Dementia-Free Life Expectancy among People over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

Wu, Yuhang; Zheng, Huilie; Liu, Zhitao; Wang, Shengwei; Liu, Yong; Hu, Songbo

doi:10.3390/ijerph17165665

Cited by 8 publications

(11 citation statements)

References 51 publications

(76 reference statements)

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“…Through the decomposition method, we found that the gender difference in DFLE of the elderly over 60 is mainly due to mortality, and the disability-free prevalence reduced the gap, which also suggested that reducing the mortality difference can narrow most of the DFLE gaps between genders. The values of LE, DFLE, and DLE are slightly different from these studies in other countries or in different provinces in China, which may be affected by sampling errors, different sampling methods, sample sizes, different evaluation standards, culture, and economics [ 37 ]. As the age increases, DLE increases as well, while DFLE and DFLE/LE gradually decrease, and the decreasing trend of the DFLE is parallel to that of LE.…”

Section: Discussionmentioning

confidence: 99%

Disability-Free Life Expectancy among People Over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

Wang

et al. 2021

IJERPH

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Objective: To estimate and compare age trends and the disability-free life expectancy (DFLE) of the population over 60 years old in 2018 in Jiangxi Province, China, by sex and urban–rural areas. Methods: The model life table was employed to estimate the age-specific mortality rate by sex and urban–rural areas, based on the Summary of Health Statistics of Jiangxi Province in 2018 and the Sixth National Health Service survey of Jiangxi Province. DFLE and its ratio to life expectancy (LE) were obtained by the Sullivan method. Results: In 2018, the DFLE among people over 60 is 17.157 years for men and is 19.055 years for women, accounting for 89.7% and 86.5% of their LE respectively. The DFLE/LE of men is higher than that of women at all ages. LE and DFLE are higher for the population in urban areas than in rural areas. For women, DFLE/LE is higher in urban areas than in rural areas (except at ages 75 and 80). Urban men have a higher DFLE/LE than rural men (except at age 85). The difference in DFLE between men and women over 60 years is 1.898 years, of which 2.260 years are attributable to the mortality rate, and 0.362 years are due to the disability-free prevalence. In addition, the difference in DFLE between urban–rural elderly over 60 years old is mostly attributed to the mortality rate by gender (male: 0.902/1.637; female: 0.893/1.454), but the impact of the disability-free rate cannot be ignored either (male: 0.735/1.637; female: 0.561/1.454). Conclusions: The increase in DFLE is accompanied by the increase in LE, but with increased age, DFLE/LE gradually decreases. With advancing age, the effect of disability on elderly people becomes more severe. The government administration must implement some preventive actions to improve health awareness and the life quality of the elderly. Rural elderly; rural women in particular, need to be paid more attention and acquire more health care.

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Section: Discussionmentioning

confidence: 99%

Disability-Free Life Expectancy among People Over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

Wang

et al. 2021

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“…The National Health Service Survey in China was a nationwide cross-sectional survey to comprehensively understand residents’ health, health service needs and utilization, which was organized by the National Health Commission of China every fifth years since 1993. Details of the study sampling methodology can be found elsewhere [ 31 ]. In 2013, we obtained 8797 valid responses from 11,252 participants to answer the question (men vs. women: 4253 vs. 4544, urban vs. rural: 4623 vs. 4174).…”

Section: Methodsmentioning

confidence: 99%

Depression and Anxiety-Free Life Expectancy by Sex and Urban–Rural Areas in Jiangxi, China in 2013 and 2018

Zheng

Liu

et al. 2021

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To quantitatively estimate life expectancy (LE) and depression and anxiety-free life expectancy (DAFLE) for the years 2013 and 2018 in Jiangxi Province, China, by sex and urban–rural areas. Additionally, to compare the discrepancy of DAFLE/LE of different sexes and urban-rural areas over various years. Methods: Based on the summary of the health statistics of Jiangxi Province in 2013 and 2018 and the results of the 5th and 6th National Health Service Surveys in Jiangxi Province, the model life table is used to estimate the age-specific mortality rate by sex and urban–rural areas. Sullivan’s method was used to calculate DAFLE. Results: Data from 2013 indicate that those aged 15 can expect to live 56.20 years without depression and anxiety for men and 59.67 years without depression and anxiety for women. Compared to 2013, DAFLE had not fluctuated significantly in 2018. The proportion of life expectancy without depression and anxiety (DAFLE/LE) declined between 2013 and 2018. DAFLE/LE in urban areas was higher than in rural areas. Men had higher DAFLE/LE than women. From 2013 to 2018, the DAFLE aged 15 decreased by 0.18 years for urban men and decreased by 0.52 years for urban women, rural areas also decreased to varying degrees. Conclusions: Even if women had a longer life span than men, they would spend more time with depression or anxiety. DAFLE did not increase with the increase in LE from 2013 to 2018, suggesting an absolute expansion of the burden, especially in rural areas. Depression and anxiety health services in Jiangxi, China will face more serious obstacles and challenges, which may lead to more disability. This requires more attention and more effective measures from the public, medical departments and the government.

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“…The surveys encompassed all 31 provinces in mainland China. In Jiangxi (China), Donghu District, Zhanggong District, Yuanzhou District, Shanggao County, Gao'an County, and Poyang County were selected as the sample counties (cities, districts) representing the overall situation of urban and rural areas in Jiangxi ( 12 ). The sample counties (districts) selected in the two surveys were the same.…”

Section: Methodsmentioning

confidence: 99%

“…Due to the diversity of health concepts, different health meanings correspond to different healthy expectancies. This gave rise to more specific terms for HLE, such as disability-free LE ( 6 ) and dementia-free LE ( 12 ). In this paper, we used self-rated health (SRH) to calculate HLE.…”

Section: Introductionmentioning

confidence: 99%

“…To date, there are few studies on HLE in China, especially regarding SRH as the evaluation standard. Among them, the only study with residents of Jiangxi as the research subjects is our recent study on the LE of elderly people aged 60 and older in Jiangxi without dementia ( 12 ). Two other studies on LE without disabilities in various provinces in China mentioned Jiangxi but did not discuss Jiangxi alone ( 16 , 17 ).…”

Section: Introductionmentioning

confidence: 99%

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Self-Rated Healthy Life Expectancy Changes in Jiangxi Province of China by Gender and Urban–Rural Differences, 2013–2018

Liu

Zheng

et al. 2021

Front. Public Health

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Background: Globalization has brought about rapid economic and technological development, and life expectancy (LE) is constantly increasing. However, it is not clear whether an increase in LE will result in an increase in healthy life expectancy (HLE). This study evaluates trends in the self-rated healthy life expectancy (SRHLE) of residents aged 15 and older in Jiangxi Province of China from 2013 to 2018 and analyzes gender differences and urban–rural differences. This study provides a basis for the formulation of relevant public health policies.Methods: Based on two National Health Services Survey databases of Jiangxi in 2013 and 2018 as well as infant mortality rates and under-5 mortality rates from the Health Commission of Jiangxi, the Sullivan method was used to calculate SRHLE. The changes in SRHLE were decomposed into health and mortality effects using the decomposition method.Results: SRHLE decreased from 56.55 to 55.54 years and from 60.00 to 57.87 years for men and women aged 15 from 2013 to 2018, respectively. The SRHLE of women aged 15 was 3.45 and 2.34 years longer than that of men in 2013 and 2018, respectively. The SRHLE of urban men aged 15 was 2.9 and 4.46 years longer than that of rural men in 2013 and 2018, respectively, and that of urban women aged 15 was 3.28 and 5.57 years longer than that of rural women.Conclusions: The decreased SRHLE indicated that the self-rated health (SRH) status of residents in Jiangxi has worsened, and it provided evidence for the expansion of morbidity, mainly due to the increased prevalence of chronic diseases and the improvement in residents' health awareness. Policy efforts are necessary to control the increased morbidity of chronic diseases and reduce gender and urban–rural differences in the quantity and quality of years lived.

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Dementia-Free Life Expectancy among People over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

Cited by 8 publications

References 51 publications

Disability-Free Life Expectancy among People Over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

Disability-Free Life Expectancy among People Over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China

Depression and Anxiety-Free Life Expectancy by Sex and Urban–Rural Areas in Jiangxi, China in 2013 and 2018

Self-Rated Healthy Life Expectancy Changes in Jiangxi Province of China by Gender and Urban–Rural Differences, 2013–2018

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