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A 2023 Update of Kuppuswamy Socioeconomic Status.17
A 2023 Update of Kuppuswamy Socioeconomic Status.17
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Socioeconomic status (SES) has various roles in health, populations. Kuppuswamy SES scale is dynamic and depends
nutritional status, mortality, and even morbidity of the upon the consumer price index (CPI). CPI is an index of the
population. SES also plays a vital role in dental health through variation in prices for retail goods and services that households
acceptability, accessibility, affordability, and utilization acquire for the purpose of consumption.[2] CPI numbers are
nYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC1y0abggQZXdgGj2MwlZLeI= on 09/27/2023
of available dental health services. SES helps identify the widely used as an indicator of inflation. Labour Bureau,
hierarchical position of an individual in the social structure. It Government of India, releases three CPI: CPI for Industrial
often reveals not only the dental health status of the individual Workers (CPI‑IW) base 2001, CPI for Agricultural Laborers
but also helps in identifying their behavioral tendencies toward base 1986–87, and CPI for Rural Laborers base 1984–85.
the importance of dental health.[1] The most commonly used and the most appropriate CPI for
One of the most widely used SES scales for classifying people revision of socioeconomic classifications has been (CPI‑IW) as
by SES is Kuppuswamy SES Scale for both urban and rural it represents the expenditure of a normal working class family.
Table 1: Modified Kuppuswamy Socioeconomic Status Scale, 2023 (Consumer price index ‑ 132.8, February)
Score
Education of the head
Profession or honors 7
Graduate 6
Intermediate or diploma 5
High school certificate 4
Middle school certificate 3
Primary school certificate 2
Illiterate 1
Occupation of the head
Legislators, senior officials, and managers 10
Professionals 9
Technicians and associate professionals 8
Clerks 7
Skilled workers and shop and market sales workers 6
Skilled agricultural and fishery workers 5
Craft and related trade workers 4
Plant and machine operators and assemblers 3
Elementary occupation 2
Unemployed 1
Monthly family income in INR (1976) Updated monthly family income in Rs. (2023) Score
≥2000 ≥20,482 12
1000–1999 10,241–20,481 10
750–999 7681–10,240 6
500–749 5120–7680 4
300–499 3072–5119 3
101–299 1034–3071 2
≤100 ≤1033 1
Score Socioeconomic class
26–29 Upper class (I)
16–25 Upper middle class (II)
11–15 Lower middle class (III)
5–10 Upper lower class (IV)
<5 Lower (V)
CPI: Consumer price index
282 © 2023 Journal of Indian Association of Public Health Dentistry | Published by Wolters Kluwer - Medknow
Letter to Editor
previously discussed extensively by Lahariya.[4] Like the extent 4. Lahariya C. ‘Flogging a dead horse’: Use of socio‑economic status
of the utility of these scales, and even though being used by many scales in health research in India. Indian J Pediatr 2017;84:1‑2.
5. Ramesh Masthi NR, Gangaboraiah, Kulkarni P. An exploratory study
researchers in India although believed by few. Using this index on socio economic status scales in a rural and urban setting. J Family
would probably give a more accurate picture of SES classification Med Prim Care 2013;2:69‑73.
nYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC1y0abggQZXdgGj2MwlZLeI= on 09/27/2023
for the entire urban population and for the country as a whole.
Kuppuswamy’s SES although being most widely used, there
are certain limitations to the same such as the validity, utility,
and relevance.[4] Furthermore, one of the previous studies
Received: 26‑07‑2023 Accepted: 04‑08‑2023 Published: 27-09-2023
reported using such a scale majority of the families were
classified in upper socioeconomic strata.[5] At the same time,
This is an open access journal, and articles are distributed under the terms of the Creative
no serious attempt has been done in India to restructure or Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to
redevelop SES assessment tools from scratch and more like remix, tweak, and build upon the work non‑commercially, as long as appropriate credit
convention such scales are still in use. is given and the new creations are licensed under the identical terms.
Journal of Indian Association of Public Health Dentistry ¦ Volume 21 ¦ Issue 3 ¦ July‑September 2023 283