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International Journal of Humanities and Social Science Invention
ISSN (Online): 2319 – 7722, ISSN (Print): 2319 – 7714
www.ijhssi.org ||Volume 4 Issue 8 || August. 2015 || PP.11-14
www.ijhssi.org 11 | P a g e
Socio economic differential dimensions on health and education-
A comparative study.
Dr. Nupur Chaurasia1
BPT, MPH , Amity Institute of Public Health, Amity University
Dr. Srishti Pathela1
BDS, MPH , Amity Institute of Public Health, Amity University
Abstract : The aim of this paper was to find out the association between socio economic status and health of
the individuals residing in Delhi. A descriptive cross sectional study was conducted in the month of May 2014 in
five areas namely Trilokpuri, Sultanpuri, Seelampur, Seemapuri and Mangolpuri of Delhi. A total sample of 85
participants was conveniently selected from Medical mobile unit (MMU) of HelpAge India A semi structured
questionnaire was developed and pilot study was conducted to validate the tool. A written consent from the
respondents was taken. Kuppuswamy scale was used to calculate the socio economic status. Then the data was
analyzed using SPSS and MS excel. Results are represented as frequency, percentage and Chi-square test. The
study concluded that socio economic status and health as well as socio economic status and education has a
statistically significant association (p<0.05).
Key words: Socioeconomic status, Health, education, Kuppuswamy scale
I. INTRODUCTION
Economic progress of any country depends largely on human capital. Human capital is a major
component which decides the socioeconomic background of an individual. Education plays a most viable
method to develop the human capital (Javed et al, 2008). Socioeconomic status refers to where an individual
stands in the social hierarchy structure. It is measured in terms of education, occupation and income (Glymour
et al, 2013).
Socioeconomic status and education
The level of education has a strong association with the progress of any nation. The quality of
education imparted contributes as a major factor for economic development and its sustainability. Among all
phases of education, primary education plays a prominent part in the society. It not only helps in inculcating the
basic values and principles but also playing a crucial role in improving the standard of living (Javed et al,
2008). Poverty forms a very strong link with education. The people below poverty line are 42% and 26% in
urban and rural India respectively (Masthi Ramesh N.R et al, 2013). Due to poverty, major number of school
dropouts has been reported. Although education can act as a very strong tool for these disadvantaged children
to overcome their problems in regard to socio economic background so that it raises their self-esteem and they
can confidently put themselves to the same shoes with others while entering the markets (Taylor et al). One of
the tools for identifying this problem is to measure the socioeconomic status by using the SES scales. Modified
kuppuswamy scale is used to measure the Socio economic status of an individual (Masthi Ramesh N.R et
al,2013).
II. MODIFIED KUPPUSWAMY SCALE
Kuppuswamy’s socio-economic status scale is used to measure socioeconomic status. This scale
evaluate on the basis of education, occupation and income of the family to classify families into upper, middle
and low socioeconomic status (vijaya K et al, 2013).
Category Score
A. Education
Professors or honours - 7
Graduate or post graduate – 6
Intermediate or post high school diploma - 5
Socio economic differential dimensions on health ...
www.ijhssi.org 12 | P a g e
High school certificate - 4
Middle school certificate - 3
Primary school certificate - 2
Illiterate – 1
B. Occupation
Profession - 10
Semi-profession - 6
Clerical, shop-owner, farmer - 5
Skilled worker - 4
Semi-skilled worker - 3
Unskilled worker - 2
Unemployed -1
C. Family income per month in Rs.(2013)
(>34830) Rs - 12
(17415 – 34829) Rs - 1 0
(13029 – 17414) Rs - 6
(8707 – 13028) Rs - 4
(5224 – 8706) Rs - 3
(1744 – 5223) Rs - 2
(<1743) Rs – 1
D. Socio-economic class Total Score
Upper (I): 26-29
Middle Upper middle (II): 16-25
Lower middle (III): 11-15
Lower Upper lower (IV): 5-10
Lower (V): <5 (vijaya K et al, 2013).
Socioeconomic status and health
Socio economic status is considered as an important component of health, morbidity and mortality. It
can significantly influence the affordability, acceptability and utilization of health services by the individual
(Masthi Ramesh N.R et al, 2013). Health care is a need for every individual despite the fact to which race,
religion and socioeconomic status they belong to. But here socioeconomic status plays a very dominant role as
the people of lower socioeconomic status suffers from many obstacles to even get the access to primary health
care services. Some of the hurdles faced by these people are unaffordability, discrimination by health care
providers and the society (Olah. E Michelle et al, 2013). Some studies also suggest that a society comprises of
both economically well off and the poor but the ones with better privileges enjoy the healthy life. Socioeconomic
status has vast dimensions. The sound economic status is an essential ingredient that shape health disparities.
SES can be measured through various parameters that can be operated by various mechanisms. For example
the individual with higher level of income linked with better health and whereas lower status suffers poor health
(Cutler Dm et al, 2008).
The work presented in this paper explores the relationship of two important variables i.e. health and education
with SES. This study will facilitate to understand that which socioeconomic class individuals are more prone to
diseases.
III. METHODOLOGY
Participants
A total sample of 85 participants was conveniently selected from Medical mobile unit (MMU) of
HelpAge India in five areas namely Trilokpuri, Sultanpuri, Seelampur, Seemapuri and Mangolpuri of Delhi.
Modified Kuppuswamy scale was used to analyze the socio economic status of the sample population. A semi
structured questionnaire was prepared and it was pretested for its validity and reliability.
Procedure
Convenient samples of individuals were taken. The procedure of the study was explained to every
individual in their local language (Hindi). A written consent was taken from the participants. They were asked
set of questions through personal interview via schedule in their local language (Hindi).The data collected was
Socio economic differential dimensions on health ...
www.ijhssi.org 13 | P a g e
then coded, scored, tabulated and scrutinize statistically using SPSS and MS EXCEL. The data analysis was
done using frequency, percentage and Chi square test.
IV. RESULT
This section deals with the study of “impact of socio economic status on the health”. The sample is
collected from five areas of Delhi.
Table 2: Relationship between socio-economic status and education.
Table 3: Shows relationship between socio-economic status and health
V. CONCLUSION
It was concluded that lower socio economic individuals were suffering from more number of diseases
which reflects that lower socio economic status individuals are more prone to diseases and there is a statistical
significance between socio economic status and disease (p<0.05). Also it was concluded that most of the
population belonging to lower class were illiterate as compared to the middle socio economic class which were
much more educated and there is a statistical significance relationship between education and socio economic
status (p<0.05).
Socio economic differential dimensions on health ...
www.ijhssi.org 14 | P a g e
VI. LIMITATION
There were few limitation that has occurred during the study. Sample size was small and only Few
Slums area of West and East Delhi was considered.
VII. ACKNOWLEDGEMENT
We would like to express our whole hearted thanks and deep gratitude to Ms Pallavi and Mr. Ravi
Shankar (Sr. Manager Health services) for their expert guidance encouragement and support throughout the
study. We would also like to extend our thanks to all the subjects who have participated in this study and also to
HelpAge India .
REFERENCES
[1] Cutler David M. (2008). SOCIOECONOMIC STATUS AND HEALTH: DIMENSIONS AND MECHANISMS. NATIONAL
BUREAU OF ECONOMIC RESEARCH. Working Paper 14333 http://www.nber.org/papers/w14333
[2] Glymour Maria et al. (2014). Social epidemiology. Oxford University press. Second edition. ISBN 978-0-19-537790-3 (hbk.)-
ISBN978-0-19-939533-0(PBK.)
[3] Javed et al. (2008). Impact of education on the socio economic status of villager’s life: A case study of Shrien wala village of
Faisalabad district. Pakistan Economic and Social Review Volume 46, No. 2, pp. 133-146.
[4] Masthi ramesh et al. (2013). An Exploratory Study on Socio Economic Status Scales in a Rural and Urban Setting. Journal of
family medicine and primary care. Volume 2(1); PMC3893998, doi: 10.4103/2249-4863.109952.
[5] Olah E Michelle et al. (2013). The effect of socioeconomic status on access to primary care: an audit study. CMAJ. 185(6):
E263–E269. doi: 10.1503/cmaj.121383. PMCID: PMC3612171.
[6] Vijaya K, Ravikiran E. (2013). Kuppuswamy’s Socio-economic Status Scale-Updating Income Ranges for the Year 2013.
National Journal of Research in Community Medicine. Vol. 2. Issue 2. July-Sep. 2013 (079-148).
[7] Taylor and Derek. The importance of socio-economic status in determining educational achievement in South Africa. A working
paper of the department of economics and the Bureau for economic research at the university of Stellenbosch. 01/09.

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Socio economic differential dimensions on health and educationA comparative study.

  • 1. International Journal of Humanities and Social Science Invention ISSN (Online): 2319 – 7722, ISSN (Print): 2319 – 7714 www.ijhssi.org ||Volume 4 Issue 8 || August. 2015 || PP.11-14 www.ijhssi.org 11 | P a g e Socio economic differential dimensions on health and education- A comparative study. Dr. Nupur Chaurasia1 BPT, MPH , Amity Institute of Public Health, Amity University Dr. Srishti Pathela1 BDS, MPH , Amity Institute of Public Health, Amity University Abstract : The aim of this paper was to find out the association between socio economic status and health of the individuals residing in Delhi. A descriptive cross sectional study was conducted in the month of May 2014 in five areas namely Trilokpuri, Sultanpuri, Seelampur, Seemapuri and Mangolpuri of Delhi. A total sample of 85 participants was conveniently selected from Medical mobile unit (MMU) of HelpAge India A semi structured questionnaire was developed and pilot study was conducted to validate the tool. A written consent from the respondents was taken. Kuppuswamy scale was used to calculate the socio economic status. Then the data was analyzed using SPSS and MS excel. Results are represented as frequency, percentage and Chi-square test. The study concluded that socio economic status and health as well as socio economic status and education has a statistically significant association (p<0.05). Key words: Socioeconomic status, Health, education, Kuppuswamy scale I. INTRODUCTION Economic progress of any country depends largely on human capital. Human capital is a major component which decides the socioeconomic background of an individual. Education plays a most viable method to develop the human capital (Javed et al, 2008). Socioeconomic status refers to where an individual stands in the social hierarchy structure. It is measured in terms of education, occupation and income (Glymour et al, 2013). Socioeconomic status and education The level of education has a strong association with the progress of any nation. The quality of education imparted contributes as a major factor for economic development and its sustainability. Among all phases of education, primary education plays a prominent part in the society. It not only helps in inculcating the basic values and principles but also playing a crucial role in improving the standard of living (Javed et al, 2008). Poverty forms a very strong link with education. The people below poverty line are 42% and 26% in urban and rural India respectively (Masthi Ramesh N.R et al, 2013). Due to poverty, major number of school dropouts has been reported. Although education can act as a very strong tool for these disadvantaged children to overcome their problems in regard to socio economic background so that it raises their self-esteem and they can confidently put themselves to the same shoes with others while entering the markets (Taylor et al). One of the tools for identifying this problem is to measure the socioeconomic status by using the SES scales. Modified kuppuswamy scale is used to measure the Socio economic status of an individual (Masthi Ramesh N.R et al,2013). II. MODIFIED KUPPUSWAMY SCALE Kuppuswamy’s socio-economic status scale is used to measure socioeconomic status. This scale evaluate on the basis of education, occupation and income of the family to classify families into upper, middle and low socioeconomic status (vijaya K et al, 2013). Category Score A. Education Professors or honours - 7 Graduate or post graduate – 6 Intermediate or post high school diploma - 5
  • 2. Socio economic differential dimensions on health ... www.ijhssi.org 12 | P a g e High school certificate - 4 Middle school certificate - 3 Primary school certificate - 2 Illiterate – 1 B. Occupation Profession - 10 Semi-profession - 6 Clerical, shop-owner, farmer - 5 Skilled worker - 4 Semi-skilled worker - 3 Unskilled worker - 2 Unemployed -1 C. Family income per month in Rs.(2013) (>34830) Rs - 12 (17415 – 34829) Rs - 1 0 (13029 – 17414) Rs - 6 (8707 – 13028) Rs - 4 (5224 – 8706) Rs - 3 (1744 – 5223) Rs - 2 (<1743) Rs – 1 D. Socio-economic class Total Score Upper (I): 26-29 Middle Upper middle (II): 16-25 Lower middle (III): 11-15 Lower Upper lower (IV): 5-10 Lower (V): <5 (vijaya K et al, 2013). Socioeconomic status and health Socio economic status is considered as an important component of health, morbidity and mortality. It can significantly influence the affordability, acceptability and utilization of health services by the individual (Masthi Ramesh N.R et al, 2013). Health care is a need for every individual despite the fact to which race, religion and socioeconomic status they belong to. But here socioeconomic status plays a very dominant role as the people of lower socioeconomic status suffers from many obstacles to even get the access to primary health care services. Some of the hurdles faced by these people are unaffordability, discrimination by health care providers and the society (Olah. E Michelle et al, 2013). Some studies also suggest that a society comprises of both economically well off and the poor but the ones with better privileges enjoy the healthy life. Socioeconomic status has vast dimensions. The sound economic status is an essential ingredient that shape health disparities. SES can be measured through various parameters that can be operated by various mechanisms. For example the individual with higher level of income linked with better health and whereas lower status suffers poor health (Cutler Dm et al, 2008). The work presented in this paper explores the relationship of two important variables i.e. health and education with SES. This study will facilitate to understand that which socioeconomic class individuals are more prone to diseases. III. METHODOLOGY Participants A total sample of 85 participants was conveniently selected from Medical mobile unit (MMU) of HelpAge India in five areas namely Trilokpuri, Sultanpuri, Seelampur, Seemapuri and Mangolpuri of Delhi. Modified Kuppuswamy scale was used to analyze the socio economic status of the sample population. A semi structured questionnaire was prepared and it was pretested for its validity and reliability. Procedure Convenient samples of individuals were taken. The procedure of the study was explained to every individual in their local language (Hindi). A written consent was taken from the participants. They were asked set of questions through personal interview via schedule in their local language (Hindi).The data collected was
  • 3. Socio economic differential dimensions on health ... www.ijhssi.org 13 | P a g e then coded, scored, tabulated and scrutinize statistically using SPSS and MS EXCEL. The data analysis was done using frequency, percentage and Chi square test. IV. RESULT This section deals with the study of “impact of socio economic status on the health”. The sample is collected from five areas of Delhi. Table 2: Relationship between socio-economic status and education. Table 3: Shows relationship between socio-economic status and health V. CONCLUSION It was concluded that lower socio economic individuals were suffering from more number of diseases which reflects that lower socio economic status individuals are more prone to diseases and there is a statistical significance between socio economic status and disease (p<0.05). Also it was concluded that most of the population belonging to lower class were illiterate as compared to the middle socio economic class which were much more educated and there is a statistical significance relationship between education and socio economic status (p<0.05).
  • 4. Socio economic differential dimensions on health ... www.ijhssi.org 14 | P a g e VI. LIMITATION There were few limitation that has occurred during the study. Sample size was small and only Few Slums area of West and East Delhi was considered. VII. ACKNOWLEDGEMENT We would like to express our whole hearted thanks and deep gratitude to Ms Pallavi and Mr. Ravi Shankar (Sr. Manager Health services) for their expert guidance encouragement and support throughout the study. We would also like to extend our thanks to all the subjects who have participated in this study and also to HelpAge India . REFERENCES [1] Cutler David M. (2008). SOCIOECONOMIC STATUS AND HEALTH: DIMENSIONS AND MECHANISMS. NATIONAL BUREAU OF ECONOMIC RESEARCH. Working Paper 14333 http://www.nber.org/papers/w14333 [2] Glymour Maria et al. (2014). Social epidemiology. Oxford University press. Second edition. ISBN 978-0-19-537790-3 (hbk.)- ISBN978-0-19-939533-0(PBK.) [3] Javed et al. (2008). Impact of education on the socio economic status of villager’s life: A case study of Shrien wala village of Faisalabad district. Pakistan Economic and Social Review Volume 46, No. 2, pp. 133-146. [4] Masthi ramesh et al. (2013). An Exploratory Study on Socio Economic Status Scales in a Rural and Urban Setting. Journal of family medicine and primary care. Volume 2(1); PMC3893998, doi: 10.4103/2249-4863.109952. [5] Olah E Michelle et al. (2013). The effect of socioeconomic status on access to primary care: an audit study. CMAJ. 185(6): E263–E269. doi: 10.1503/cmaj.121383. PMCID: PMC3612171. [6] Vijaya K, Ravikiran E. (2013). Kuppuswamy’s Socio-economic Status Scale-Updating Income Ranges for the Year 2013. National Journal of Research in Community Medicine. Vol. 2. Issue 2. July-Sep. 2013 (079-148). [7] Taylor and Derek. The importance of socio-economic status in determining educational achievement in South Africa. A working paper of the department of economics and the Bureau for economic research at the university of Stellenbosch. 01/09.