scholarly journals The Relationship and Trends of Socio-Demographic Index, Healthy Life Expectancy and Life Expectancy in China

2020 ◽  
Author(s):  
Xinlei Miao ◽  
Xiuhua Guo ◽  
Yue Cai ◽  
Xiang Zhang ◽  
Qun Meng

Abstract Background Socio-Demographic Index (SDI) is an index to evaluate social development. Healthy life expectancy (HLE/HALE) can comprehensively measure the population health. This paper analyzes the relationship and trend of Socio-Demographic Index, life expectancy (LE) and healthy life expectancy, which provides a reference for improving population health. Methods We used R Studio (version 1.2.5033) for correlation matrix analysis of SDI, HALE and LE. Meanwhile, we divided provinces into 3 regions according to the 2019 Chinese Health Statistics Yearbook and analyzed the distribution by ArcGIS 10.5 of healthy life expectancy and SDI of 31 provinces and cities in China.Results From 1990 to 2016, socio-demographic, life expectancy and healthy life expectancy showed a gradual increasing trend, and the level in eastern provinces were higher than western provinces in China. There is a correlation between socio-demographic (included its composition that education for aged 15 and older, Gross Domestic Product and total fertility rates under the age of 25), healthy life expectancy and life expectancy. Total fertility rates under the age of 25 has a negative correlation with other variables.Conclusions There is a strong positive correlation between healthy life expectancy, life expectancy and socio-demographic index. The government should consider take the implementation of personalized policies to steadily improve the development of SDI, at the same time to improve healthy life expectancy from improving maternal health and reducing infant mortality, paying attention to adult health, reducing the early death rate of chronic diseases.

2020 ◽  
Author(s):  
Xinlei Miao ◽  
Xiuhua Guo ◽  
Yue Cai ◽  
Xiang Zhang ◽  
Qun Meng

Abstract Background Socio-Demographic Index is an index to evaluate social development. Healthy life expectancy can comprehensively measure the population health. This paper indirectly infers the relationship between SDI and HALE, which provides a reference for improving population health. Methods We used SAS 9.4 to analyze the relationship between SDI and LE, and the development trend of SDI and LE in 1990-2010. Meanwhile, we divided into 3 regions according to the 2019 Chinese Health Statistics Yearbook. Results From 1990 to 2010, SDI and LE showed a trend of gradually increasing from west to East. In the regression analysis of SDI and LE,r=0.90335,P<0.0001, meaning that there was a positive correlation between SDI and LE. The D value of men was lower than that of women. Among the five SDI levels, the high SDI level usually had higher LE, so the D value was relatively high. However, in the middle SDI and low-middle SDI areas, the results showed the opposite situation. The SDI in India is lower than that in China, and the D value of female in China is higher than that in India, which indicates that Chinese elderly women have a long life with disease and disability. Conclusions Socio-Demographic Index has a positive correlation with life expectancy and healthy life expectancy. Therefore, we can consider improving healthy life expectancy from the components of SDI to improve the healthy level of the population. At the same time, we should pay more attention to the care of the elderly population.


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Tomoko Imai ◽  
Ayako Sezaki ◽  
Keiko Miyamoto ◽  
Chisato Abe ◽  
Fumiya Kawase ◽  
...  

Abstract Background Traditional Japanese diets are considered to be health and longevity. We created a Traditional Japanese Diet Score (TJDS) and investigated the relationship between the TJDS and healthy life expectancy (HALE) longitudinally using global database. Methods Average food (g/day/capita) and energy supply (kcal/day/capita) by countries were identified by the Food and Agriculture Organization of the United Nations Statistics Division database. The sum of characterizing traditional Japanese foods supply (beneficial food components in Japanese diet; rice, fish, soybeans, vegetables, eggs, seaweeds, food components not use so much in Japanese diet; wheat, milk, and red meat) were divided as tertile (beneficial food components;-1, 0, 1, not use so much food components; 1, 0, -1). HALE values by country were derived from the Global Burden of Disease 2017 database. The longitudinal effects of TJDS on the rate of change in HALE from 1990 to 2013 were evaluated using a generalized mixed-effect model (GLMM), which takes into account the dependence of repeated observations within countries. The interaction between TJDS and survey year was applied to access the effects on HALE. This study covered 137 countries with populations of 1 million or greater. Results Longitudinal analysis controlled for covariates showed that smooth term of the interaction between TJDS and survey year was significant (p &lt; 0.001). The TJDS was negative associated with HALE in 1990, and in 1991, but positive associated after 2002. Conclusions The relationship between the TJDS as a healthy eating style and HALE is getting stronger since the 21st century. Key messages Well-balanced eating habits of traditional Japanese diets is supports healthy life expectancy.


2007 ◽  
Vol 13 (1) ◽  
pp. 23-40
Author(s):  
John Stewart Russell Ritchie

ABSTRACTThis Presidential Address is delivered towards the end of the 150th anniversary year of the Faculty of Actuaries, and is timed to coincide with the International Actuarial Association and Groupe Consultatif holding meetings in Edinburgh. It deals with the growing globalisation of the Profession, reviews the key developments arising out of the Morris Review and the implications of current changes. It then moves on to examine communication and the role the Profession can play with the media. A comparison between actuarial practice in life and pensions follows, with suggestions for a closer alignment between pension expectation and pension reality. Comment is made about the prospects for healthy life expectancy. Finally, the relationship between the Faculty and the Institute of Actuaries is debated, and a consultation with Faculty members is launched.


2011 ◽  
Vol 17 (4) ◽  
pp. 309 ◽  
Author(s):  
David Banham ◽  
John Lynch ◽  
Jon Karnon

South Australia’s Strategic Plan includes a target to improve the population’s healthy life expectancy. A common question among health policy and service planners is: ‘How do health programs and services in the community relate to healthy life expectancy?’ In response, this paper outlines an effectiveness and equity framework (EEF) for evaluating health interventions in applied settings. Using the example of coronary heart disease (CHD) management in general practice in South Australia, the EEF: (1) applies an internally consistent approach to accounting for population healthy life expectancy at state and smaller geographic levels; (2) estimates average population health gains from health programs, and gains across different socioeconomic subgroups within the community; (3) conducts economic evaluation by equating health gains against health system costs in population subgroups; (4) summarises relevant information about candidate intervention programs within a multi-criteria performance matrix for presentation to decision makers; (5) reassesses outcomes (and processes) following the implementation of a program and iteratively adds to the relevant knowledge and evidence base. The EEF offers a practical approach to selecting and evaluating intervention programs. The challenge is to develop system culture and data capture methods clearly focussed on linking health system activities to population health outcomes.


2010 ◽  
Vol 24 (1) ◽  
pp. 195-207 ◽  
Author(s):  
Robin S. Lau ◽  
Shanthi Johnson ◽  
T. J. Kamalanabhan

2019 ◽  
Vol 15 (1) ◽  
pp. 7-8 ◽  
Author(s):  
Hirofumi Nakayama ◽  
Kazuo Minematsu ◽  
Takenori Yamaguchi ◽  
Susumu Miyamoto ◽  
Mitsuaki Isobe ◽  
...  

The Stroke and Cardiovascular Disease Control Act was enacted in Japan in December 2018. This law has become the first ever legislative countermeasure against stroke and cardiovascular disease in Japan. The government shall make a “Basic Plan to Promote Stroke and Cardiovascular Disease Control Programs” with input from a council consisted of stakeholders. In accordance with the government plan, each prefecture shall make a prefectural plan. Both government and prefectural plans will be reviewed at least every six years. A nationwide approach is expected to contribute to reducing the burden of disease and to prolong healthy life expectancy.


Author(s):  
Yukinori Nagakura ◽  
Hideaki Kato ◽  
Satoshi Asano ◽  
Yasuhiro Jinno ◽  
Shigeharu Tanei

In Japan, population health with life expectancy (LE) and healthy life expectancy (HALE) as indicators varies across the 47 prefectures (administrative regions). This study investigates how health examination results, including attitude toward improving life habits, are associated with population health. The association between health checkup variables and summary population health outcomes (i.e., life expectancy and healthy life expectancy) was investigated using a cross-sectional ecological design with prefectures as the unit of analysis. The medical records, aggregated by prefecture, gender, and age in the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB) Open Data Japan, were used as health checkup variables. Body weight, blood pressure, liver enzymes, drinking habits, smoking habits, diabetes, serum lipids, and answers to questions regarding attitude toward improving health habits were significantly correlated to population health outcomes. Multiple regression analysis also revealed significant influence of these variables on population health. This study highlights that health examination results, including attitude toward improving health habits, are positively associated with population health. Consequently, implementing measures to improve health habits in response to the examination results could help the population maintain a healthy life.


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