Regional variations in and correlates of disability-free life expectancy among older adults in China

Jufen Liu; Gong Chen; Iris Chi; Jilei Wu; Lijun Pei; Xinming Song; Lei Zhang; Lihua Pang; Youli Han; Xiaoying Zheng
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p446
Academic Journal
Background: Considerable socioeconomic and health inequalities have been reported in China. However, because of a lack of appropriate data, limited research has been conducted on variations in disability-free life expectancy (DFLE) among older adults. This study aimed to use the most up-to-date disability survey data to explore geographical variations in DFLE at age 60 in China and to identify the socioeconomic and health care factors that partially account for these variations. Methods: This study used 2006 mortality data extrapolated from the 1990 and 2000 Census and disability data from a national disability survey conducted in 2006. Disability was performance based and was diagnosed by trained physicians. DFLE was calculated by region using the Sullivan method. Multiple linear regression models by gender were conducted to explore correlates of DFLE. Results: DFLE at age 60 varied widely by region, from 11.2 to 20.8 years in 2006. Per capita gross domestic product, proportion of urban residents, and access to health care were the primary factors associated with geographical variations in DFLE. Conclusion: The pattern of differences in DFLE by region mirrors the pattern of regional economic development in China. Countermeasures to decrease regional differences in DFLE include accelerating regional economic development and improving health care distribution.


Related Articles

  • Okinawa: an exception to the social gradient of life expectancy in Japan. Cockerham, William C; Yamori, Yukio; Cockerham, W C; Yamori, Y // Asia Pacific Journal of Clinical Nutrition;Jun2001, Vol. 10 Issue 2, p154 

    This paper examines why the social gradient of life expectancy does not apply in Japan when Okinawa is considered. The social gradient thesis links differences in longevity to social rank, with people and populations in higher status hierarchical positions having lower mortality and longer life...

  • Close the gap in Indigenous health.  // Australian Nursing Journal;May2007, Vol. 14 Issue 10, p11 

    The article provides information on the Close the Gap initiative in Australia which aims to close the life expectancy gap between Indigenous and non-Indigenous Australians. The campaign urged people in the country to join more than 40 Indigenous and non-Indigenous national health peak body and...

  • Ageing, health, and health care. Breyer, Friedrich; Costa-Font, Joan; Felder, Stefan // Oxford Review of Economic Policy;Winter2010, Vol. 26 Issue 4, p674 

    The population in the developed world has experienced a significant increase in life expectancy over the last 50 years. Simultaneously, while the onset of comorbidities has been deferred to older age groups, health-care expenditure has grown dramatically, primarily owing to the advancement of...

  • Comments. Baily, Martin Neil; Garber, Alan M. // Brookings Papers on Economic Activity;1997 Special Issue Microeconomics, p203 

    The article presents comments to the article by Martin Baily and Alan Garber entitled "Health Care Productivity." According to Ernst R. Berndt, Baily and Garber seek to answer the questions about the sources of the very large differences in health care spending among industrialized countries and...

  • Average remaining lifetimes can increase as human populations age. Sanderson, Warren C.; Scherbov, Sergei // Nature;6/9/2005, Vol. 435 Issue 7043, p811 

    Increases in median ages, the most commonly used measure of population ageing, are rapid in today's wealthier countries, and population ageing is widely considered to be a significant challenge to the well-being of citizens there. Conventional measures of age count years since birth; however, as...

  • A METHOD OF RELATING LIFE EXPECTANCY IN THE U.S. POPULATION LIFE TABLE TO EXCESS MORTALITY. Singer, Richard B. // Journal of Insurance Medicine;2005, Vol. 37 Issue 2, p32 

    Focuses on a method of relating life expectancy in the U.S. population life table to excess mortality. Definition of expectation of life; Calculation of life expectancy.

  • How Many Years of Life Did the Fall of the Berlin Wall Add? A Projection of East German Life Expectancy. Vogt, Tobias C. // Gerontology;Apr2013, Vol. 59 Issue 3, p276 

    Background: In the two decades since reunification, East Germans have experienced a large increase in life expectancy and a convergence with the West German mortality level. This gain in life expectancy appears even more impressive if we assume a different scenario in which the Berlin Wall did...

  • This Baby May Well Live to 100. Scriber, Brad // National Geographic;Nov2011, Vol. 220 Issue 5, following p32 

    The article looks at population, noting that babies born in 2011 in wealthy nations including Japan, France, or the U.S. will likely survive to age 100, how as of October 2011, the world population has exceeded seven billion, and how improved health care for seniors means increased life expectancy.

  • HALE & HEARTY: HEALTHY OLDER-AGE LIFE EXPECTANCY IN THE 21ST CENTURY. Cutler, Neal E. // Journal of Financial Service Professionals;Jul2005, Vol. 59 Issue 4, p18 

    This article reviews three parts of the story of life expectancy in the 21st century. It includes life expectancy at birth versus life expectancy at age 65, the usual image of aging and health, and recent demographic and gerontological research that documents patterns of improving old-age health...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics