Gender Differentials in Disability and Mortality Transitions: The Case of Older Adults in Japan
Gender Differentials in Disability and Mortality Transitions: The Case of Older Adults in Japan
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DOI：
10.1177/0898264311408417
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发表时间：
2011-12-01
影响因子：
2.8
通讯作者：
Saito, Yasuhiko
中科院分区：
文献类型：
--
作者：
Chan, Angelique;Zimmer, Zachary;Saito, Yasuhiko
目的：本研究有两个目的：(a)研究日本老年人残疾过渡和积极预期寿命方面的性别差异；(b)确定这些性别差异是否因年龄、社会经济特征和疾病概况而异。方法：活动状态和非活动状态定义为使用日常生活活动的有残疾和无残疾状态。通过构建多状态生命表来检查预期寿命年数和活动寿命，该生命表采用从危害模型中导出的健康和死亡率转变的概率。结果：结果表明，日本老年女性的寿命比老年男性更长，而且在这些额外的时间里，有残疾和没有残疾的比例都很高。讨论：讨论强调了预计个人，特别是妇女，需要长期护理的年数将会增加。政策影响包括需要加强日本的长期护理服务。
Objective: This study has two aims: (a) to examine gender differentials in disability transitions and active life expectancies among older adults in Japan and (b) to determine whether these gender differentials vary by age, socioeconomic characteristics, and disease profile. Method: Active and inactive states are defined as living with and without disabilities using activities of daily living. Expected years of life and active life are examined by constructing multistate life-tables, which employ probabilities of health and mortality transitions derived from hazard models. Results: Results indicate that older women in Japan live longer than older men and spend a proportion of these extra years with and without disability. Discussion: The discussion highlights a projected increase in the number of years that individuals, in particular women, will need long-term care. Policy implications include the need to bolster long-term care services in Japan.