scholarly journals Understanding the Increase in Life Expectancy in Hong Kong: Contributions of Changes in Age- and Cause-Specific Mortality

2019 ◽  
Vol 16 (11) ◽  
pp. 1959 ◽  
Author(s):  
Yan Zheng ◽  
Qingsong Chang ◽  
Paul Siu Fai Yip
Keyword(s):  
Hong Kong ◽  
Life Expectancy ◽  
Age Groups ◽  
Limited Attention ◽  
Malignant Neoplasms ◽  
Negative Contribution ◽  
Younger Age ◽  
Males And Females ◽  
The Impact ◽  
Circulatory Diseases

To assess the mechanism responsible for the improvement in life expectancy in Hong Kong over the past several decades, Arriaga’s decomposition method was applied to quantify the influence of the age structure and the leading causes of death on the increase in life expectancy in Hong Kong from 1986 to 2015. Our results showed that, during the observed period, the major contribution to the improvement in life expectancy in Hong Kong was attributable to the older population for both males and females. Contributions of malignant neoplasms in the period of 1986–1995, 1996–2005 and 2006–2015 were 0.613, 0.279 and 0.887 years in males and 0.391, 0.312 and 0.226 years in females, respectively. For circulatory diseases, the corresponding figures were 1.452, 0.202 and 0.832 years in males and 0.675, 0.192 and 1.069 years in females, with the largest contribution also shifting to older ages. However, these positive contributions were partly offset by the negative contribution of pneumonia, especially among those at advanced ages. Furthermore, although the impact was limited, attention should also be paid to the prevalence of some chronic diseases among the younger age groups in recent years.

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.

Impact of values on the learning approaches of Chinese construction students in Hong Kong

2014 ◽  
Vol 21 (5) ◽  
pp. 481-504 ◽  
Author(s):  
Mei-yung Leung ◽  
Chen Dongyu ◽  
Anita M.M. Liu
Keyword(s):  
Hong Kong ◽  
Interpersonal Relationships ◽  
Personal Values ◽  
Value Systems ◽  
Limited Attention ◽  
Learning Approaches ◽  
Personal Integrity ◽  
Content Type ◽  
Learning Behaviours ◽  
The Impact

Purpose – The purpose of this paper is to explore the influence of personal values on students’ learning behaviours. Hong Kong construction students are often criticized, by both practitioners and educators, as rote learners. To improve students’ learning processes, extensive research on a variety of aspects of construction education has been conducted. However, limited attention has been paid to the influence of personal values on students’ learning behaviours. The impact of personal value factors on the learning approaches of Chinese construction students in Hong Kong is investigated. Design/methodology/approach – A questionnaire survey was conducted to ethically Chinese construction students in four universities in Hong Kong. A total of 820 questionnaires were distributed and 431 valid returns were collected. Findings – The survey identified six influential values (namely, personal integrity, conservatism, determination, discipline, interpersonal relationships, and achievement), and shows that students who emphasize the virtues of personal integrity, determination, and a positive attitude toward achievement are better able to handle their interpersonal relationships, which will eventually lead them to engage in deep learning. Originality/value – Work to develop appropriate value systems is thus recommended in freshmen courses, as is the use of cooperative learning approaches. Such value systems will have a long-term influence on the learning approaches of construction students.

The impact of a time target on older patients attending the emergency department

2010 ◽  
Vol 27 (Suppl 1) ◽  
pp. A2.1-A2
Author(s):  
Sue Mason
Keyword(s):  
Emergency Department ◽  
Older Patients ◽  
Age Groups ◽  
Unintended Consequences ◽  
Older Patient ◽  
Younger Patients ◽  
Patient Level ◽  
Level Data ◽  
Younger Age ◽  
The Impact

IntroductionThe 4 h emergency standard for English acute trusts was introduced in 2003 and became full established by 2008 at 98% for all Emergency Department (ED) patients to be seen and discharged. This study examined the impact of the target for older patients attending departments.MethodsRoutine patient level data was received from 15 English EDs representing 774 095 individual patient attendances during May and June for 2003 to 2006. The data were used to determine the distribution of the total time spent in the EDs. Attendances were compared for older patients (65 years and above) with younger age groups.ResultsA total of 145 596 attendances were for patients aged 65+ years (18.9%). Across each year analysed, these older patients have a significantly longer median total time in the ED than those younger than 65 years (162 min vs 103 min, p<0.001). In addition, older patients are significantly more likely to leave the emergency department in the last 20 min prior to 4 h (12.4% vs 5.2% in those <65 years, p<0.001). This proportion is growing year on year in both the admitted and discharged categories of patients. Finally, older patients are significantly more likely to breach the 4-h than their younger counterparts (16.6% vs 6.3%, p<0.001).ConclusionsThere are some unintended consequences of introducing the 4 h target in UK emergency departments. While the target has reduced overall time in departments, the older patient appears to be disadvantaged relative to younger patients. Older patients are more likely to be ‘rushed through’ to other unmonitored areas of the hospital just prior to the target or to breach the target altogether. This finding calls in to question the benefits that the target is conveying for individual patients, and especially the most vulnerable in society.

Prognostic analysis of mortality in the cohort of the Chernobyl cleanup workers

2021 ◽  
Vol 65 (5) ◽  
pp. 35-41
Author(s):  
A. Gorski ◽  
M. Maksyutov ◽  
K. Tumanov ◽  
E. Kochergina ◽  
N. Zelenskaya ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Causes Of Death ◽  
Total Mortality ◽  
Medical Examination ◽  
Malignant Neoplasms ◽  
Exclusion Zone ◽  
Average Life ◽  
Average Life Expectancy ◽  
Cleanup Workers ◽  
Circulatory Diseases

Purpose: Analysis and prognosis of mortality rate, specific causes of death and mortality structure in the male cohort of the Chernobyl cleanup workers monitored from 1992 over 2017. Materials and methods: Analysis and prognosis of mortality among the Chernobyl cleanup workers for the follow up period 1992-2017 were based on personal death records stored at the National Radiation Epidemiological Registry (NRER). The workers entered the exclusion zone in 1986 and in 1987, who had documented dose records were included in the monitoring cohort. In 1992 the cohort size was 72432 persons , average radiation dose was 130.8 mGy. For the period of the cohort monitoring 27051 cleanup workers died with the following causes of death: malignant neoplasms – 4621 cases, circulatory diseases – 11410 cases, traumas and poisoning – 5110 cases, other –5910. To prognose mortality and mortality structure data on age-specific intensity of partial mortality and total mortality during the monitoring period were used. Results: The predicted size of the cohort will be 22,000 persons in 2030. Mortality structure in 2017: malignant neoplasms – 17%; circulatory diseases – 42%; traumas and poisoning – 19%, other – 22%. The mortality structure in 2030 will be: malignant neoplasms – 24%; circulatory diseases – 49%; traumas and poisoning – 11%, other – 16%. Cleanup workers’ the average time left to live estimated in 2017 was 11.1 years (their average age in 2017 was 62.4 years), it means that their average life expectancy will be 73.5 years. Average life expectancy of Russian males is 70.4 years. Increased life span of the cleanup workers can be due to their good health, social support including regular special medical examination, the effect of the natural selection cannot be excluded as well. Conclusion: Results of the study can serve as example of organization of high effective specialized medical examination of the Chernobyl cleanup workers. The research outcomes will be useful for analysis of mortality among members of a closed population following exposure to hazardous technogeneous factors.

scholarly journals Haemagglutination-inhibiting (HI) antibodies against four prototype strains of influenza A virus in different age groups

1979 ◽  
Vol 82 (2) ◽  
pp. 225-230 ◽  
Author(s):  
A. L. Terzin ◽  
S. Djurišić ◽  
B. Vuković ◽  
V. Vujkov
Keyword(s):  
Influenza Virus ◽  
Hong Kong ◽  
New Jersey ◽  
Antibody Response ◽  
Influenza A ◽  
Geometric Mean ◽  
Age Groups ◽  
The Other ◽  
Younger Age ◽  
Lower Antibody Response

SUMMARYSera of 197 apparently well persons were tested for residual haemagglutination-inhibiting antibodies against live Hong Kong/68, A/FM/47 and A/PR/34 strains. Sera of 62 well persons, regularly exposed to contacts with swine, were tested against an inactivated A/New Jersey/76 antigen.Those born some time before and during a certain influenza era showed a significantly greater proportion of homologous residual titres against the subtype prevailing in that influenza era, than those born after the termination of the same era.In each of the seven age groups tested both the percentage of positives and the geometric mean titres were usually highest against the Hong Kong strain (representing the most recent era); the next highest were those against the FM1 strain and the lowest were those against the PR8 strain (representing the most distant of these three influenza eras).The serological involvement of donors exposed to regular contacts with swine was relatively stronger against the New Jersey antigen than the response of other serum donors shown against the other three, more recent, prototypes of influenza virus A. The oldest age groups showed significantly lower antibody response against the PR8, FM1 and Hong Kong strains (but not against the New Jersey antigen) than the next one or two of the younger age groups.

Psychogeriatrics 1974 to 1984

1987 ◽  
Vol 151 (6) ◽  
pp. 813-817 ◽  
Author(s):  
Alex B. Christie ◽  
Eric R. M. Wood
Keyword(s):  
Age Groups ◽  
Males And Females ◽  
Organic Case ◽  
The Impact

The impact of a 16% increase between censuses in the population aged 65 and over, on a psychogeriatric department whose bed complement remained static between 1974 and 1984, has been studied. Demand for service, as measured by new referrals, rose by 150%, while admissions fell by 14%. The increase in new referrals was uniform across the diagnostic spectrum, but the fall in admissions was not. Functional admissions fell in all age-groups except that of women of 85 and over, while organic-case admissions other than for cases of dementia virtually collapsed. Overall admissions for dementia rose to the predicted level, but the distribution of the increase was irregular and unexpected. Admissions of males and females aged 65–74 and females of 85 and over fell relatively and absolutely, while those of women aged 75–84 and men of 85 and over were little changed. Only admissions of men aged 75–84 alone increased in real terms.

Socioeconomic factors affecting the longevity of the Japanese population: a study for 1980 and 1985

1992 ◽  
Vol 24 (4) ◽  
pp. 497-504 ◽  
Author(s):  
Eiichi Uchida ◽  
Shunichi Araki ◽  
Katsuyuki Murata
Keyword(s):  
Life Expectancy ◽  
Socioeconomic Factors ◽  
Low Income ◽  
Japanese Population ◽  
Age Groups ◽  
High Income ◽  
Factors Affecting ◽  
Life Expectancy At Birth ◽  
Males And Females

SummaryThe effects of urbanisation, low income and rejuvenation of the population on life expectancy at birth and at 20, 40 and 65 years of age for males and females in Japan were examined twice, in 1980 and 1985. For males, urbanisation was the major factor determining life expectancy at birth and at age 20 years, and low income was the key determinant of decreased life expectancy except at 65 years of age. For females high income was the factor significantly decreasing life expectancy at 65 years of age in 1980, and rejuvenation of the population inversely influenced life expectancy except at birth in 1985. Life expectancy for all age groups in 1985 was significantly longer than in 1980 for both males and females.

scholarly journals The analysis of mortality of malignant neoplasms of population in the Republic of Bashkortostan (2002-2014)

2019 ◽  
Vol 60 (6) ◽  
pp. 303-307
Author(s):  
R. A. Askarov ◽  
A. O. Karelin ◽  
Zagira F. Askarova ◽  
I. A. Sharipova
Keyword(s):  
Time Series ◽  
Causes Of Death ◽  
Age Groups ◽  
Malignant Neoplasms ◽  
Statistical Indices ◽  
Republic Of Bashkortostan ◽  
Males And Females ◽  
The Republic ◽  
Analysis Of Dynamics ◽  
Non Parametric

The article presents the results of analysis of dynamics and structure of mortality of malignant neoplasms of population of the Republic of Bashkortostan in 2002-2014. The results were calculated according data from table C51 "The distribution of the deceased by gender, age groups and causes of death" of Bashkortostan. To calculate statistical indices parametric, non-parametric and time series techniques were applied. On the whole, the dynamics of indices is comparable with national one i.e. insignificant decreasing of mortality is observed to 2014. The analysis testifies that during all analyzed both the "raw" and standardized mortality indices per 100 000 in average were higher in Russia than in the Republic ofBashkortostan. However, in the Republic of Bashkortostan, both in males and females increasing of mortality of malignant neoplasms of many localizations is detected. According prognosis estimates, decreasing of mortality of neoplasms in population of the Republic of Bashkortostan is possible.

scholarly journals Estimation of economic burden of COVID-19 using Disability-Adjusted Life Years (DALYs) and Productivity Losses in Kerala state, India

2020 ◽  
Author(s):  
Denny John ◽  
Narassima MS ◽  
Jaideep C Menon ◽  
Guru Rajesh Jammy
Keyword(s):  
Global Economy ◽  
Age Groups ◽  
Premature Mortality ◽  
Baseline Scenario ◽  
Disability Adjusted Life Years ◽  
Disability Adjusted Life ◽  
Life Years ◽  
Males And Females ◽  
Kerala State ◽  
The Impact

Abstract Background: The COVID-19 pandemic has had a huge impact on the global economy and stressed the health care systems worldwide. Measuring the burden of disease on health and economy is essential for system preparedness by way of allocation of funds and human resources.Methods: The present study estimates Disability-Adjusted Life Years (DALYs), Years of Potential Productive Life Lost (YPPLL) and Cost of Productivity Lost (CPL) due to premature mortality and absenteeism, secondary to COVID-19 in Kerala state, India. The impact of disease on various age-gender cohorts has been analyzed. Sensitivity Analysis has been conducted by adjusting six variables with a total of 21 scenarios. Results: Severity of infection and mortality were higher among older sub-group of patients, and male were more susceptible than female in most of the age groups. DALY for the baseline scenario was 15,924.24 and 8,669.32 for males and females respectively. The CPL due to premature mortality was 26,80,36,179 and 42,510,946 for males and females respectively. Conclusion: People aged more than 50 were disproportionately affected by the disease, with presence of comorbidities further raising vulnerability.

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