Geographical socioeconomic inequalities in healthy life expectancy in Japan, 2010-2014: An ecological study.

Abstract Objective: An ecological study using secondary open data from Japanese government statistics was conducted. The study aimed to verify differences in three measures of healthy life expectancy (HLE); namely, disability-free life expectancy without activity limitation (DFLE-AL), life expectancy with self-perceived health (LE-SH), and disability-free life expectancy without care need (DFLE-CN).Results: Each HLE from 47 prefectures in 2010, 2013, and 2016 was extended over time. There were strong Cronbach’s coefficient alpha (α) between DFLE-AL and LE-SH (Minimum α; 0.80, Maximum α;0.90) as well as between LE and DFLE-CN (Minimum α; 0.92, Maximum α; 0.99) in both sexes in every data year. However, the other pairs had weaker associations. In regression analysis with each HLE as a dependent variable and aging rate, mortality, the proportion of unhealthy people as independent variables, the subjective unhealthy rate had significant standardized partial regression coefficients (β) in models with DFLE-AL and LE-SH as dependent variables (Minimum β; -0.56, Maximum β; -0.34). Therefore, DFLE-CN tended to differ from the other HLEs. The subjective unhealthy rate had a significant influence on DFLE-AL and LE-SH.

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Comparing the differences in three measures of healthy life expectancy, effects of mortality, and proportions of unhealthy people according to prefectures in Japan: An Ecological study

10.21203/rs.3.rs-22909/v2 ◽

2020 ◽

Author(s):

KAZUYA TAIRA ◽

Soshiro Ogata ◽

Kei Kamide

Keyword(s):

Life Expectancy ◽

Ecological Study ◽

Open Data ◽

The Other ◽

Healthy Life Expectancy ◽

Expectancy Effects ◽

Healthy Life ◽

Disability Free Life Expectancy ◽

Significant Regression ◽

Using Data

Abstract Objective: An Ecological study using open data collected, compiled, and published in government statistics in Japan was conducted. The study aimed to verify the differences in these three measures of healthy life expectancy (HLE), namely disability-free life expectancy without activity limitation (DFLE-AL), life expectancy with self-perceived health (LE-SH), and disability-free life expectancy without care need (DFLE-CN), in relation to appropriate policymaking.Results: Using data from 47 prefectures in 2010, 2013, and 2016, the three types of HLE were extended over time. There were strong correlations between DFLE-AL and LE-SH (r = 0.69–0.83) as well as LE and DFLE-CN (r = 0.75–0.98) in both sexes. However, the other correlations were either weak or not significant. Regression analysis examining the association between the aging rate, mortality, the proportion of unhealthy people, and three types of HLE showed that the “subjective unhealthy rate” was significant (the standardized partial regression coefficients = -0.56– -0.34) in models with DFLE-AL and LE-SH as dependent variables. Therefore, DFLE-CN was suggested to be a different indicator from the other two HLEs. The “subjective unhealthy rate” had a significant influence on the prefectural DFLE-AL and LE-SH.

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Comparing the differences in three measures of healthy life expectancy among prefectures in Japan.

10.21203/rs.3.rs-22909/v3 ◽

2020 ◽

Author(s):

KAZUYA TAIRA ◽

Soshiro Ogata ◽

Kei Kamide

Keyword(s):

Life Expectancy ◽

Ecological Study ◽

Open Data ◽

The Other ◽

Healthy Life Expectancy ◽

Healthy Life ◽

Independent Variables ◽

Dependent Variables ◽

Disability Free Life Expectancy ◽

Government Statistics

Abstract Objective: An ecological study using secondary open data from Japanese government statistics was conducted. The study aimed to verify differences in three measures of healthy life expectancy (HLE); namely, disability-free life expectancy without activity limitation (DFLE-AL), life expectancy with self-perceived health (LE-SH), and disability-free life expectancy without care need (DFLE-CN).Results: Each HLE from 47 prefectures in 2010, 2013, and 2016 was extended over time. There were strong Cronbach’s coefficient alpha (α) between DFLE-AL and LE-SH (Minimum α; 0.80, Maximum α;0.90) as well as between LE and DFLE-CN (Minimum α; 0.92, Maximum α; 0.99) in both sexes in every data year. However, the other pairs had weaker associations. In regression analysis with each HLE as a dependent variable and aging rate, mortality, the proportion of unhealthy people as independent variables, the subjective unhealthy rate had significant standardized partial regression coefficients (β) in models with DFLE-AL and LE-SH as dependent variables (Minimum β; -0.56, Maximum β; -0.34). Therefore, DFLE-CN tended to differ from the other HLEs. The subjective unhealthy rate had a significant influence on DFLE-AL and LE-SH.

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Comparing the differences in three measures of healthy life expectancy among prefectures in Japan.

10.21203/rs.3.rs-22909/v4 ◽

2020 ◽

Author(s):

KAZUYA TAIRA ◽

Soshiro Ogata ◽

Kei Kamide

Keyword(s):

Life Expectancy ◽

Ecological Study ◽

Open Data ◽

The Other ◽

Healthy Life Expectancy ◽

Healthy Life ◽

Independent Variables ◽

Dependent Variables ◽

Disability Free Life Expectancy ◽

Government Statistics

Abstract Objective: An ecological study using secondary open data from Japanese government statistics was conducted. The study aimed to verify differences in three measures of healthy life expectancy (HLE); namely, disability-free life expectancy without activity limitation (DFLE-AL), life expectancy with self-perceived health (LE-SH), and disability-free life expectancy without care need (DFLE-CN).Results: Each HLE from 47 prefectures in 2010, 2013, and 2016 was extended over time. There were strong Cronbach’s coefficient alpha (α) between DFLE-AL and LE-SH (Minimum α; 0.80, Maximum α;0.90) as well as between LE and DFLE-CN (Minimum α; 0.92, Maximum α; 0.99) in both sexes in every data year. However, the other pairs had weaker associations. In regression analysis with each HLE as a dependent variable and aging rate, mortality, the proportion of unhealthy people as independent variables, the subjective unhealthy rate had significant standardized partial regression coefficients (β) in models with DFLE-AL and LE-SH as dependent variables (Minimum β; -0.56, Maximum β; -0.34). Therefore, DFLE-CN tended to differ from the other HLEs. The subjective unhealthy rate had a significant influence on DFLE-AL and LE-SH.

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ASSOCIATION BETWEEN HEALTHY LIFE EXPECTANCY AT BIRTH AND CONSANGUINEOUS MARRIAGES IN 63 COUNTRIES

Journal of Biosocial Science ◽

10.1017/s0021932011000034 ◽

2011 ◽

Vol 43 (4) ◽

pp. 475-480 ◽

Cited By ~ 9

Author(s):

MOSTAFA SAADAT

Keyword(s):

Life Expectancy ◽

Ecological Study ◽

Consanguineous Marriage ◽

Inbreeding Coefficient ◽

High Income ◽

Healthy Life Expectancy ◽

African Countries ◽

Healthy Life ◽

Life Expectancy At Birth ◽

Per Capita

SummaryIn order to investigate the association between mean inbreeding coefficient (α) and healthy life expectancy at birth (HALE; years) the present ecological study on 63 countries was done. Statistical analysis showed that HALE negatively and positively correlated with log10α and log10GNI per capita, respectively (p<0.001). It should be noted that log10α and log10GNI per capita were significantly correlated with each other (p<0.001). After controlling for log10GNI per capita, significant negative correlations between log10α and HALE were observed. The countries were stratified according to their GNI per capita into low- and high-income countries. In countries with high income, after controlling for log10GNI per capita, the correlation between HALE at birth and log10α was significant (for males r=−0.399, df=32, p=0.001; for females r=−0.683, df=32, p<0.001). In high-income Asian and African countries, where consanguineous marriage is common, after controlling for log10GNI per capita, the correlation between HALE at birth and log10α was significant (for males r=−0.819, df=8, p=0.004; for females r=−0.936, df=8, p<0.001). It seems that consanguinity influences HALE independent of country income.

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Comparing the differences in three measures of healthy life expectancy, effects of mortality, and proportions of unhealthy people according to prefectures in Japan: An Ecological study

10.21203/rs.3.rs-22909/v1 ◽

2020 ◽

Author(s):

KAZUYA TAIRA ◽

Soshiro Ogata ◽

Kei Kamide

Keyword(s):

Life Expectancy ◽

Ecological Study ◽

Open Data ◽

The Other ◽

Healthy Life Expectancy ◽

Expectancy Effects ◽

Healthy Life ◽

Disability Free Life Expectancy ◽

Significant Regression ◽

Using Data

Abstract Objective Ecological study using open data collected, compiled, and published in government statistics in Japan was conducted. The study aimed to verify the differences in these three measures of healthy life expectancy (HLE), namely disability-free life expectancy without activity limitation (DFLE-AL), life expectancy with self-perceived health (LE-SH), and disability-free life expectancy without care need (DFLE-CN), in relation to appropriate policymaking. Results Using data from 47 prefectures in 2010, 2013, and 2016, the three types of HLE were extended over time. There were strong correlations between DFLE-AL and LE-SH (r = 0.69–0.83) as well as LE and DFLE-CN (r = 0.75–0.98) in both sexes. However, the other correlations were either weak or not significant. Regression analysis examining the association between the aging rate, mortality, the proportion of unhealthy people and three types of HLE showed that the “subjective unhealthy rate” was significant (the standardized partial regression coefficients = -0.56– -0.34) in models with DFLE-AL and LE-SH as dependent variables. Therefore, DFLE-CN was suggested to be a different indicator from the other two HLEs. The “subjective unhealthy rate” had a significant influence on the prefectural DFLE-AL and LE-SH.

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Exercise or sports in midlife and healthy life expectancy: an ecological study in all prefectures in Japan

BMC Public Health ◽

10.1186/s12889-019-7570-y ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Takafumi Monma ◽

Fumi Takeda ◽

Haruko Noguchi ◽

Hideto Takahashi ◽

Taeko Watanabe ◽

...

Keyword(s):

Life Expectancy ◽

Ecological Study ◽

Positive Impact ◽

Healthy Life Expectancy ◽

Elderly Persons ◽

Middle Aged ◽

Healthy Life ◽

Explanatory Variables ◽

Using Data ◽

The Relationship

Abstract Background With the increase of overall life expectancy in Japan, effective and beneficial lifestyle approaches and practices are crucial for individuals to have a long, productive and healthy life. Although previous studies suggest that exercise or sports, especially when performed with others, from midlife level have a positive impact on enhancing healthy life expectancy, there is paucity of information regarding these contexts and possible associations. The present study intends to clarify the relationship between engagement in exercise or sports among middle-aged persons and healthy life expectancy through an ecological study in all prefectures in Japan. Methods We tabulated (1) the ratios of middle-aged individuals engaged in exercise or sports and (2) the different methods by which they are engaged in exercise or sports for each prefecture by using data from the 2005–2010 Longitudinal Survey of Middle-aged and Elderly Persons by the Ministry of Health, Labour and Welfare of Japan. Weighted multiple linear regression analyses were performed by sex, using healthy life expectancy in 2010 of each prefecture calculated by Hashimoto (2013) as a criterion variable; indices of (1) and (2) of each year as explanatory variables; and age, living conditions, employment, and chronic diseases as adjusted variables. Results For middle-aged males, the ratio of those engaged in exercise or sports in each year from 2005 to 2010 was positively correlated with healthy life expectancy; this relationship was found in the ratio of middle-aged engaging in exercise or sports “with families or friends”. For females, such a relationship could only be found in the ratio of middle-aged females engaged in exercise or sports in 2008, and those engaging in exercise or sports “with families or friends” in 2006, 2008 and 2010. Conclusion Prefectures with a higher ratio of middle-aged individuals engaging in exercise or sports, especially when done with families or friends, have longer healthy life expectancies. This was particularly evident for males. Thus, exercise or sports with families or friends in midlife seems to be more effective in promoting healthy life expectancy for males than females in Japan.

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