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PSM · Health indicators: Swaroop's index
Sample itemIn a district, 1,000 deaths were registered in a year and 620 of them occurred in persons aged 50 years or more. What is the value of Swaroop's index, and what does a higher value indicate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. 62%, indicating better health status
Swaroop's index is the proportion of all deaths that occur at age 50 years and above, expressed as a percentage. Here 620 / 1,000 x 100 = 62%. A higher value means more people survive to older ages before dying, so it indicates better health status and development.
Option by option
A. 38%, indicating worse health status
38% is the proportion of deaths below 50 years, not Swaroop's index; the value is wrong even though a high early-death share would indicate poorer health.
B. 38%, indicating better health status
38% is the proportion of deaths below 50 years, not Swaroop's index, so the value is wrong.
C. 62%, indicating worse health status
The value is right but a high proportion of deaths in the elderly reflects better, not worse, health.
D. 62%, indicating better health status (correct)
Correct. 620 / 1,000 = 62%, and a high value reflects survival to older ages.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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