Trends in healthy life expectancy in Japan: 1986 - 2004

Yong, Vanessa; Saito, Yasuhiko

doi:10.4054/demres.2009.20.19

Cited by 69 publications

(64 citation statements)

References 52 publications

(54 reference statements)

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“…Nevertheless, a few countries have identified worsening health expectancies among very old women over somewhat shorter time frames. 36,37 Moreover, similarities exist between gender patterns found in 2011 for the United States and for 11 of 33 European nations, where older women were expected to live fewer years without limitations than men, despite their longer lives. 38 More research is needed to understand why such patterns have emerged in particular countries, including the United States.…”

Section: Discussionmentioning

confidence: 99%

Disability-Free Life Expectancy Over 30 Years: A Growing Female Disadvantage in the US Population

2016

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Objectives To examine changes in active life expectancy in the United States over 30 years for older men and women (aged ≥ 65 years). Methods We used the 1982 and 2004 National Long Term Care Survey and the 2011 National Health and Aging Trends Study to estimate age-specific mortality and disability rates, the overall chances of survival and of surviving without disability, and years of active life for men and women. Results For older men, longevity has increased, disability has been postponed to older ages, disability prevalence has fallen, and the percentage of remaining life spent active has increased. However, for older women, small longevity increases have been accompanied by even smaller postponements in disability, a reversal of a downward trend in moderate disability, and stagnation of active life as a percentage of life expectancy. As a consequence, older women no longer live more active years then men, despite their longer lives. Conclusions Neither a compression nor expansion of late-life disability is inevitable. Public health measures directed at older women to postpone disability may be needed to offset impending long-term care pressures related to population aging.

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Section: Discussionmentioning

confidence: 99%

Disability-Free Life Expectancy Over 30 Years: A Growing Female Disadvantage in the US Population

2016

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“…This method reflects the current health structure of a population adjusted for current mortality levels. Various studies on health expectancies have used the Sullivan method and a more detailed discussion can be found elsewhere (Crimmins et al 1989;Gu et al 2009;Robine et al 2003;Yong and Saito 2009). A full documentation of the computational steps can be found in Jagger et al (2006).…”

Section: Methodsmentioning

confidence: 98%

Gender Differences in Health and Health Expectancies of Older Adults in Singapore: An Examination of Diseases, Impairments, and Functional Disabilities

Yong

Saito

Chan

2011

J Cross Cult Gerontol

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Using a nationally representative sample of 4,511 Singaporeans aged 55+ from the 2005 National Survey of Senior Citizens (NSSC), this paper examines gender differences in specific diseases, impairments, and disabilities, and computes health expectancies for these health dimensions. Results show that women have higher prevalence for hypertension, bone/joint, eye/vision, and walking problems, while heart diseases and stroke are more common among men, particularly at younger ages. At ages 75+, women have more disabilities related to basic activities of daily living (bathing, dressing, toileting, transferring, and feeding) than men. Health expectancies computations by the Sullivan method reveal that while women live longer than men, they can also expect more years of life both without and with diseases, impairments, and disabilities. At age 65, a larger proportion of women's remaining life is with hypertension, bone/joint problems, vision impairments, walking difficulties, and functional disabilities compared to same-aged men. The findings largely support the gender health-survival paradox found in Western countries--that women have higher morbidity rates despite longer life expectancy. The morbidity differences between men and women, however, vary depending on the particular health dimension and measure examined. Older women in Singapore tend to be advantaged in prevalence of diseases and disease-free life expectancy, but have more impairments and functional disabilities, and a larger proportion of remaining life with these difficulties compared to older men. Health policies and programs in Singapore will need to cater to these gender differences in specific health dimensions and measures.

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“…Between 1986 and 2004, morbidity compression until 1995 followed by an expansion of morbidity were reported for Japanese population [13]. Among older Thais, the average number of years living with and without morbidity and disability as measured by multiple dimensions of health (e.g.…”

Section: Introductionmentioning

confidence: 99%

Urban-rural differences in disability-free life expectancy in Bangladesh using the 2010 HIES data

et al. 2017

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BackgroundResearch on health expectancy has been carried out in Bangladesh but none of it has examined the differences in Disability-Free Life Expectancy (DFLE) between urban and rural setting in context of rapid urbanization of Bangladesh in past decades.ObjectivesThe present study aims to estimate DFLE for people of all ages living in urban and rural areas in Bangladesh, and to examine the differences in DFLE between these two areas.MethodsData from the Sample Vital Registration System 2010 and the Bangladesh Household Income and Expenditure Survey (HIES) 2010 were used in this study. The Sullivan method was applied to estimate DFLE in Bangladesh.ResultsHigher rates of mortality and disability were observed in rural areas compared to urban areas with few exceptions. Statistically significant differences in DFLE were revealed from birth to age 15 years for both sexes between urban and rural areas. Urban males had a longer life expectancy (LE), longer DFLE and shorter LE with disability both in number and proportion when compared to rural males. Rural females at age 20+ years had a longer LE than urban females but urban females had a longer DFLE and a shorter LE with disability in both number and proportion at all ages than did rural females.ConclusionThis study demonstrates that there were clear inequalities in LE, DFLE and LE with disability between rural and urban areas of Bangladesh along with age-specific differences as well. These findings may serve as useful and benchmark for intervention and policy implications for reducing the gap in health outcomes.

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Trends in healthy life expectancy in Japan: 1986 - 2004

Cited by 69 publications

References 52 publications

Disability-Free Life Expectancy Over 30 Years: A Growing Female Disadvantage in the US Population

Disability-Free Life Expectancy Over 30 Years: A Growing Female Disadvantage in the US Population

Gender Differences in Health and Health Expectancies of Older Adults in Singapore: An Examination of Diseases, Impairments, and Functional Disabilities

Urban-rural differences in disability-free life expectancy in Bangladesh using the 2010 HIES data

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