Nationally representative household survey data for studying the interaction between district-level development and individual-level socioeconomic gradients of cardiovascular disease risk factors in India
2019
Jung, Lara | De Neve, Jan-Walter | Chen, Simiao | Manne-Goehler, Jennifer | Jaacks, Lindsay M. | Corsi, Daniel J. | Awasthi, Ashish | Subramanian, S.V. | Vollmer, Sebastian | Bärnighausen, Till | Geldsetzer, Pascal
In this article, we describe the dataset used in our study entitled “The interaction between district-level development and individual-level socioeconomic gradients of cardiovascular disease risk factors in India: A cross-sectional study of 2.4 million adults”, recently published in Social Science & Medicine, and present supplementary analyses.We used data from three different household surveys in India, which are representative at the district level. Specifically, we analyzed pooled data from the District-Level Household Survey 4 (DLHS-4) and the second update of the Annual Health Survey (AHS), and separately analyzed data from the National Family Health Survey (NFHS-4). The DLHS-4 and AHS sampled adults aged 18 years or older between 2012 and 2014, while the NFHS-4 sampled women aged 15–49 years and - in a subsample of 15% of households - men aged 15–54 years in 2015 and 2016.The measures of individual-level socio-economic status that we used in both datasets were educational attainment and household wealth quintiles. The measures of district-level development, which we calculated from these data, were i) the percentage of participants living in an urban area, ii) female literacy rate, and iii) the district-level median of the continuous household wealth index. An additional measure of district-level development that we used was Gross Domestic Product per capita, which we obtained from the Planning Commission of the Government of India for 2004/2005.Our outcome variables were diabetes, hypertension, obesity, and current smoking. The data were analyzed using both district-level regressions and multilevel modelling.
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