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

Abstract

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.

Research on the healthy life expectancy of older adult individuals in China based on intrinsic capacity health standards and social stratification analysis

“…In 2001, the WHO published the International Classification of Functioning, Disability and Health, and scholars from various countries began to use disability or function as a health indicator to measure the healthy life expectancy of older adult. Wang et al (25) estimated the healthy life expectancy of older adult aged 60 and older in Jiangxi Province, China, in 2018, and the results showed that the disability-free healthy life expectancy of older adult aged 60 was 18.12 more years, which was significantly higher than the results of this study. Disability-free healthy life expectancy evaluates the health status of a population by combining the disability status of a population with life expectancy.…”

Research on the healthy life expectancy of elderly individuals in China based on intrinsic capacity health standards and social stratification analysis

“…In 2001, the WHO published the International Classi cation of Functioning, Disability and Health, and scholars from various countries began to use disability or function as a health indicator to measure the healthy life expectancy of elderly individuals. Wang et al [24] estimated the healthy life expectancy of elderly individuals aged 60 and older in Jiangxi Province, China, in 2018, and the results showed that the disability-free healthy life expectancy of elderly individuals aged 60 was 18.12 more years, which was signi cantly higher than the results of this study. Disability-free healthy life expectancy evaluates the health status of a population by combining the disability status of a population with life expectancy.…”

Exploring disease interrelationships in older inpatients: a single-centre, retrospective study

“…The diagnoses were based on the International Classification of Diseases (ICD)-10 codes and Chinese names of medical diseases. We included all patients aged >60 years without other inclusion and exclusion criteria (19). The patients were divided into groups according to sex (male and female) and age (≤74 years, "younger older" persons; 75-89 years, "senior older" persons; ≥90 years, "older persons with longevity") (17,20).…”