio-economic and demographic differences.
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