scholarly journals Epidemiology, Hot Spots, and Sociodemographic Risk Factors of Alcohol Consumption in Indian Men and Women: Analysis of National Family Health Survey-4 (2015-16), a Nationally Representative Cross-Sectional Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Karuppusamy Balasubramani ◽  
Winnie Paulson ◽  
Savitha Chellappan ◽  
Ramakrishnan Ramachandran ◽  
Sujit Kumar Behera ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Health Survey ◽  
Hot Spots ◽  
Hot Spot ◽  
Family Health ◽  
National Family Health Survey ◽  
Men And Women ◽  
National Family ◽  
Indian Men

Objectives: To map the alcohol hot spots and understand the Sociodemographic Indices (SDI) affecting alcohol consumption in Indian men and women.Methods: Data from National Family Health Survey-4 carried out from 2015 to 2016 with a sample size of 103,411 men and 699,686 women were used for Geographic Information System mapping, and hot spot identification by spatial statistics (Getis-Ord Gi*). Bivariate analyses and multiple logistic regressions were used to analyze SDI.Results: India has three major alcohol hot spots: (1) North-East (NE) states, (2) Eastern Peninsular states formed by Chhattisgarh, Odisha, Jharkhand, and Telangana, and (3) Southern states of Tamil Nadu and Kerala. Hot spot analysis strongly correlated with region-wise analysis of SDI. Respondents who consumed tobacco have higher odds (men adjusted odds ratio [aOR]: 5.42; women aOR: 4.30) of consuming alcohol. Except for religion and social category, other socioeconomic factors have a low to moderate effect on alcohol consumption.Conclusions: Hot spots and high-risk districts of alcohol consumption identified in this study can guide public health policies for targeted intervention. Alcohol use is at the discretion of individual states and union territories, and stringent anti-alcohol policies strictly enforced across India are the keys to control alcohol use.

scholarly journals Epidemiology, Hot Spots and Socio-Demographic Risk Factors of Alcohol Consumption in Indian Men and Women: Analysis of National Family Health Survey-4, A Nationally Representative Cross Sectional Study

2020 ◽  
Author(s):  
Winnie Paulson ◽  
Balasubramani Karuppusamy ◽  
Savitha Chellappan ◽  
Sujit Kumar Behera ◽  
Praveen Balabaskaran Nina
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Hot Spots ◽  
Tamil Nadu ◽  
Family Health ◽  
Health Policies ◽  
Public Health Policies ◽  
Alcohol Policies ◽  
National Family ◽  
Indian Men

Abstract BackgroundAlcohol consumption is a serious health crisis in India that needs urgent attention. An estimated 160 million Indians consume alcohol. Despite the widespread alcohol use across India, there is no information on the alcohol hot spots. Along with hot spots, understanding the Socio-Demographic Indices (SDI) affecting alcohol consumption in Indian men and women will help guide public health policies on alcohol use. MethodsData from National Family Health Survey-4 carried out from 2015-2016 with a sample size of 103 411 men and 699 686 women were used for the analysis. Epidemiology of alcohol use was mapped by Geographic Information System, and hot spots were identified by spatial statistics (Getis-OrdGi*). Bivariate analyses and binary logistic regression were used to analyse SDI. ResultsIndia has three major alcohol hot spots: (1) North East (NE) states, (2) Eastern Peninsular states formed by Chhattisgarh, Odisha, Jharkhand and Telangana, and (3) Southern states of Tamil Nadu and Kerala. Among these hot spots, the districts of Tamil Nadu, Telangana and Assam fall under high risk category. Hot spot analysis strongly correlated with region-wise analysis of SDI. South (Men aOR - 1.0, 95% CI: 39.1 - 42.1) and NE India (Men aOR - 0.6, 95% CI: 38.4 - 42.6; Women aOR - 2.05, 95% CI: 6.4 - 7.5) have higher odds of alcohol use. Schedule tribe men (aOR-1.67, 95% CI: 1.53-1.82) and women (aOR-5.99, 95% CI: 4.71-7.63) have higher odds of alcohol consumption. Compared to other religions, Muslim men (aOR: 0.11) and women (aOR: 0.06) consume less alcoholConclusionsHot spots and, high risk districts of alcohol consumption identified in this study can guide public health policies for targeted intervention. Except for religion and social category, other socio-economic factors have a low to moderate effect on alcohol consumption. India does not have concrete anti-alcohol policies at the national level. Alcohol use is at the discretion of individual states and union territories, and appears to be the major determinant of alcohol use in India. Stringent anti-alcohol policies strictly enforced across India is the key to control alcohol use.

scholarly journals The double burden of malnutrition among adults in India: evidence from the National Family Health Survey-4 (2015-16)

2019 ◽  
Vol 41 ◽  
pp. e2019050 ◽  
Author(s):  
Mili Dutta ◽  
Y Selvamani ◽  
Pushpendra Singh ◽  
Lokender Prashad
Keyword(s):  
Health Survey ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Family Health ◽  
National Family Health Survey ◽  
Double Burden ◽  
Cross Sectional ◽  
Men And Women ◽  
National Family ◽  
Dual Burden

OBJECTIVES: India still faces the burden of undernutrition and communicable diseases, and the prevalence of overweight/obesity is steadily increasing. The discourse regarding the dual burden of underweight and overweight/obesity has not yet been widely explored in both men and women. The present study assessed the determinants of underweight and overweight/obesity in India among adult men and women aged 15-49.METHODS: Population-based cross-sectional and nationally representative data from the National Family Health Survey-4 (2015-16), consisting of a sample of men and women, were analyzed. Stratified 2-stage sampling was used in the NFHS-4 study protocol. In the present study, bivariate and adjusted multinomial logistic regression analyses were performed to determine the correlates of underweight and overweight/obesity.RESULTS: The results suggested a persistently high prevalence of underweight coexisting with an increased prevalence of overweight/obesity in India. The risk of underweight was highest in the central and western regions and was also relatively high among those who used either smoking or smokeless tobacco. Overweight/obesity was more prevalent in urban areas, in the southern region, and among adults aged 35-49. Furthermore, level of education and wealth index were positively associated with overweight/obesity. More educated and wealthier adults were less likely to be underweight.CONCLUSIONS: In India, underweight has been prevalent, and the prevalence of overweight/obesity is increasing rapidly, particularly among men. The dual burden of underweight and overweight/obesity is alarming and needs to be considered; public health measures to address this situation must also be adopted through policy initiatives.

scholarly journals Persisting Prejudice: Measuring Attitudes and Outcomes by Caste and Gender

2020 ◽  
Vol 1 (2) ◽  
pp. 1-16
Author(s):  
Amit Thorat ◽  
Nazar Khalid ◽  
Nikhil Shrivastav ◽  
Payal Hathi ◽  
Dean Spears ◽  
...  
Keyword(s):  
Human Development ◽  
Health Survey ◽  
Social Groups ◽  
Family Health ◽  
National Family Health Survey ◽  
Men And Women ◽  
The Social ◽  
National Family ◽  
And Gender

We present results from a new representative telephonic survey, which confirms persistence of conservative gender and caste attitudes. In particular, we find that high proportions of men and women in all of the social groups we study disapprove of women working outside the home, say that it is acceptable for husbands to beat their wives, and would object to relatives marrying a Dalit person. By analyzing data from the National Family Health Survey and the India Human Development Survey, we see that the outcomes associated with these attitudes are even more conservative: a smaller fraction of women work than those who say it is acceptable, a larger fraction of women experience violence in marriage than men who say it is acceptable, and an even smaller fraction of people have intercaste marriages than people who say they would not oppose. With a few exceptions, the attitudes and outcomes we study vary surprisingly little by respondent gender, caste, and religion. Dr. Amdebkar’s legacy is indeed unfinished – people from all backgrounds must continue to work for the equality and dignity of women and Dalits.

scholarly journals Missed opportunities for delivering nutrition interventions in first 1000 days of life in India: insights from the National Family Health Survey, 2006 and 2016

2021 ◽  
Vol 6 (2) ◽  
pp. e003717
Author(s):  
Phuong Hong Nguyen ◽  
Rasmi Avula ◽  
Lan Mai Tran ◽  
Vani Sethi ◽  
Alok Kumar ◽  
...  
Keyword(s):  
Health Survey ◽  
Urban Areas ◽  
Family Health ◽  
Universal Coverage ◽  
National Family Health Survey ◽  
Nutrition Interventions ◽  
Missed Opportunities ◽  
Health And Nutrition ◽  
National Family ◽  
Opportunity Gaps

ObjectivesExisting health and community nutrition systems have the potential to deliver many nutrition interventions. However, the coverage of nutrition interventions across the delivery platforms of these systems has not been uniform. We (1) examined the opportunity gaps between delivery platforms and corresponding nutrition interventions through the continuum of care in India between 2006 and 2016 and and (2) assessed inequalities in these opportunity gaps.MethodsWe used two rounds of the National Family Health Survey data from 2005 to 2006 and 2015–2016 (n=36 850 and 190 898 mother–child dyads, respectively). We examine the opportunity gaps over time for seven nutrition interventions and their associated delivery platforms at national and state levels. We assessed equality and changes in equality between 2006 and 2016 for opportunity gaps by education, residence, socioeconomic status (SES), public and private platforms.ResultsCoverage of nutrition interventions was consistently lower than the reach of their associated delivery platforms; opportunity gaps ranging from 9 to 32 percentage points (pp) during the pregnancy, 17 pp during delivery and 9–26 pp during childhood in 2006. Between 2006 and 2016, coverage improved for most indicators, but coverage increases for nutrition interventions was lower than for associated delivery platforms. The opportunity gaps were larger among women with higher education (22–57 pp in 2016), higher SES status and living in urban areas (23–57 pp), despite higher coverage of most interventions and the delivery platforms among these groups. Opportunity gaps vary tremendously by state with the highest gaps observed in Tripura, Andaman and Nicobar islands, and Punjab for different indicators.ConclusionsIndia’s progress in coverage of health and nutrition interventions in the last decade is promising, but both opportunity and equality gaps remained. It is critical to close these gaps by addressing policy and programmatic delivery systems bottlenecks to achieve universal coverage for both health and nutrition within the delivery system.

scholarly journals Correction to: Inequalities in the utilisation of maternal health Care in Rural India: Evidences from National Family Health Survey III & IV

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Balhasan Ali ◽  
Shekhar Chauhan
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Survey ◽  
Family Health ◽  
Maternal Health Care ◽  
Rural India ◽  
National Family Health Survey ◽  
National Family

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Severe wasting among Indian infants <6 months: Findings from the National Family Health Survey 4

2019 ◽  
Vol 15 (4) ◽  
Author(s):  
Tarun Shankar Choudhary ◽  
Akanksha Srivastava ◽  
Ranadip Chowdhury ◽  
Sunita Taneja ◽  
Rajiv Bahl ◽  
...  
Keyword(s):  
Health Survey ◽  
Family Health ◽  
National Family Health Survey ◽  
National Family
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