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Change trend and gender differences in disability-free life expectancy among older adults in China, 2010–2020

OBJECTIVE: The goal of the present study was to investigate gender differences in disability-free life expectancy (DFLE) and DFLE/LE ratio among older adults in China; portray changing trend from 2010 to 2020; and discuss the implications for public policies. METHODS: Mortality data and disability r...

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Autores principales: Lu, Min, Wang, Xuehui, Shen, Kaijun, Ji, Chengpeng, Li, Wenxia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206111/
https://www.ncbi.nlm.nih.gov/pubmed/37234763
http://dx.doi.org/10.3389/fpubh.2023.1167490
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author Lu, Min
Wang, Xuehui
Shen, Kaijun
Ji, Chengpeng
Li, Wenxia
author_facet Lu, Min
Wang, Xuehui
Shen, Kaijun
Ji, Chengpeng
Li, Wenxia
author_sort Lu, Min
collection PubMed
description OBJECTIVE: The goal of the present study was to investigate gender differences in disability-free life expectancy (DFLE) and DFLE/LE ratio among older adults in China; portray changing trend from 2010 to 2020; and discuss the implications for public policies. METHODS: Mortality data and disability rate data were derived from the Sixth China Population Census in 2010 and the Seventh China Population Census in 2020. The study assessed disability status of older adults based on self-assessment health in the above censuses. Life table and Sullivan method were used to estimate LE, DFLE, and DFLE/LE ratio by gender. RESULTS: DFLE increased from 19.33 to 21.78 years for 60-year-old males, while from 21.94 to 24.80 years for 60-year-old females, from 2010 to 2020, respectively. DFLE/LE ratio was 96.40% for 60-year-old males and 94.86% for 60-year-old females in 2010, while DFLE/LE ratio was 96.63% for 60-year-old males and 95.44% for 60-year-old females in 2020, respectively. In terms of gender differences in DFLE/LE ratio, men aged 60 are 1.19 percentage points higher than women at the same age; men aged 70 are 1.71 percentage points higher than women; men aged 80 are 2.87 percentage points higher than women. CONCLUSION: From 2010 to 2020, the DFLE of China’s male and female older adults increased simultaneously with the increase of LE, and the DFLE/LE ratio also increased. However, the DFLE/LE ratio of female older adults is lower than that of male at the same age, and this gender difference is narrowing over the decade but has not yet been eliminated, especially the health disadvantage of female older adults among the oldest old age group (age 80 and above) is more prominent.
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spelling pubmed-102061112023-05-25 Change trend and gender differences in disability-free life expectancy among older adults in China, 2010–2020 Lu, Min Wang, Xuehui Shen, Kaijun Ji, Chengpeng Li, Wenxia Front Public Health Public Health OBJECTIVE: The goal of the present study was to investigate gender differences in disability-free life expectancy (DFLE) and DFLE/LE ratio among older adults in China; portray changing trend from 2010 to 2020; and discuss the implications for public policies. METHODS: Mortality data and disability rate data were derived from the Sixth China Population Census in 2010 and the Seventh China Population Census in 2020. The study assessed disability status of older adults based on self-assessment health in the above censuses. Life table and Sullivan method were used to estimate LE, DFLE, and DFLE/LE ratio by gender. RESULTS: DFLE increased from 19.33 to 21.78 years for 60-year-old males, while from 21.94 to 24.80 years for 60-year-old females, from 2010 to 2020, respectively. DFLE/LE ratio was 96.40% for 60-year-old males and 94.86% for 60-year-old females in 2010, while DFLE/LE ratio was 96.63% for 60-year-old males and 95.44% for 60-year-old females in 2020, respectively. In terms of gender differences in DFLE/LE ratio, men aged 60 are 1.19 percentage points higher than women at the same age; men aged 70 are 1.71 percentage points higher than women; men aged 80 are 2.87 percentage points higher than women. CONCLUSION: From 2010 to 2020, the DFLE of China’s male and female older adults increased simultaneously with the increase of LE, and the DFLE/LE ratio also increased. However, the DFLE/LE ratio of female older adults is lower than that of male at the same age, and this gender difference is narrowing over the decade but has not yet been eliminated, especially the health disadvantage of female older adults among the oldest old age group (age 80 and above) is more prominent. Frontiers Media S.A. 2023-05-10 /pmc/articles/PMC10206111/ /pubmed/37234763 http://dx.doi.org/10.3389/fpubh.2023.1167490 Text en Copyright © 2023 Lu, Wang, Shen, Ji and Li. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Lu, Min
Wang, Xuehui
Shen, Kaijun
Ji, Chengpeng
Li, Wenxia
Change trend and gender differences in disability-free life expectancy among older adults in China, 2010–2020
title Change trend and gender differences in disability-free life expectancy among older adults in China, 2010–2020
title_full Change trend and gender differences in disability-free life expectancy among older adults in China, 2010–2020
title_fullStr Change trend and gender differences in disability-free life expectancy among older adults in China, 2010–2020
title_full_unstemmed Change trend and gender differences in disability-free life expectancy among older adults in China, 2010–2020
title_short Change trend and gender differences in disability-free life expectancy among older adults in China, 2010–2020
title_sort change trend and gender differences in disability-free life expectancy among older adults in china, 2010–2020
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206111/
https://www.ncbi.nlm.nih.gov/pubmed/37234763
http://dx.doi.org/10.3389/fpubh.2023.1167490
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