Subjective Social Status and Socio-demographic Correlates of Perceived Discrimination Among Older Adults in India

Overview

Journal BMC Geriatr

Publisher Biomed Central

Specialty Geriatrics

Date 2024 Jul 19

PMID 39030500

Authors

T V Sekher

Manacy Pai

T Muhammad

Affiliations

Soon will be listed here.

Abstract

Background: Considering India's diversity, marked by differences in caste, class, ethnicity, religion, region, and language, discrimination can take on varying forms across social-structural locations. We examined the association between subjective social status (SSS) and perceived discrimination, and assessed the sociodemographic correlates of perceived discrimination among older persons in India.

Methods: Data come from the 2017-18 wave 1 of the Longitudinal Aging Study in India (LASI) with a sample of 30,253 adults 60 years or older. SSS was examined using the Macarthur scale with a ladder technique. Perceived discrimination was evaluated with the Everyday Discrimination Scale. Multivariable logistic regression models examined the odds of reporting discrimination by its types and attributions.

Results: 39% of older adults reported low SSS, whereas 7.3% reported high SSS. Older adults with low SSS had significantly higher odds of experiencing some discrimination than those with high SSS. Compared to high-SSS peers, low-SSS individuals attributed age, gender, caste, financial, and health status as reasons for discrimination. Older women attributed gender as a reason for discrimination. Caste was reported as a reason for discrimination by rural but not urban dwellers. Relative to northerners, those from southern India reported age, financial, and health statuses as reasons for discrimination.

Conclusions: That low-SSS older adults reported age, gender, caste, financial status, and health status as reasons for discrimination and that this association persisted after considering objective indicators of socioeconomic status (SES) is suggestive of SSS as independently consequential for perceived discrimination. These findings are useful for care providers and practitioners as they encourage older patients -- especially those with low SSS who may feel stigmatized -- to seek care, comply with care regimen, and engage in behaviors that protect and promote health.

References

Denise E . Multiple disadvantaged statuses and health: the role of multiple forms of discrimination. J Health Soc Behav. 2014; 55(1):3-19. DOI: 10.1177/0022146514521215. View

Pascoe E, Richman L . Perceived discrimination and health: a meta-analytic review. Psychol Bull. 2009; 135(4):531-54. PMC: 2747726. DOI: 10.1037/a0016059. View

Adler N, Epel E, Castellazzo G, Ickovics J . Relationship of subjective and objective social status with psychological and physiological functioning: preliminary data in healthy white women. Health Psychol. 2000; 19(6):586-92. DOI: 10.1037//0278-6133.19.6.586. View

Abramson L, Seligman M, Teasdale J . Learned helplessness in humans: critique and reformulation. J Abnorm Psychol. 1978; 87(1):49-74. View

Singh-Manoux A, Marmot M, Adler N . Does subjective social status predict health and change in health status better than objective status?. Psychosom Med. 2005; 67(6):855-61. DOI: 10.1097/01.psy.0000188434.52941.a0. View

Zell E, Strickhouser J, Krizan Z . Subjective social status and health: A meta-analysis of community and society ladders. Health Psychol. 2018; 37(10):979-987. DOI: 10.1037/hea0000667. View

Srivastava S, Muhammad T, Sulaiman K, Kumar M, Singh S . Types of household headship and associated life satisfaction among older adults in India: findings from LASI survey, 2017-18. BMC Geriatr. 2022; 22(1):78. PMC: 8790881. DOI: 10.1186/s12877-022-02772-7. View

Ayalon L, Gum A . The relationships between major lifetime discrimination, everyday discrimination, and mental health in three racial and ethnic groups of older adults. Aging Ment Health. 2011; 15(5):587-94. DOI: 10.1080/13607863.2010.543664. View

Henderson C, Evans-Lacko S, Thornicroft G . Mental illness stigma, help seeking, and public health programs. Am J Public Health. 2013; 103(5):777-80. PMC: 3698814. DOI: 10.2105/AJPH.2012.301056. View

10.

Muhammad T, Pai M . Association between subjective social status and physical frailty in older adults in India: perceived discrimination and III-treatment as mediators and moderators. Aging Clin Exp Res. 2023; 35(11):2517-2530. DOI: 10.1007/s40520-023-02531-7. View

11.

Dhak B . Gender difference in health and its determinants in the old-aged population in India. J Biosoc Sci. 2009; 41(5):625-43. DOI: 10.1017/S002193200999006X. View

12.

Fuller-Rowell T, Curtis D, Chae D, Ryff C . Longitudinal health consequences of socioeconomic disadvantage: Examining perceived discrimination as a mediator. Health Psychol. 2018; 37(5):491-500. PMC: 5926810. DOI: 10.1037/hea0000616. View

13.

Williams D, Neighbors H, Jackson J . Racial/ethnic discrimination and health: findings from community studies. Am J Public Health. 2003; 93(2):200-8. PMC: 1447717. DOI: 10.2105/ajph.93.2.200. View

14.

Kessler R, Mickelson K, Williams D . The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. J Health Soc Behav. 1999; 40(3):208-30. View

15.

Lewis T, Yang F, Jacobs E, Fitchett G . Racial/ethnic differences in responses to the everyday discrimination scale: a differential item functioning analysis. Am J Epidemiol. 2012; 175(5):391-401. PMC: 3282874. DOI: 10.1093/aje/kwr287. View

16.

Shankar A, Hinds P . Perceived discrimination: Associations with physical and cognitive function in older adults. Health Psychol. 2017; 36(12):1126-1134. DOI: 10.1037/hea0000522. View

17.

McConnell E, Janulis P, Phillips 2nd G, Truong R, Birkett M . Multiple Minority Stress and LGBT Community Resilience among Sexual Minority Men. Psychol Sex Orientat Gend Divers. 2018; 5(1):1-12. PMC: 5846479. DOI: 10.1037/sgd0000265. View

18.

Anand I, Thampi A . The Crisis of Extreme Inequality in India. Indian J Labour Econ. 2021; 64(3):663-683. PMC: 8353929. DOI: 10.1007/s41027-021-00335-9. View

19.

Kim J, Park E . Impact of socioeconomic status and subjective social class on overall and health-related quality of life. BMC Public Health. 2015; 15:783. PMC: 4536592. DOI: 10.1186/s12889-015-2014-9. View

20.

OLeary D, Uysal A, Rehkopf D, Gross J . Subjective social status and physical health: The role of negative affect and reappraisal. Soc Sci Med. 2021; 291:114272. DOI: 10.1016/j.socscimed.2021.114272. View