Urban-rural differences in disability-free life expectancy in Bangladesh using the 2010 HIES data.

Urban-rural differences in disability-free life expectancy in Bangladesh using the 2010 HIES data.
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DOI:
10.1371/journal.pone.0179987
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发表时间:
2017
期刊:
影响因子:
3.7
通讯作者:
Begum S
Begum S
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Islam MS;Tareque MI;Mondal MNI;Fazle Rabbi AM;Khan HTA;Begum S

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孟加拉国已经开展了关于健康预期的研究,但没有一项研究在孟加拉国过去几十年快速城市化的背景下审查城市和农村之间无残疾预期寿命的差异。本研究的目的是估计生活在孟加拉国城市和农村地区的所有年龄段的人的DFLE,并检查这两个地区之间的DFLE的差异。本研究使用了2010年人口动态登记系统样本和2010年孟加拉国家庭收入和支出调查的数据。Sullivan方法用于估计孟加拉国的DFLE。农村地区的死亡率和残疾率高于城市地区,几乎没有例外。从出生到15岁,城市和农村地区男女的家庭生活质量存在统计学显著差异。与农村男性相比,城市男性的预期寿命更长,DFLE更长,残疾人的预期寿命更短。20岁以上的农村女性比城市女性有更长的LE,但城市女性有更长的DFLE和更短的LE与残疾的人数和比例在所有年龄段比农村女性。这项研究表明,孟加拉国农村和城市地区之间在生活水平、家庭生活水平和残疾生活水平方面存在明显的不平等,沿着的还有年龄差异。这些发现可以作为有用的基准干预和政策的影响,以减少健康结果的差距。
Research on health expectancy has been carried out in Bangladesh but none of it has examined the differences in Disability-Free Life Expectancy (DFLE) between urban and rural setting in context of rapid urbanization of Bangladesh in past decades. The present study aims to estimate DFLE for people of all ages living in urban and rural areas in Bangladesh, and to examine the differences in DFLE between these two areas. Data from the Sample Vital Registration System 2010 and the Bangladesh Household Income and Expenditure Survey (HIES) 2010 were used in this study. The Sullivan method was applied to estimate DFLE in Bangladesh. Higher rates of mortality and disability were observed in rural areas compared to urban areas with few exceptions. Statistically significant differences in DFLE were revealed from birth to age 15 years for both sexes between urban and rural areas. Urban males had a longer life expectancy (LE), longer DFLE and shorter LE with disability both in number and proportion when compared to rural males. Rural females at age 20+ years had a longer LE than urban females but urban females had a longer DFLE and a shorter LE with disability in both number and proportion at all ages than did rural females. This study demonstrates that there were clear inequalities in LE, DFLE and LE with disability between rural and urban areas of Bangladesh along with age-specific differences as well. These findings may serve as useful and benchmark for intervention and policy implications for reducing the gap in health outcomes.
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