scholarly journals Life Expectancy and Healthy Life Expectancy of Adults in Oman: Does Women’s Longer Life Expectancy than Men Mean Success or Burden for Women?

Author(s):  
M. Mazharul Islam ◽  

Objectives: The objective of this study was to examine the life expectancy (LE) and healthy life expectancy (HLE) of Omani adults with age and gender differentials, focusing on whether the higher LE of women than men is a gain or burden for women. Method: Data for the study come from multiple sources such as the 2010 population census, the 2008 World Health Survey in Oman, and secondary data published in the Statistical Yearbook of Oman. The life table and the modified life table proposed by Sullivan were used for estimating the LE and HLE of adult people of age 20 and above, respectively. Results: LE in Oman reached 76 years for both sexes in recent times. However, since 2010 LE has been stalled in the vicinity of 76 years in Oman. Women had higher LE than men (79 years versus 74 years). In terms of HLE, men outweighed women in Oman. At the age of 20, the gap between male-female LE was found to be 4.7 years in favor of females, whereas the gap between male-female HLE was found to be 5.8 years in favor of males. Females spent a relatively long time in poor health status than males (20.8 years versus 10.8 years) and the proportion of life spent in poor health was greater for females than males (35.0% vs. 19.3%). This revealed the paradox of less mortality but higher morbidity among women, supporting the “Failure of Success” hypothesis. Conclusion: Appropriate health policy and strategy need to be taken to reduce the gender gap in LE and HLE in Oman.


2005 ◽  
Vol 21 (suppl 1) ◽  
pp. S7-S18 ◽  
Author(s):  
Dalia Elena Romero ◽  
Iúri da Costa Leite ◽  
Célia Landmann Szwarcwald

The objective of this study is to present the method proposed by Sullivan and to estimate the healthy life expectancy using different measures of state of health, based on information from the World Health Survey carried out in Brazil in 2003. By combining information on mortality and morbidity into a unique indicator, simple to calculate and easy to interpret, the Sullivan method is currently the one most commonly used for estimating healthy life expectancy. The results show higher number of healthy years lost if there is a long-term disease or disability that limits daily activities, regardless of the difficulty in performing such activities or the severity of the functional limitations. The two measures of healthy life expectancy adjusted by the severity of functional limitation show results very similar to estimates based on the perception of state of health, especially in advanced age. It was also observed, for all measures used, that the proportion of healthy years lost increases significantly with age and that, although females have higher life expectancy than males, they live proportionally less years in good health.



2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Deborah Calhoun-Parker

Abstract Objectives The World Health Organization (W.H.O.) projects by 2020 chronic disease will account for 73% of deaths worldwide (W.H.O., 2010). In the United States (U.S.) minorities are high risk for chronic diseases. U.S. census projects by 2050 American minorities as the majority (Census, 2000). Purposes of pilot study 1) identify individual knowledge of chronic diseases; 2) when known (time frame); and 3) knowledge implemented to improve health. Important because if projections are correct health of the majority of people worldwide and U.S. society in particular, (Americas’ minority/majority) forecast as: poor health with short healthy life expectancy. Leading chronic diseases causing mortality in America: heart disease, cancer and lower respiratory diseases (Center for Disease Control, 2016). Hispanics are 16% of U.S. population. Leading cause of mortality: cancer. African Americans are 13.6% of U.S. population. Leading cause of mortality: heart disease. Societal challenge: mitigating health issues of a minority/majority. Methods A convenience sample adults (N = 15) utilized; most minorities. They completed 32 item questionnaire. Some items were Likert scale 5 strongly agree and 1 strongly disagree. Results Ninety-nine % have family member(s) with health challenges. More than 50% indicate being, “Healthy”. Half indicate being overweight. The majority response to frequency questions: 2–3 weekly. Example, most consume 9 servings of fruits/vegetables (F/V) 2–3 weekly. USDA recommend 9 servings of F/V daily. Time frame questions: ‘when known’. Example, half indicate meat and dairy as a diet necessity. When known, majority indicate over a year ago. Meat/dairy linked with chronic diseases. Majority misidentifies nutrient dense foods. Example, majority indicate white potatoes and iceberg lettuce as nutrient dense. Nutrient dense foods mitigate chronic diseases. Response to Likert type scale items, example, “I work hard to improve my dietary lifestyle”, most indicate ‘agree’. Conclusions Current nutritional information limited. Outdated nutritional information implemented. Nutrient dense diet lacking. The trajectory forecast of a minority/majority with poor health and short healthy life expectancy is on target. Funding Sources N/A.



2021 ◽  
Author(s):  
YIANNIS DIMOTIKALIS ◽  
Christos H Skiadas

The Healthy Life Expectancy (HLE) in Brazil 2003 was estimated by Romero et al (2005) by using the Sullivan method and data from the World Health Survey carried out in Brazil in 2003. Here we use a Direct method to estimate the Healthy Life Years Lost (HLYL) and then the HLE. This is done after the analytic derivation of a more general model of survival-mortality and the estimation of a parameter bx related to the HLYL is followed by the formulation of a computer program providing results similar to those of the World Health Organization for the Healthy Life Expectancy (HALE) and the corresponding HLYL estimates. This program is an extension of classical life table including more columns to estimate the cumulative mortality, the average mortality, the person life years lost, and finally the HLYL parameter bx. Even more, a further extension of the Excel program based on the Sullivan method provides estimates of the Healthy Life Expectancy at every year of the lifespan.



2020 ◽  
Vol 15 (5) ◽  
pp. 35-55
Author(s):  
N.P. STARYKH ◽  
◽  
A.V. EGOROVA ◽  

The purpose of the article is to analyze the current state of healthcare in Russia. Scientific novelty of the study: the authors suggest that the efficiency of the health care system depends on the state of such indicators of public health as life expectancy and healthy life expectancy. Life expectancy is an integrated demographic indicator that characterizes the number of years that a person would live on average, provided that the age-specific mortality rate of a generation would be at the level for which the indicator was calculated throughout life. The indicator ‘healthy life expectancy’ is formed by subtracting the number of years of unhealthy life (due to chronic diseases, disabilities, mental and behavioral disorders, etc.) from the life expectancy indicator. Results: the article presents an analysis of the current state of Russian healthcare based on statistical data provided by the Federal State Statistics Service, the World Health Organization, and world rankings. Attention is focused on the perceptions of Russians about the quality of medical services and Russian healthcare. Conclusions about the current state of health care in Russia are formulated by the authors, based on a secondary analysis of statistical data, as well as data from sociological research presented by leading Russian sociological centers.





2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Rumi Tsukinoki ◽  
Takehito Hayakawa ◽  
Aya Kadota ◽  
Yoshitaka Murakami ◽  
Katsuyuki Miura ◽  
...  

Abstract Background Healthy life expectancy (HLE) is an important measure of an ageing society. We estimated HLE based on combinations of smoking, blood pressure (BP), and body mass index (BMI) in the Japanese population using a multistate life table. Methods A nationwide cohort study of Japan was performed using NIPPON DATA90 (N = 6,676) with the Katz Activities of Daily Living Index as the HLE endpoint. Combinations of smoking (non-smokers and smokers), BP (2018 ESC/ESH Guidelines classification), and BMI (underweight, normal, and overweight) were developed, and the group-specific HLEs were calculated using a multistate life table. Results At age 65, smokers had shorter HLE than non-smokers for all BMI and BP groups. The HLE of men who were overweight, hypertensive (Grade 2 or 3), and smokers was 14.05 years (95% confidence interval: 15.77-21.36); in contrast, the HLE of men who were normal weight, normotensive, and non-smokers was 19.04 years (16.46-21.61). Among all BMI and smoking status groups, HLE decreased linearly as BP increased regardless of sex. The HLE distribution showed a slight inverted U-shape as BMI increased in both sexes. Conclusions This study showed that HLE at age 65 was considerably shorter in smokers and individuals with higher BP. Furthermore, both underweight and overweight had modest effects on HLE at age 65. Key messages HLE was considerably shorter in smokers and individuals with higher BP. In addition, both underweight and overweight had modest effects on HLE.



Author(s):  
Adora D. Holstein

This study applies multivariate regression analysis to cross-section data of 30 OECD countries to determine if there is a trade-off between health care cost and the quality of the health system on one hand, and better health outcomes on the other. It also investigates whether a higher quality health system leads to superior health outcomes. The empirical results provide positive answers to the above two questions. Indices of responsiveness, fairness or accessibility, and overall efficiency of the health system developed by the World Health Organization were used in this study to measure health system quality. The rate of infant mortality and a disability-free or healthy life expectancy measure developed by the WHO are used as indicators of health outcomes. The empirical models control for the effects of cross-country differences in literacy level and health-risk or lifestyle. The study finds evidence that the more responsive and accessible the countrys health system is, the longer is the healthy life expectancy of its people. Moreover, the more accessible and efficient the countrys health system is, the lower is the rate of infant mortality.



Sign in / Sign up

Export Citation Format

Share Document