High Subjective Socioeconomic Status Research Articles

Socioeconomic mobility, metabolic health, and diet: mediation via subjective socioeconomic status.

Socioeconomic mobility, i.e., changing socioeconomic status (SES) between adolescence and adulthood, may impact health through changing resources, social status, and health-related behaviors. This analysis examined whether subjective SES contributes to associations of mobility with metabolic health (BMIand metabolic syndrome) and unhealthy diets (fast-food consumptionand sugar-sweetened beverage [SSB] consumption). National Longitudinal Study of Adolescent to Adult Health data were used (n = 4132). Mobility was defined as the difference between adolescent (collected 1994-1995, ages 11-19 years) and adult (collected 2016-2018, ages 33-43 years) SES. Linear and logistic regressions examined associations of mobility with metabolic and dietary outcomes and mediation by subjective SES. Substantial upward mobility was associated with lower risk of high SSB consumption compared with stable disadvantaged SES (risk difference: -0.10 [95% CI: -0.16 to -0.041]). Subjective SES mediated associations of upward, but not downward, mobility with risks of developing metabolic syndrome, high fast-food consumption, and high SSB consumption; upward mobility was associated with higher subjective SES and lower risks of poor metabolic and dietary outcomes. The finding that subjective SES contributed to associations between upward mobility and better health may inform development of interventions designed to promote healthier diets and reduce socioeconomic disparities in metabolic health.

High subjective socioeconomic status positively predicts the willingness to disclose privacy

In the digital era, consumers' information has become a vital marketing asset. Despite the potential risks associated with compromising privacy, some consumers willingly permit companies to collect their data. As consumers with more resources may face more significant consequences if their privacy is compromised, it is important to understand the privacy disclosure intent of consumers with high socioeconomic status. We conducted two studies, in the United States (n = 284) and China (n = 303). We found that high subjective (but not objective) socioeconomic status positively predicted participants' tendency to report their personal information in the consumer survey, with this relationship being mediated by higher levels of interpersonal trust. This is the first study to examine the relationship between subjective socioeconomic status and personal information disclosure. As such, it contributes to expanding existing research domains while also offering valuable insights into marketing strategies aimed at safeguarding consumer privacy.

Subjective socioeconomic status and self-rated health in the English Longitudinal Study of Aging: A fixed-effects analysis

Higher subjective socio-economic status (SES) goes along with better self-rated health: This finding is well-established in the literature, yet the majority of studies it is based on only rely on cross-sectional analyses and only account for few potential confounders of the association. Particularly wealth, which is increasingly thought of as an important dimension of accumulated advantage, is only rarely examined as a confounder. Using eight waves of panel data from the English Longitudinal Study of Aging (ELSA, 2002–19), we investigate the association between subjective SES and self-rated health. We use random effects models that account for theoretically important time-constant (such as education and social class) and time-varying confounders (such as income and wealth) as well as fixed-effects models, that in addition control for all time-constant confounders, whether observed or unobserved. The fully adjusted fixed-effects model reveals a statistically significant association between subjective SES and self-rated health. Yet, a one-point increase on the subjective SES ladder goes along with a two per cent of a standard deviation increase in self-rated health, only around a quarter of the size of the random-effects estimate. The role of wealth for the subjective SES–self-rated health association is negligible in the fixed-effects specifications. Smoking, drinking, and physical activity do not appear to mediate the association. A substantial part, though not all, of the observed association between subjective SES and self-rated health is due to unobserved confounding rather than a causal effect. Reducing health inequalities based on objective SES is likely more effective than based on subjective SES.

Higher subjective socioeconomic status is linked to increased charitable giving and mentalizing-related neural value coding

Socioeconomic status (SES), a concept related to an individual's economic and social position relative to others, can shape social interactions like altruistic behaviors. However, little is known about the exact neurocognitive mechanisms that link SES with altruism. Our study aimed to provide a comprehensive account of the sociocognitive and neural mechanisms through which SES affects charitable giving – an important variant of human altruism. To this end, participants completed a charitable donation task while their brain activity was measured using functional magnetic resonance imaging (fMRI). We also assessed participants’ socio-cognitive ability to infer other people's mental states (i.e., mentalizing) – a driver of prosocial behavior – in an independent social task. Behaviorally, we found that both charitable giving and social cognition were status-dependent, as subjective SES positively predicted donations and mentalizing capacity. Moreover, the link between SES and charitable giving was mediated by individuals’ mentalizing capacity. At the neural level, a multivariate pattern analysis of fMRI data revealed that higher subjective SES was associated with stronger value coding in the right temporoparietal junction (rTPJ). The strength of this value representation predicted charitable giving and was linked to mentalizing. Furthermore, we observed an increased negative functional coupling between rTPJ and left putamen with higher SES. Together, increased charitable giving in higher-status individuals could be explained by status-dependent recruitment of mentalizing-related value coding and altered functional connectivity in the brain. Our findings provide insights into the socio- and neurocognitive mechanisms explaining why and when higher SES leads to prosociality, which might ultimately inform targeted interventions to promote prosocial behavior in human societies.

Does subjective socioeconomic status moderate the effect of basic psychological need satisfaction on undergraduates' affective forecasting?

Affective forecasts are people's predictions of their future feelings in response to future events. In this study, based on the self-determination theory (SDT), we examined whether satisfying basic psychological needs influence undergraduates' affective forecasting and the moderating role of subjective socioeconomic status (SES). With a total of 423 undergraduate participants (177 males, 246 females), through one pilot study and three experiments, we first manipulated participants' basic psychological need satisfaction, i.e., autonomy need satisfaction (study 1), competence need satisfaction (study 2), and relatedness need satisfaction (study 3), then we asked low-SES and high-SES participants, respectively, to predict the pleasantness of a particular new product and evaluated the actual experience with the product. Results showed that the effect of basic psychological need on affective forecasting was not significant. When the need for autonomy need and competence need was satisfied, the impact bias was greater for the high SES than the low SES. Conversely, when the relatedness need was satisfied, the impact bias was greater for the low SES than the high SES. In conclusion, subjective SES moderated the influence of basic psychological needs satisfaction on increasing the impact bias in affective forecasting.

Perceived Income Inequality, Trust, and Consumers’ Ethical Judgments

Research related to consumers’ ethical judgments has generally neglected the effects of psycho-social variables (variables with both social and personal psychological components), e.g., perceived income inequality and subjective socio-economic status. In order to address this gap, an online survey of 373 US consumers was conducted to examine relationships between perceived income inequality and judgments regarding unethical and prosocial consumer actions. The mediating role of trust (general distrust of others and distrust of corporations) and moderating role of subjective socio-economic status were examined. Moderated mediation analyses demonstrated that the effects of perceived income inequality on consumers’ ethical judgments were mediated by distrust of corporations (but not by general distrust of others), for consumers who had higher subjective socio-economic status. These novel findings related to the effects of distrust of corporations highlight that, in order to explain consumers’ ethical judgments, it is essential to focus on trust relationships between consumers and other participants in the marketing system. Perceived income inequality erodes trust within marketing systems leading to negative effects on consumers’ ethical judgments. These effects are paradoxically only evident among consumers with higher subjective socio-economic status. Findings contribute to the macromarketing literature on marketing systems, marketing ethics, sustainable consumption, and distributive justice.

675-P: Coparenting Cooperation and Conflict Predict Parent Depressive Symptoms 1.5 Years after Young Child T1D Diagnosis

Background: Managing T1D in a newly diagnosed young child significantly impacts family dynamics and is linked with elevated parental depressive symptoms. We examined the relationship among diabetes-related co-parenting cooperation and conflict soon after diagnosis with parent depressive symptoms 1 and 1.5 years later. Method: Participants were 157 primary caregivers (91.7% female, 76.4% married, 62.2% non-Hispanic White) of young children age 1-6 years (Mage=4.41.7 years; 54.8% female, 61.5% non-Hispanic White) in a behavioral intervention trial after child T1D diagnosis (M=29 days). Parents self-reported on Cooperation and Conflict subscales of the Diabetes-Specific Co-parenting Questionnaire (DCQ) and the Center for Epidemiological Studies Depression Scale (CES-D; ≥16=clinical elevation). Multiple logistic regressions were used with elevated depression score as outcome. Subjective socioeconomic status (SSES) and treatment condition were included as covariates. Results: Higher co-parenting conflict at baseline was associated with a 3.70 (OR=3.70, 95% CI=(1.68, 8.18) and 2.36 (OR=2.36, 95% CI=(1.13, 4.91)) higher odds of clinically elevated CES-D score risk at 1 and 1.5 years post-diagnosis, respectively. Higher co-parenting cooperation at baseline marginally reduced elevated CES-D odds by 0.58 (OR=0.58, 95% CI=(0.31, 1.10)) at 1.5 (but not 1) years post-diagnosis; higher SSES at baseline reduced depression odds by 0.97 (OR=0.97, 95% CI=(0.96, 1.00) at 1.5 (but not 1) years post-diagnosis. Discussion: Increased parental disagreements following T1D diagnosis may predict higher burden of managing T1D in a young child over time and possibly contribute to later depressive symptoms. Parental care strategies and interventions at T1D diagnosis that enhance supportive cooperation and communication among caregivers may help support parent psychosocial functioning over time. Disclosure L.Kang: None. C.H.Wang: None. M.E.Hilliard: None. C.Tully: None. M.Monaghan: Employee; National Institute of Diabetes and Digestive and Kidney Diseases, Research Support; American Diabetes Association. R.Streisand: None. Funding National Institutes of Health (1R01DK102561-01A1)

Early Emotional Experiences and Prosocial Behavior among Chinese Adolescents: The Roles of Psychological Suzhi and Subjective Socioeconomic Status.

Prosocial behavior plays a vital role in adolescents' well-being and social functioning, with the recall of early emotional experiences being a major influence. Positive experiences such as early memories of warmth and safeness (EMWS) contribute to prosocial interpersonal characteristics, whereas adverse experiences such as child psychological abuse and neglect (CPAN) lead to social withdrawal or behavioral problems. The direct effects of EMWS and CPAN on prosocial behavior were investigated in this study, along with the mediation effect of psychological suzhi and the moderation effect of subjective socioeconomic status (SSS). A sample of 948 adolescents (Mage = 14.05 years, SD = 1.68 years; 43.6% females) was randomly recruited to complete self-report questionnaires. Correlation results indicated that EMWS promoted prosocial behavior, whereas CPAN was negatively associated with prosocial behavior. Path analyses confirmed the mediating role of psychological suzhi on the effects of EMWS and CPAN on prosocial behavior. SSS was shown to moderate the effects of EMWS on prosocial behavior and CPAN on psychological suzhi. Compared to lower SSS, higher SSS would reinforce the positive impact of EMWS on prosocial behavior and exacerbate the negative impact of CPAN on psychological suzhi. The current study provided new insight into understanding the underlying mechanisms of prosocial behavior from the perspective of early emotional experiences.

Gender role attitudes and work-family conflict: A multiple mediating model including moderated mediation analysis.

With the fierce labor market competition, the family population's size continues to expand, and the conflict between work and family requirements for individual roles becomes increasingly intense. Most studies focus on work-family conflict as an antecedent variable, and few studies use work-family conflict as an outcome variable. This study aimed to explore the underlying mechanism of the relationship between gender role attitudes and work-family conflict. Two models were tested using conditional process analysis for testing direct and indirect effects on a sample of 324 employees: A serial multiple mediation model, and the multiple mediation model including the moderating role of education level and subjective socioeconomic status. The results suggested that (1) gender role attitudes significantly and positively predicted work-family conflict. (2) Parental sacrifice and subjective well-being played multiple mediating roles between gender role attitudes and work-family conflict. (3) Education level moderated the relationship between gender role attitudes and parental sacrifice, as evidenced by the fact that low education level amplified the positive predictive effect of gender role attitudes on parental sacrifice. (4) Subjective socioeconomic status moderated the relationship between gender role attitudes and subjective well-being, suggesting that high subjective socioeconomic status amplified the negative predictive effect of gender role attitudes on subjective well-being. This work contributes to the understanding of the process underlying the relationship between gender role attitudes and work-family conflict, and to the literature reporting the possible moderated role of education level and subjective socioeconomic status on the influence outcomes of gender role attitudes. Theoretical and practical implications are also discussed.

Do People Determine Their Subjective Socioeconomic Status Based on the Housing Type and Residential Neighborhood? Empirical Evidence from Seoul

Housing has traditionally been regarded as the most valuable asset in South Korea and is frequently used as an indicator of an individual’s socioeconomic status. In particular, this preference is evolving into a classification criterion for social class. This has led to rising social conflict and social anxiety in recent years. In this regard, this study examined the effect of residential characteristics, namely housing type and residential neighborhood, on subjective socioeconomic status using a multi-level logistic model centered on Seoul. The following are the key findings: First, it is demonstrated that home ownership has a substantial effect on subjective socioeconomic status. Second, the subjective socioeconomic status was found to vary depending on the type of housing in which a person currently resides, with residents of single-family housing having a higher subjective socioeconomic status than residents of other housing types. Third, residents of multi-household housing evaluated their socioeconomic status as the lowest. Fourth, the type of housing in one’s residential neighborhood was also found to be a significant factor in determining subjective socioeconomic status. Fifth, complex residential characteristics, such as the type of housing in which a person currently resides and the type of housing in the residential neighborhood, were found to have a considerable effect on subjective socioeconomic status. Through empirical analysis, this study examined the implications of inclusive housing policies that can reduce social problems and class conflicts and clearly identified the impact of residential characteristics on subjective socioeconomic status.

Subjective socioeconomic status is associated with risk aversion in a community-based cohort of older adults without dementia.

Attitudes towards risk impact financial decisions that are critical in older adulthood. Socioeconomic status (SES) influences an individual's level of risk aversion; however, the association of subjective SES (i.e., social standing relative to others) with risk aversion has not been explored. We examined whether subjective SES is associated with risk aversion independent of objective SES (i.e., income, education). Participants were 933 older adults without dementia from the Rush Memory and Aging Project (MAP) or Minority Aging Research Study (MARS), two longitudinal epidemiologic studies of aging. Participants completed assessments of risk aversion, subjective SES, and cognition. We examined associations of subjective SES with risk aversion using mixed models adjusting for participant characteristics, objective markers of SES and global cognition. In bivariate analyses, lower global cognitive functioning, lower income, female sex, Black race, and lower subjective SES were associated with greater risk aversion. Results of the nonlinear mixed effects model revealed that higher subjective SES was associated with less risk aversion (Estimate = -0.238, SE = 0.083, p = 0.004), after controlling for covariates. Age, sex, race, and global cognition were also associated with risk aversion in the mixed effects model (ps 0.03), although income and education were not (ps 0.27) The relationship between subjective SES and risk aversion did not differ by sex or race (ps 0.31). Findings suggest that subjective SES contributes to risk aversion regardless of sex or race. Findings support the importance of considering subjective indicators of SES as they may impact an older adult's economic preferences.

Black-White Differences in the Protective Effects of Income against Perceived Financial Difficulties in the United States

One of the components of the protective effects of overall high socioeconomic status (SES) on health is high subjective SES. As SES has shown weaker health effects for marginalized groups, a phenomenon called Marginalization-related Diminished Returns (MDRs), we conducted this study to test differential associations between two objective SES indicators, namely education and household income, with a subjective SES indicator (perceived financial difficulties) by race. For this cross-sectional analysis, we used the Health Information National Trends Survey (HINTS 2020) data. Participants included 1403 individuals who identified as either non-Latino Black or non-Latino White. Age, sex, marital status, and employment were used as control variables, while education and income were used as independent variables. Perceived financial difficulties were the outcome. Binary logistic regression was used for main data analysis. Linear regression was used for sensitivity analysis. Overall, high education and household income were associated with lower odds of perceived financial difficulties. We documented a statistical interaction between race and income on subjective SES indicating a weaker inverse association between household income and perceived financial difficulties for non-Latino Black than non-Latino White individuals. The results remained similar using linear or logistic regression models. We did not find racial differences in the association between education and perceived financial difficulties. In the US, and under structural racism, the link between objective SES indicators such as income and perceived financial difficulties differs for non-Latino Black and non-Latino White people. Income may better reduce perceived financial difficulties for non-Latino Black than non-Latino White individuals. This finding is in line with the MDRs framework and suggests a mechanism for why we observe weaker health effects of objective SES indicators, such as income, for racial minorities in the US, and why we observe racial health disparities across class lines.

Age, Individual Resources, and Perceived Expectations for Active Aging: General and Domain-Specific Effects.

Exposure to expectations for active aging may be modulated by age and individual resources (socioeconomic status, social integration, and health) via multiple pathways. Using a cross-sectional, nationally representative sample of adults aged 17 to 94 (N = 2,007), we investigated the relations between age, individual resources, and perceived expectations for active aging (PEAA) in three domains (physical health, mental health, and social engagement). Across domains, young adults and individuals aged 70+ reported slightly lower PEAA than emerging adults did; no other age differences emerged. Multiple regression showed that a higher subjective socioeconomic status, better perceived general health, and partnership (in older adults) predicted higher PEAA (almost) across domains, whereas church attendance, employment status, and occupational prestige yielded domain- and age-specific effects, which were not always positive. We conclude that the effects of individual resources on PEAA are limited in general but vary depending on life domain and age.

Prevalence and Correlational Factors of Suicidal Ideation and Suicide Attempts Among Chinese Adolescents.

This study’s purpose was to (1) determine the prevalence of suicidality (i.e., suicidal ideation or suicide attempts) among adolescents in a city in Northeast China and (2) identify the correlational factors among adolescents with suicidality. A total of 69,519 adolescents from grades 5 to 12 in a city in Northeast China participated in the online investigation. Students completed a structured questionnaire to report their demographic information, psychological characteristics, and suicidality. Univariable and multivariable logistic regressions were applied to determine significant correlational factors associated with suicidal ideation (SI) and suicide attempts (SA). The prevalence of SI and SA among adolescents in the past 12 months was 13 and 4.8%, respectively. Multivariable logistic regression analyses found that the potential risk factors for SI and SA included female, non-nuclear family, higher subjective socioeconomic status, meaningless in life, depression, bullying perpetrator, negative parental rearing styles, lower self-esteem scores, hopelessness, and stressful life events. In order to improve the accuracy of suicide risk identification, a cumulative risk index was used. With the increase in the number of cumulative risks, the risk of SI and SA also increased. So the cumulative risk index was very valuable. The total prevalence of SI and SA among primary and middle school students was high. Preventive measures could be implemented according to the risk factors.

Lower Subjective Socioeconomic Status Is Associated With Increased Risk of Reporting Negative Experiences on Social Media. Findings From the "LifeOnSoMe"-Study.

ObjectivesTo investigate the association between subjective socioeconomic status (SES) and a) frequency and daily duration of social media use, and b) self-reported negative experiences on social media platforms.MethodsThe present study is based on the cross-sectional school-based “LifeOnSoMe”-study (N = 3,415) recruiting high school students aged 16 years or more in Bergen, Norway. Subjective SES was the independent variable and measured by perceived family affluence. The dependent variables included self-reported amount of social media use, and eight different types of negative experiences on social media. Self-reported age, gender, country of birth and type study were used as covariates. Statistical analyses included multinomial logistic regression and negative binomial regression models.ResultsFor amount of social media use, we only found relatively weak and inconsistent associations with SES. In contrast, the associations between SES and separate variables gauging negative experiences were robust in crude models as well as in models adjusted for age and gender. The number of different negative experiences were increased by 1.25 times for those with low and by 1.10 times for those with medium socioeconomic status, compared to those with high socioeconomic status in fully adjusted models. For composite measures of “negative acts and exclusion” and “unwanted attention from others,” the difference between low and high SES was equivalent to a small-to-moderate effect size even after adjustments for age, gender, country of birth, type of study and amount of social media use.ConclusionsIn the present study, we found consistent and strong support for an association between SES and negative experiences on social media even after adjustments for age, gender, country of birth, type of study, and amount of social media use. The potential link between SES and negative experiences on social media as reported in this study is likely to have a public health impact. As the reported findings are novel, they need to be replicated in forthcoming studies based on other study populations. Future research should also focus on other aspects of SES and negative experiences, as well as endeavor to investigate potential longitudinal associations.

A Novel Measure of Housing Insecurity, Poverty and Use of Unclean Cooking Fuel Are Associated With Greater Food Insecurity in Slums and Informal Settlements

ObjectivesGlobally, an estimated 1.6 billion people live in inadequate housing, with 1 billion living in slums and informal settlements. However, there has not been a way of measuring inadequate housing or housing insecurity in the global South, neither is there an understanding of the relationship between housing insecurity and food insecurity in slums and informal settlements. Using a newly validated scale, we assessed the effect of housing insecurity on food insecurity among the urban poor. MethodsData for this study were collected from three slums in Ghana (N = 1,033). First, we assessed measures of housing insecurity (Multilevel Multidimensional Housing Insecurity Scale-MMHIS) and food insecurity (Household Food Insecurity Access Scale - HFIAS); we then assessed slum severity (Slum Severity Index- SSI), poverty, and subjective socio-economic status (SES) as confounding variables. Finally, we assessed choice of food over water or energy, neighborhood health, type of cooking fuel, and socio-demography. Following descriptive and bivariate analyses, we built an additive multivariable model by including all covariates significant at p < 0.05. We assessed the effect of housing insecurity on food insecurity using Poisson regression, adjusting for both confounding and socio-demographic variables. ResultsIn the bivariate models, MMHIS (IRR = 1.07, p < .001), SSI (IRR = 1.11, p < .001), and Poverty (IRR = 1.19, p < .001), were associated with an increase in the estimated rate ratios of food insecurity while subjective SES was associated with a decrease in food insecurity (IRR = 0.90, p < .001). In the multivariable model, MMHIS (IRR = 1.04, p < .001) and poverty (IRR = 1.17, p < .05) were significantly associated with an increase in the food insecurity rate ratios. Other measures that increased the rate ratio of food insecurity included the choice of food over energy or water (IRR = 1.27, p < .01), use of charcoal (IRR = 1.15, p < .05), and female headed households (IRR = 1.17, p < .001). Higher SES and neighborhood health scores were associated with decreased food insecurity rate ratios. ConclusionsThese data show that housing insecurity is a significant predictor of greater food insecurity in slums. Funding SourcesThis work was supported by a Pilot Project Grant at the University of Texas at Arlington and the Keough School of Global Affairs at the University of Notre Dame.

How parenting styles affect children’s creativity: Through the lens of self

Parenting style is an important contributor to the development of children’s creativity. We aimed to examine the association between parenting style and children's creativity and the internal mechanism from the lens of self. Specifically, we explored the association between a positive/negative parenting style and children's subjective/objective creativity, and the mediating role of self-esteem in these associations. Moreover, the moderating role of subjective socioeconomic status was examined. Questionnaire-based data were collected from 329 student–parent pairs. The students completed a demographic questionnaire that assessed gender, age, and socioeconomic status; the Rosenberg Self-Esteem Scale-Revised; the subjective creativity scales; and the objective creativity scales. At the same time, students’ parents completed the parenting style scale. We found that a positive parenting style was positively associated with both subjective and objective creativity, and that a negative parenting style was negatively associated with objective creativity. In addition, the mediation models indicated that the parenting styles were associated directly and indirectly, via the level of self-esteem, with children's creativity. Specifically, subjective socioeconomic status had a moderating effect between self-esteem and subjective creativity under a positive parenting style. The results indicate that a positive parenting style is better for the development of children's creativity. In addition, this study suggests that the protection and promotion of children's self-esteem is important for cultivating children's creativity, especially in high subjective socioeconomic status families.

Remembering where we're from: Community- and individual-level predictors of college students' White privilege awareness.

Scholars in the field of community psychology have called for more research dedicated to examining White privilege as part of a system of White supremacy in the United States. One branch of this work focuses on awareness of White privilege, yet to date, this research has typically investigated awareness of White privilege at individual levels of analysis instead of also focusing on neighborhoods, schools, and other levels of analysis beyond the individual. In this study, we combine survey and U.S. Census data to explore both individual- and community-level predictors of White privilege awareness. With a sample of 1285 White college students, we found that gender, modern racism, social dominance orientation, and subjective socioeconomic status (SES) significantly predicted White privilege awareness. After accounting for these individual-level variables, we found that characteristics of students' hometowns (defined by zip code) predicted White privilege awareness. Specifically, greater income inequality was associated with higher White privilege awareness, while greater White racial homogeneity was marginally associated with lower White privilege awareness. There was a significant interaction between community-level White racial homogeneity and individual-level subjective SES, such that students with high subjective SES and low White racial homogeneity had the highest White privilege awareness. This study highlights the importance of examining different facets of ecological context in relation to White Americans' racial attitudes.

Successful ageing among a national community-dwelling sample of older adults in India in 2017\u20132018

This study aimed to determine the prevalence and correlates of successful ageing in older community-dwelling adults in India. The cross-sectional sample included 21,343 individuals (≥ 65 years) from the Longitudinal Ageing Study in India (LASI) Wave 1 in 2017–2018. Successful ageing was assessed utilizing a multidimensional concept, including five components: (1) absence of major illness, (2) free of disability, (3) no major depressive disorder, (4) social engagement and (5) life satisfaction. Overall, 27.2% had successful ageing, including 83.3% had no major diseases, 51.0% free from disability, 91.8% had no major depressive disorder, 73.6% were socially engaged and 74.6% had high life satisfaction. In the adjusted logistic regression analysis, male sex (Adjusted Odds Ratio-AOR 1.40, 95% Confidence Interval-CI 1.21–1.26), married (AOR 1.48, 95% CI 1.22–1.79), having formal education (AOR 1.47, 95% CI 1.23–1.74), high subjective socioeconomic status (AOR 1.61, 95% CI 1.29–2.01), urban residence (AOR 1.42, 95% CI 1.19–1.70), Sikhs (AOR 1.76, 95% CI 1.38–2.24), high physical activity (AOR 1.65, 95% CI 1.38–1.97), and daily Yoga practice (AOR 1.34, 95% CI 1.11–1.61) increased the odds of successful ageing, while increasing age (AOR 0.96, 95% CI 0.94–0.79), poor childhood health (AOR: 0.47, 95% CI 0.29–0.75), and underweight (AOR 0.70, 95% CI 0.61–0.81) decreased the odds of successful ageing. Almost one in three older adults in India were successfully ageing. Factors associated with successful ageing included, male sex, married, having formal education, high subjective socioeconomic status, urban residence, Sikhs, physical activity, Yoga practice, younger age, good childhood health, and not having underweight.

Underweight and overweight/obesity among middle aged and older adults in India

Background and Objective : This study aimed to estimate the prevalence and correlates of underweight and overweight/obesity among middle aged and older adults in India. Materials and Methods : The cross-sectional sample consisted of 72,262 individuals (≥45 years) from the Longitudinal Aging Study in India Wave 1 in 2017–2018. Multinomial logistic regression was used to estimate the factors associated with underweight and overweight/obesity relative to normal weight. Results : The prevalence of normal weight (18.5–22.9 kg/m2) was 36.7%, underweight (&lt;18.5 kg/m2) 20.8%, overweight (23.0–24.9 kg/m2) 14.2%, Class I obesity (25.0–29.9 kg/m2) 20.8%, and Class II obesity (≥30.0 kg/m2) 7.4%. In adjusted multinomial logistic regression, the factors positively associated with underweight were older age (≥70 years) (adjusted relative risk ratio [ARRR]: 1.94, confidence interval [CI]: 1.75–2.14), food insecurity (ARRR: 1.19, CI: 1.07–1.33), poor or fair self-rated health status (ARRR: 1.14, CI: 1.05–1.33), and current tobacco use (ARRR: 1.42, CI: 1.31–1.53). The factors negatively associated with underweight were higher education (≥10 years) (ARRR: 0.67, CI: 0.48–0.92), high subjective socioeconomic status (ARRR: 0.78, CI: 0.67–0.92), urban residence (ARRR: 0.72, CI: 0.61–0.84), high life satisfaction (ARRR: 0.83, CI: 0.75–0.91), hypertension (ARRR: 0.64, CI: 0.58–0.69), diabetes (ARRR: 0.50, CI: 0.42–0.59), and heart disease or stroke (ARRR: 0.74, CI: 0.61–0.89). The factors positively associated with overweight/obesity were higher education (≥10 years) (ARRR: 2.09, CI: 1.87–2.33), high subjective socioeconomic status (ARRR: 1.44, CI: 1.31–1.59), urban residence (ARRR: 1.94, CI: 1.79–2.11), high life satisfaction (ARRR: 1.12, CI: 1.04–1.20), hypertension (ARRR: 1.89, CI: 1.76–2.02), type 2 diabetes (ARRR: 1.80, CI: 1.59–2.04), and raised cholesterol (ARRR: 2.75, CI: 2.11–3.58). The factors negatively associated with overweight/obesity were older age (≥70 years) (ARRR: 0.44, CI: 0.39–0.49), male sex (ARRR: 0.59, CI: 0.54–0.64), food insecurity (ARRR: 0.85, CI: 0.76–0.94), vigorous physical activity (&gt;once/week) (ARRR: 0.91, CI: 0.84–0.99), current tobacco use (ARRR: 0.69, CI: 0.64–0.74), and heavy episodic alcohol use (ARRR: 0.70, CI: 0.58–0.85). Conclusion : One in five middle-aged and older adults in India were underweight and more than two in five were overweight/obese, confirming a dual burden of malnutrition in India.