Healthy lifestyle and life expectancy at age 30 years in the Chinese population: an observational study

Sun, Qiufen; Yu, Dongmei; Fan, Junning; Yu, Canqing; Guo, Yu; Pei, Pei; Yang, Ling; Du, Huaidong; Yang, Xiaoming; Sansome, Sam; Wang, Yongming; Zhao, Wenhua; Chen, Junshi; Chen, Zhengming; Zhao, Liyun; Lv, Jun; Li, Liming

doi:10.1016/s2468-2667(22)00110-4

Cited by 49 publications

(46 citation statements)

References 26 publications

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“…18 Another study has reported that a lowrisk lifestyle, i.e., not smoking or quitting smoking for reasons other than disease, not drinking excessively, exercising, healthy eating habits, and normal BMI, can prolong life expectancy in Chinese adults. 30 Such a low-risk lifestyle can also improve the subjective well-being of residents, which is also in accord with the conclusions of this study.…”

Section: Discussionsupporting

confidence: 90%

What factors significantly impact Chinese subjective well-being and survival? A longitudinal study using joint modelling

Qiao

Hui-lan

Chen

et al. 2023

Preprint

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Background Well-being is the goal that everyone and every country pursues. However, studies of the dependence between time-varying longitudinal measures of subjective well-being and survival outcomes are still scarce. The aim of this study was to conduct joint model analysis of longitudinal data and survival data to explore the influencing factors of Chinese residents' subjective well-being and survival, and to assess the impact of longitudinal dynamic measurements on survival outcomes. Methods Based on adult data (≥16) from the China Family Panel Studies obtained between 2010-2018, a spatiotemporal analysis of Chinese subjective well-being levels was conducted and joint modelling was used to analyze subjective well-being. In addition, the individual dynamic survival probability was predicted. Results In terms of the demographic characteristics, Han nationality, male, urban living, and married or cohabiting individuals are happier than non-Han, female, rural living, and being single. The older group was happier than the youth group. People with fewer children were happier. In terms of the SES, access to medical insurance, higher education, high social status, high per capita net income of households, large housing area, and ownership of other properties were protective factors for subjective well-being, while being a member in organizations was significantly negative. In terms of the living habits, smokers had worse subjective well-being than non-smokers; Physical exercise could enhance people's subjective well-being and drinking had a positive impact on subjective well-being. In terms of the health status, physical health had a positive impact on subjective well-being, while both hospitalization and chronic diseases had a negative impact on subjective well-being. As regards the survival outcomes, the study demonstrated that each unit increase in subjective well-being was associated with a 13% reduction in the risk of death. Conclusions In general terms, population subjective well-being in China tends to decline over time. This study aims to provide powerful evidence and decision-making support for government-level improvements to the subjective well-being of residents and prolong their lifespan.

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Section: Discussionsupporting

confidence: 90%

What factors significantly impact Chinese subjective well-being and survival? A longitudinal study using joint modelling

Qiao

Hui-lan

Chen

et al. 2023

Preprint

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“…We further examined whether there was an urban-rural difference in the impact of solid fuel use and smoking on LE. This study, together with our previous findings, 7 will help to comprehensively understand the factors that may influence the LE of the Chinese population.…”

Section: Introductionmentioning

confidence: 52%

“… 6 Our previous study showed that five low-risk lifestyle factors, including never smoking, were associated with longer LE for Chinese adults, but the estimates were lower than that of the European and American populations. 7 We hypothesized that many other factors could also affect LE in less-developed countries, such as the environmental hazards in the home, work, and broader outdoor environment. 1…”

Section: Introductionmentioning

confidence: 99%

Impacts of solid fuel use versus smoking on life expectancy at age 30 years in the rural and urban Chinese population: a prospective cohort study

Sun¹,

Sun²,

Yu³

et al. 2023

The Lancet Regional Health - Western Pacific

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“…For advanced schistosomiasis patients, the gender gap in LE was largely attributed to the significant change in mortality at younger ages (mainly < 55 years), indicating a more profound impact of the disease on the gender inequality in survival probability of younger patients. Such contrary findings might be explained by lifestyle risk factors [ 39 , 40 ] that are associated with unfavorite prognosis of chronic liver damages. In addition, our study indicated that males at young and middle ages (25–59 years) were more vulnerable to advanced schistosomiasis-related death than female counterparts.…”

Section: Discussionmentioning

confidence: 99%

Life expectancy and healthy life expectancy of patients with advanced schistosomiasis in Hunan Province, China

et al. 2023

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Background Few studies have investigated the change in life expectancy (LE) and the healthy lifespan among patients with advanced schistosomiasis. This study was to evaluate the LE and healthy life expectancy (HLE) for patients and assess the mechanism responsible for the LE inequality. Methods We utilized data from a dynamic advanced schistosomiasis cohort (10,362 patients) for the period from January 2008 to December 2019 in Hunan Province, China, to calculate the LEs of patients, and made a comparison with that of general population (19,642 schistosomiasis-free individuals) in the schistosomiasis endemic areas. LEs were estimated from 15 years of age by constructing period life tables. Arriaga’s decomposition method was applied to quantify the influence of the age structure on the difference in LE. HLE for advanced schistosomiasis patients was calculated by using Sullivan method with age-specific disability weight. The LE and HLE were calculated for both males and females to perform further analyses on gender gap. Results The estimated LE for advanced schistosomiasis patients aged 15–19 was 49.51 years (48.86 years for males and 51.07 years for females), which was 20.14 years lower compared with general population (69.65 years), and the LE gap between patients and general population decreased with age. The largest age-specific mortality contribution to the gap (32.06%) occurred at age 80–84 years. Women had a lower LE and HLE than men at age ≥ 60 years (both gender gaps in LE and HLE < 0). For advanced schistosomiasis patients, the gender gap in LE was largely attributed to the difference in mortality among those under the age of 55; the age-specific mortality in women exerted positive influence on the gap at age 25–64 and 75–79 years, with the contribution rate ranging from 0.59% to 57.02%, and made the negative contribution at other age groups. Conclusions The LE of advanced schistosomiasis patients was still much lower compared with general population. Strengthened prevention strategies and targeted treatments are needed to reduce morbidity and mortality due to advanced schistosomiasis, especially for younger population and elderly female patients.

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Healthy lifestyle and life expectancy at age 30 years in the Chinese population: an observational study

Cited by 49 publications

References 26 publications

What factors significantly impact Chinese subjective well-being and survival? A longitudinal study using joint modelling

What factors significantly impact Chinese subjective well-being and survival? A longitudinal study using joint modelling

Impacts of solid fuel use versus smoking on life expectancy at age 30 years in the rural and urban Chinese population: a prospective cohort study

Life expectancy and healthy life expectancy of patients with advanced schistosomiasis in Hunan Province, China

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