An analysis of factors related to disability-free life expectancy at 65 years of age across Japanese prefectures in 2010.

Compared to the large volume of research focused on mortality differentials within Japan, relatively little is known about regional variations in health expectancy, particularly among older people. This article has two interrelated objectives. The first objective is to estimate prefecture-specific d...

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Publicado en:European Journal of Ageing Vol. 15; no. 1; pp. 15 - 23
Autores principales: Minagawa, Yuka, Saito, Yasuhiko
Formato: Artículo
Publicado: Springer Nature Mar2018
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Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        10.1007/s10433-017-0433-4
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        atl: An analysis of factors related to disability-free life expectancy at 65 years of age across Japanese prefectures in 2010.
      aug:
        au:
          Minagawa, Yuka
          Saito, Yasuhiko
        affil: Sophia University, Chiyodaku, Tokyo, Japan
      su:
        Japan
        Employment
        Health insurance
        Life expectancy
        People with disabilities
        Public welfare
        Socioeconomic factors
        Executives
        Factor analysis
      sug:
        subj:
          Employment
          Health insurance
          Life expectancy
          People with disabilities
          Public welfare
          Socioeconomic factors
          Japan
          Direct group life, health and medical insurance carriers
          Direct individual life, health and medical insurance carriers
          Health and Welfare Funds
          Other Individual and Family Services
          Emergency and Other Relief Services
          Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
          Executives
          Factor analysis
      keyword:
        Disability
        Disability-free life expectancy
        Mortality
        Disability
        Disability-free life expectancy
        Mortality
      ab: Compared to the large volume of research focused on mortality differentials within Japan, relatively little is known about regional variations in health expectancy, particularly among older people. This article has two interrelated objectives. The first objective is to estimate prefecture-specific disability-free life expectancy (DFLE) at 65 years of age in 2010. DFLE at 65 by gender and prefecture was computed using the Sullivan method, which was applied to prefecture-specific life tables and prevalence of disability from <italic>Kokumin Seikatsu Kiso Chosa</italic> (Comprehensive Survey of Living Conditions) of 2010. The second objective is to investigate macro-level factors associated with DFLE at 65 across 47 Japanese prefectures. Our results indicate regional disparities in DFLE at older ages. Importantly, we note close relationships between a prefecture’s wealth, labor, and welfare characteristics and DFLE at 65. Income per capita, the proportion of workers older than 65, and welfare expenditures are positively related to DFLE, whereas unemployment and long-term care insurance expenditures per-capita are inversely associated with DFLE for both genders. The proportion of older adults relying on public assistance is negatively related only to women’s DFLE. These results suggest that narrowing socioeconomic disparities may contribute to the health of Japanese elders. Reducing regional health disparities therefore requires policy makers to take into account the broader socioeconomic conditions of each prefecture.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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