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Inequality in disab...
Inequality in disability-free life expectancies among older men and women in six countries with developing economies.
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- Santosa, Ailiana (author)
- Umeå universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Enheten för demografi och åldrandeforskning (CEDAR),Epidemiologi och global hälsa
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- Schröders, Julia, 1985- (author)
- Umeå universitet,Epidemiologi och global hälsa
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- Vaezghasemi, Masoud, 1978- (author)
- Umeå universitet,Epidemiologi och global hälsa,Umeå centrum för genusstudier (UCGS)
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- Ng, Nawi, 1974 (author)
- Umeå universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Epidemiologi och global hälsa,Enheten för demografi och åldrandeforskning (CEDAR)
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(creator_code:org_t)
- 2016-03-18
- 2016
- English.
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In: Journal of epidemiology and community health. - : BMJ. - 1470-2738 .- 0143-005X. ; 70:9, s. 855-61
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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Abstract
Subject headings
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- It is unclear whether the increase in life expectancy (LE) globally is coupled with a postponement of morbidity and disability. Evidence on trends and determinants of disability-free life expectancies (DFLEs) are available in high-income countries but less in low and middle-income countries (LMICs). This study examines the levels of and inequalities in LE, disability and DFLE between men and women across different age groups aged 50 years and over in six countries with developing economies.This study utilised the cross-sectional data (n=32724) from the WHO Study on global AGEing and adult health (SAGE) in China, Ghana, India, Mexico, the Russian Federation and South Africa in 2007-2010. Disability was measured with the activity of daily living (ADL) instrument. The DFLE was estimated using the Sullivan method based on the standard period life table and ADL-disability proportions.The disability prevalence ranged from 13% in China to 54% in India. The prevalence of disability was highest and occurred at younger age in both sexes in India. Women were more disadvantaged with higher prevalence of disability across all age groups, and the situation was worst among older women in Mexico and the Russian Federation. Though women had higher LE, their proportion of remaining LE free from disability was lower than men.There are inequalities in the levels of disability and DFLE among men and women in different age groups among people aged over 50 years in these six countries. Countermeasures to decrease intercountry and gender gaps in DFLE, including improvements in health promotion and healthcare distribution, with a gender equity focus, are needed.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Adult
- Aged
- Aged
- 80 and over
- China
- Cross-Sectional Studies
- Developing Countries
- Disabled Persons
- Female
- Ghana
- Health Status Disparities
- Humans
- India
- Life Expectancy
- Male
- Mexico
- Middle Aged
- Morbidity
- Russia
- Socioeconomic Factors
- South Africa
- Health expectancy
Publication and Content Type
- ref (subject category)
- art (subject category)
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