scholarly journals Regularities in the gender gap in life expectancy at birth in European post-communist countries

2020 ◽  
Author(s):  
Tomasz Michalski ◽  
Wioletta Szymańska
Keyword(s):  
Life Expectancy ◽  
Gender Gap ◽  
Great Influence ◽  
Balkan Peninsula ◽  
Initial Increase ◽  
The Past ◽  
Life Expectancy At Birth ◽  
Communist Countries ◽  
Former Ussr ◽  
The Impact

The aim of the article is to find patterns in the gender gap in life expectancy at birth in European post-communist countries. The analysis covers the years 1990–2018. Larger differences occur in the countries of the former USSR, smaller ones on the Balkan Peninsula. Belonging to the USSR (larger gap) and the Ottoman Empire (smaller gap) in the past has a great influence of the gender gap. In half of the analysed countries, the gender gap decreased. In a quarter, after an initial increase, there was also a decrease in the gender gap (some countries of the former USSR). Moreover, in a quarter of the countries, these changes were ambiguous (some countries on the Balkan Peninsula). One can see here the impact of an improving economic situation of the population. An attempt to link the gender gap and life expectancy with the ’homo-sovieticus’ requires further research.

scholarly journals The decomposition of life expectancy for age and cause of death in Tuscany, Italy

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N Nante ◽  
L Kundisova ◽  
F Gori ◽  
A Martini ◽  
F Battisti ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Causes Of Death ◽  
National Level ◽  
Age Groups ◽  
Resistant Bacteria ◽  
Mortality Data ◽  
Life Expectancy At Birth ◽  
Icd 10 ◽  
Reduction Of Mortality ◽  
The Impact

Abstract Introduction Changing of life expectancy at birth (LE) over time reflects variations of mortality rates of a certain population. Italy is amongst the countries with the highest LE, Tuscany ranks fifth at the national level. The aim of the present work was to evaluate the impact of various causes of death in different age groups on the change in LE in the Tuscany region (Italy) during period 1987-2015. Material and methods Mortality data relative to residents that died during the period between 1987/1989 and 2013/2015 were provided by the Tuscan Regional Mortality Registry. The causes of death taken into consideration were cardiovascular (CVS), respiratory (RESP) and infective (INF) diseases and cancer (TUM). The decomposition of LE gain was realized with software Epidat, using the Pollard’s method. Results The overall LE gain during the period between two three-years periods was 6.7 years for males, with a major gain between 65-89, and 4.5 years for females, mainly improved between 75-89, <1 year for both sexes. The major gain (2.6 years) was attributable to the reduction of mortality for CVS, followed by TUM (1.76 in males and 0.83 in females) and RESP (0.4 in males; 0.1 in females). The major loss of years of LE was attributable to INF (-0.15 in females; -0.07 in males) and lung cancer in females (-0.13), for which the opposite result was observed for males (gain of 0.62 years of LE). Conclusions During the study period (1987-2015) the gain in LE was major for males. To the reduction of mortality for CVS have contributed to the tempestuous treatment of acute CVS events and secondary CVS prevention. For TUM the result is attributable to the adherence of population to oncologic screening programmes. The excess of mortality for INF that lead to the loss of LE can be attributed to the passage from ICD-9 to ICD-10 in 2003 (higher sensibility of ICD-10) and to the diffusion of multi-drug resistant bacteria, which lead to elevated mortality in these years. Key messages The gain in LE during the period the 1987-2015 was higher in males. The major contribution to gain in LE was due to a reduction of mortality for CVS diseases.

scholarly journals Reductions in US life expectancy from COVID-19 by Race and Ethnicity: Is 2021 a repetition of 2020?

2021 ◽  
Author(s):  
Theresa Andrasfay ◽  
Noreen Goldman
Keyword(s):  
Life Expectancy ◽  
Race And Ethnicity ◽  
Ethnic Disparities ◽  
White Population ◽  
Widespread Distribution ◽  
Life Expectancy At Birth ◽  
The Us ◽  
The Impact ◽  
Racial Ethnic ◽  
Black And Latino

COVID-19 had a huge mortality impact in the US in 2020 and accounted for the majority of the 1.5-year reduction in 2020 life expectancy at birth. There were also substantial racial/ethnic disparities in the mortality impact of COVID-19 in 2020, with the Black and Latino populations experiencing reductions in life expectancy at birth over twice the reduction experienced by the White population. Despite continued vulnerability of the Black and Latino populations, the hope was that widespread distribution of effective vaccines would mitigate the overall impact and reduce racial/ethnic disparities in 2021. In this study, we use cause-deleted life table methods to estimate the impact of COVID-19 mortality on 2021 US period life expectancy. Our partial-year estimates, based on provisional COVID-19 deaths for January-early October 2021 suggest that racial/ethnic disparities have persisted and that life expectancy at birth in 2021 has already declined by 1.2 years from pre-pandemic levels. Our projected full-year estimates, based on projections of COVID-19 deaths through the end of 2021 from the Institute for Health Metrics and Evaluation, suggest a 1.8-year reduction in US life expectancy at birth from pre-pandemic levels, a steeper decline than the estimates produced for 2020. The reductions in life expectancy at birth estimated for the Black and Latino populations are 1.6-2.4 times the impact for the White population.

On the management of retirement age indexed to life expectancy: a scenario analysis of the Italian longevity experience

2020 ◽  
Vol 21 (3) ◽  
pp. 217-231
Author(s):  
Mariarosaria Coppola ◽  
Maria Russolillo ◽  
Rosaria Simone
Keyword(s):  
Life Expectancy ◽  
Social Security ◽  
Gender Gap ◽  
Scenario Analysis ◽  
Security System ◽  
Retirement Age ◽  
Model Risk ◽  
Content Type ◽  
Mortality Projection ◽  
The Impact

Purpose This paper aims to measure the financial impact on social security system of a recently proposed indexation mechanism for retirement age by considering the Italian longevity experience. The analysis is motivated by the progressive increase in life expectancy at advanced age, which is rapidly bringing to the fore noticeable socio-economic consequences in most industrialized countries. Among those, the impact on National Social Security systems is particularly relevant if people live longer than expected; this will lead to greater financial exposure for pension providers. Design/methodology/approach Referring to the Italian population for illustrative purposes, the authors contemplate different scenarios for mortality projection methods and for the implementation of pension age shift while accounting for gender and cohort gaps and model risk. Synthetic indicators to measure the impact of the indexation mechanism on social security system are introduced on the basis of pension cash flows. Findings An indexation policy that manages gender gap while adjusting retirement age for varying life expectancy is proposed. As a result, sustainability of public retirement expenditure is improved. Originality/value The paper is a concise scenario analysis of the reduction of costs and risks that pension providers would have if the system resorted to link retirement age to life expectancy. The ideas fostered by the paper follow a recent proposal of the Authors on a flexible retirement scheme that deals with model risk for mortality projection and accounts for gender gap in mortality rates.

Health Care Public Sector Share and the U.S. Life Expectancy Lag: A Country-level Longitudinal Study

2018 ◽  
Vol 48 (2) ◽  
pp. 328-348 ◽  
Author(s):  
Megan M. Reynolds
Keyword(s):  
Health Care ◽  
Political Economy ◽  
Public Sector ◽  
Life Expectancy ◽  
Policy Implications ◽  
The Political ◽  
Life Expectancy At Birth ◽  
Political Economy Of Health ◽  
The Impact ◽  
The U.S

Growing research on the political economy of health has begun to emphasize sociopolitical influences on cross-national differences in population health above and beyond economic growth. While this research investigates the impact of overall public health spending as a share of GDP (“health care effort”), it has for the most part overlooked the distribution of health care spending across the public and private spheres (“public sector share”). I evaluate the relative contributions of health care effort, public sector share, and GDP to the large and growing disadvantage in U.S. life expectancy at birth relative to peer nations. I do so using fixed effects models with data from 16 wealthy democratic nations between 1960 and 2010. Results indicate that public sector share has a beneficial effect on longevity net of the effect of health care effort and that this effect is nonlinear, decreasing in magnitude as levels rise. Moreover, public sector share is a more powerful predictor of life expectancy at birth than GDP per capita. This study contributes to discussions around the political economy of health, the growth consensus, and the American lag in life expectancy. Policy implications vis-à-vis the U.S. Affordable Care Act are discussed.

scholarly journals How do ethnicity and deprivation impact on life expectancy at birth in people with serious mental illness? Observational study in the UK

2020 ◽  
pp. 1-9
Author(s):  
Jayati Das-Munshi ◽  
Chin-Kuo Chang ◽  
Alex Dregan ◽  
Stephani L. Hatch ◽  
Craig Morgan ◽  
...  
Keyword(s):  
General Population ◽  
Life Expectancy ◽  
Bipolar Disorders ◽  
Mental Illnesses ◽  
Schizophrenia Spectrum Disorders ◽  
Life Expectancy At Birth ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders ◽  
The Impact ◽  
Deprived Areas

Abstract Background Across international contexts, people with serious mental illnesses (SMI) experience marked reductions in life expectancy at birth. The intersection of ethnicity and social deprivation on life expectancy in SMI is unclear. The aim of this study was to assess the impact of ethnicity and area-level deprivation on life expectancy at birth in SMI, defined as schizophrenia-spectrum disorders, bipolar disorders and depression, using data from London, UK. Methods Abridged life tables to calculate life expectancy at birth, in a cohort with clinician-ascribed ICD-10 schizophrenia-spectrum disorders, bipolar disorders or depression, managed in secondary mental healthcare. Life expectancy in the study population with SMI was compared with life expectancy in the general population and with those residing in the most deprived areas in England. Results Irrespective of ethnicity, people with SMI experienced marked reductions in life expectancy at birth compared with the general population; from 14.5 years loss in men with schizophrenia-spectrum and bipolar disorders, to 13.2 years in women. Similar reductions were noted for people with depression. Across all diagnoses, life expectancy at birth in people with SMI was lower than the general population residing in the most deprived areas in England. Conclusions Irrespective of ethnicity, reductions in life expectancy at birth among people with SMI are worse than the general population residing in the most deprived areas in England. This trend in people with SMI is similar to groups who experience extreme social exclusion and marginalisation. Evidence-based interventions to tackle this mortality gap need to take this into account.

scholarly journals Narrowing sex differences in life expectancy: regional variations, 1971-1991

2001 ◽  
Vol 28 (1) ◽  
pp. 89 ◽  
Author(s):  
Frank Trovato ◽  
N. M. Lalu
Keyword(s):  
Sex Differences ◽  
Life Expectancy ◽  
Gender Gap ◽  
Prince Edward Island ◽  
Causes Of Death ◽  
Average Length ◽  
Decomposition Analysis ◽  
Relative Contribution ◽  
Life Expectancy At Birth ◽  
Length Of Life

A number of industrialized nations have recently experienced some degrees of constriction in their long-standing sex differentials in life expectancy at birth. In this study we examine this phenomenon in the context of Canada’s regions between 1971 and 1991: Atlantic (Newfoundland, Nova Scotia, New Brunswick, Prince Edward Island); Quebec, Ontario, and the West (Manitoba, Saskatchewan, Alberta, British Columbia, Yukon and Northwest Territories). Decomposition analysis based on multiple decrement life tables is applied to address three questions: (1) Are there regional differentials in the degree of narrowing in the sex gap in life expectancy? (2) What is the relative contribution of major causes of death to observed sex differences in average length of life within and across regions? (3) How do the contributions of cause-of-death components vary across regions to either widen or narrow the sex gap in survival? It is shown that the magnitude of the sex gap is not uniform across the regions, though the differences are not large. The most important contributors to a narrowing of the sex gap in life expectancy are heart disease and external types of mortality (i.e., accidents, violence, and suicide), followed by lung cancer and other types of chronic conditions. In substantive terms these results indicate that over time men have been making sufficient gains in these causes of death as to narrow some of the gender gap in overall survival. Regions show similarity in these effects.

Death at the End of the 20th Century: Individual Processes and Developmental Tasks in Old Age

2002 ◽  
Vol 54 (4) ◽  
pp. 315-333 ◽  
Author(s):  
Christina Röcke ◽  
Katie E. Cherry
Keyword(s):  
Life Expectancy ◽  
Old Age ◽  
Personal Experience ◽  
Public Awareness ◽  
Developmental Tasks ◽  
Past Century ◽  
Research Practice ◽  
The Past ◽  
And Coping ◽  
The Impact

In this article, we address the topic of death from historic and contemporary perspectives. In the first section, we describe the changes in life expectancy, personal experience, and public awareness of death that have occurred over the past century. In the next section, we examine the impact these changes have had on the mastery of the two developmental tasks in adulthood, acceptance of one's own mortality and coping with the death of a spouse. We describe select findings from the literature on attitudes, fear or acceptance of death, and grief processes. Implications for research, practice, and social change are considered.

Globalization and women’s and girls’ health in 192 UN-member countries

2016 ◽  
Vol 43 (7) ◽  
pp. 692-721 ◽  
Author(s):  
Deniz Gevrek ◽  
Karen Middleton
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Life Expectancy ◽  
Health Outcomes ◽  
Fixed Effects ◽  
Content Type ◽  
Life Expectancy At Birth ◽  
Adolescent Fertility ◽  
The Impact ◽  
The Relationship

Purpose – The purpose of this paper is to explore the relationship between the ratification of the United Nations’ (UN’s) Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) and women’s and girls’ health outcomes using a unique longitudinal data set of 192 UN-member countries that encompasses the years from 1980 to 2011. Design/methodology/approach – The authors focus on the impact of CEDAW ratification, number of reports submitted after ratification, years passed since ratification, and the dynamic impact of CEDAW ratification by utilizing ordinary least squares (OLS) and panel fixed effects methods. The study investigates the following women’s and girls’ health outcomes: total fertility rate, adolescent fertility rate, infant mortality rate, maternal mortality ratio, neonatal mortality rate, female life expectancy at birth (FLEB), and female to male life expectancy at birth. Findings – The OLS and panel country and year fixed effects models provide evidence that the impact of CEDAW ratification on women’s and girls’ health outcomes varies by global regions. While the authors find no significant gains in health outcomes in European and North-American countries, the countries in the Northern Africa, sub-Saharan Africa, Southern Africa, Caribbean and Central America, South America, Middle-East, Eastern Asia, and Oceania regions experienced the biggest gains from CEDAW ratification, exhibiting reductions in total fertility, adolescent fertility, infant mortality, maternal mortality, and neonatal mortality while also showing improvements in FLEB. The results provide evidence that both early commitment to CEDAW as measured by the total number of years of engagement after the UN’s 1980 ratification and the timely submission of mandatory CEDAW reports have positive impacts on women’ and girls’ health outcomes. Several sensitivity tests confirm the robustness of main findings. Originality/value – This study is the first comprehensive attempt to explore the multifaceted relationships between CEDAW ratification and female health outcomes. The study significantly expands on the methods of earlier research and presents novel methods and findings on the relationship between CEDAW ratification and women’s health outcomes. The findings suggest that the impact of CEDAW ratification significantly depends on the country’s region. Furthermore, stronger engagement with CEDAW (as indicated by the total number of years following country ratification) and the submission of the required CEDAW reports (as outlined in the Convention’s guidelines) have positive impacts on women’s and girls’ health outcomes.

scholarly journals The Determinants of Health Status: A Cross-Country Analysis

1994 ◽  
Vol 33 (4II) ◽  
pp. 745-758 ◽  
Author(s):  
Rehana Siddiqui ◽  
Mir Annice Mahmood
Keyword(s):  
Health Status ◽  
Life Expectancy ◽  
Human Resource Development ◽  
Labour Force ◽  
Infant Mortality Rate ◽  
General Level ◽  
Life Expectancy At Birth ◽  
Country Analysis ◽  
Cross Country ◽  
The Impact

An analysis of health status is an important aspect of human resource development. Improvements in health do not only improve the productivity of the labour force, but they also help to improve the impact of other forms of human capital formation, e.g. education. In most developing countries health status is difficult to determine as the question arises as to what measures should be used as indicators of health status. At a general level most of the demand or production function considerations are obtained by aggregating over the micro factors. I However, in the case of health status micro and macro measures may not be perfectly correlated; In most cross-country studies life expectancy at birth or the infant mortality rate are taken as indicators of health status. Other measures which can be used to indicate such improvements in health status are age and diseasespecifrc mortality or morbidity and life expectancy. However, the improvement in health status can be observed most obviously from increases in life expectancy which is a better measure for cross country comparison than age and diseasespecific mortality or morbidity, which are more difficult to compare at the international level.

scholarly journals Political and Historical Determinants of the Differentiation of Entrepreneurial Ecosystems of Agritourism in Poland and Kazakhstan

2021 ◽  
Vol 13 (18) ◽  
pp. 10487
Author(s):  
Jan A. Wendt ◽  
Sergey V. Pashkov ◽  
Elżbieta Mydłowska ◽  
Agnieszka Bógdał-Brzezińska
Keyword(s):  
Swot Analysis ◽  
Transport Infrastructure ◽  
Theoretical Treatment ◽  
Short History ◽  
The Past ◽  
The Subject ◽  
Political Conditions ◽  
Entrepreneurship Ecosystems ◽  
Communist Countries ◽  
Former Ussr

(1) Background: In the context of differences among countries developing pre-entrepreneurship ecosystems in relation to agritourism, the need to define the specific challenges and facilitators in the group of post-communist countries is recognised. Given that, we aim to examine the differences between the countries belonging to the former USSR and the satellite countries of the former USSR. (2) Methods: For the realisation of the intended objective, we analysed studies of the literature on the subject, in terms of the theoretical treatment of the entrepreneurial eco-system in the field of agritourism, and current legal acts. Our own observations from stays in the regions in question were also used, along with statistical methods concerning the density of the transport network, comparative analysis of historical and political conditions, and SWOT analysis. (3) Results: Substantial differences were found between the components of the agritourism entrepreneurship ecosystem in Poland and Kazakhstan, primarily related to the level of transport infrastructure density (satisfactory in West Pomeranian Voivodeship, insufficient in North Kazakhstan), tradition of individual farming (well established in Poland, poorly present in Kazakhstan), support for agritourism development by central and local authorities (relatively high in Poland, incidental and with a short history in Kazakhstan), and finally, differences in the target group of agritourism service recipients (stable in Poland, undefined in Kazakhstan). (4) Conclusions: The research leads to the conclusion of the heterogeneity of the determinants of the development of the agritourism entrepreneurship ecosystem in countries collectively defined as post-communist. There are clearly different challenges and facilitations resulting not so much from the past political system as from the ethnic-historical considerations, the position of agriculture in the economy, and the degree and effectiveness of the involvement of administrative authorities in the development of agritourism. The study leads to a recommendation on the need for more efficient targeting of agritourism consumers abroad.

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