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Background Women's empowerment is critical for achieving gender equality and societal progress. Despite various efforts, significant disparities in women's empowerment persist across different states in India. This study aims to provide a comprehensive assessment of women's empowerment using data from the National Family Health Survey 5 (NFHS-5). Methods Data from the NFHS-5, collected between June 2019 and April 2021, were used. The Women's Empowerment Index (WEI) was calculated for each of the 28 states based on four dimensions: economic empowerment, decision-making, health and nutrition, and gender roles. Statistical analysis, including Pearson and Spearman correlations, was conducted to assess associations between WEI and various socioeconomic variables. Results The WEI ranged from 17.4 to 27.4, with a mean of 21.3 ± 2.6. Goa, Sikkim, and Himachal Pradesh had the highest WEI scores, while West Bengal, Andhra Pradesh, and Telangana had the lowest. Economic empowerment was highest in Karnataka, Sikkim, and Arunachal Pradesh. Decision-making scores were highest in Nagaland, Mizoram, and Goa. Health and nutrition scores were highest in Goa, Sikkim, and Uttarakhand. Positive gender roles were most prominent in Himachal Pradesh, Nagaland, and Goa. Significant correlations were found between WEI and per capita net state domestic product, literacy rates, median age at marriage, and total fertility rate. Conclusion The study highlights substantial variations in women's empowerment across Indian states, influenced by socioeconomic, health, and educational factors. Targeted interventions are needed to address specific barriers and promote gender equality. Future research should evaluate the effectiveness of these interventions and explore additional factors influencing women's empowerment.
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Objectives: This study aims to assess the urban-rural difference in prevalence of hypertension (HT) and to explore the disparities in lifestyle risk factors of HT among urban and rural individuals aged 15-49 years in India. Study Design: The cross-sectional data collected as a part of the fourth round of National Family Health Survey (NFHS-4) was analysed in this observational study. NFHS-4 was conducted between January 2015 and December 2016 amongst men aged 15-54 years and women aged 15-49 years. In order to maintain uniformity, age group of 15-49 years was considered. Descriptive analyses were performed for sociodemographic and lifestyle factors. Binary logistic regression was conducted to assess the predictors of HT in men and women in urban and rural settings. The presence of HT was considered as the outcome variable. Results: The overall age adjusted prevalence of HT was 17.2% and was greater in urban (18.3%) than in rural population (15.5%). The age adjusted prevalence was also higher in males (18.2%) as compared to females (16.1%). Age and wealth were associated with HT in both urban and rural population. Education and dietary habits played a role in all except rural men. Alcohol consumption, diabetic status and marital status were significantly associated with HT in both urban and rural women. Occupation was associated with HT only in urban women. Conclusions: The study has shown higher HT prevalence in urban areas despite higher prevalence of lifestyle risk factors in rural settings. This calls for more robust screening and health education in the entire population, especially in rural areas.