Trends in healthy life expectancy in Hong Kong SAR 1996–2008 (original) (raw)
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Healthy life expectancy in Hong Kong Special Administrative Region of China
Bulletin of the World Health Organization, 2003
Sullivan's method and a regression model were used to calculate healthy life expectancy (HALE) for men and women in Hong Kong Special Administrative Region (Hong Kong SAR) of China. These methods need estimates of the prevalence and information on disability distributions of 109 diseases and HALE for 191 countries by age, sex and region of the world from the WHO's health assessment of 2000. The population of Hong Kong SAR has one of the highest healthy life expectancies in the world. Sullivan's method gives higher estimates than the classic linear regression method. Although Sullivan's method accurately calculates the influence of disease prevalence within small areas and regions, the regression method can approximate HALE for all economies for which information on life expectancy is available. This paper identifies some problems of the two methods and discusses the accuracy of estimates of HALE that rely on data from the WHO assessment.
A Decomposition of Life Expectancy and Life Disparity: Comparison Between Hong Kong and Japan
2021
Background: Life expectancy and life disparity are 2 useful indicators to assess the health condition of a society. Both Hong Kong and Japan have one of the longest life expectancies in the world. Recently, Hong Kong has overtaken Japan and topped the life expectancy rankings. However, whether Hong Kong has also outperformed Japan in life disparity is still unknown.Methods: Decomposition analyses have been conducted to evaluate age-specific contributions to the changes in life expectancy and life disparity for each of the populations. Furthermore, the differences between the 2 populations were examined over the period 1977-2016.Results: Reduction in mortality of the adult and the old age groups contributes most to the increase in life expectancy for the study period. Hong Kong has a higher life disparity than Japan, and due to the great improvement in reducing premature deaths, the Hong Kong-Japan gap has been narrowing. However, in recent years, further reduction in mortality of the oldest elderly in Hong Kong has actually contributed to the increase in its disparity, thus widening its gap with Japan again.Conclusion: Increasing dominant influence of “saving lives at late ages” is very likely to cause the reemergence of increasing life disparity in these 2 long-lived populations.
The Journals of Gerontology: Series B, 2021
Objectives Determinants of mortality may depend on the time and place where they are examined. China provides an important context in which to study the determinants of mortality at older ages because of its unique social, economic, and epidemiological circumstances. This study uses a nationally representative sample of persons in China to determine how socioeconomic characteristics, early-life conditions, biological and physical functioning, and disease burden predict 4-year mortality after age 60. Methods We used data from the China Health and Retirement Longitudinal Study. We employed a series of Cox proportional hazard models based on exact survival time to predict 4-year all-cause mortality between the 2011 baseline interview and the 2015 interview. Results We found that rural residence, poor physical functioning ability, uncontrolled hypertension, diabetes, cancer, a high level of systemic inflammation, and poor kidney functioning are strong predictors of mortality among older...
Strategies of Hong Kong's Healthcare System in Aging Population
2017
The aging population creates challenges for the healthcare system in Hong Kong. This paper examines the challenges facing and an acceptable delivery system amid Hong Kong’s rapidly ageing population. Challenges The elderly population is expected to increase to “one in four” in 2033. The elderly inpatient ratio is expected to be 62% in 2029. Aging people highly rely on the public healthcare service, resulting in long waiting queue in popular healthcare service. The healthcare system over-emphasizes curative care. Aging people seek primary care for cure rather than health maintenance. Even the government provides Elderly Health vouchers, only people aged 70 or above are eligible. Besides, only 16.1% claimed to use the subsidies in the preventive care. Strategies Healthcare policy should emphasise disease prevention and active aging. Primary care with multidisciplinary approach should be implemented to address the holistic care. Integrative Elderly Care Centre should be developed to li...