Geographical socioeconomic inequalities in healthy life expectancy in Japan, 2010-2014: An ecological study.

ABSTRACT:

Background

Area differences in life expectancy (LE) and healthy life expectancy (HLE) in large geographical units have been monitored around the world. Area characteristics may be based on culture, history, socioeconomic status and discrimination in smaller geographical units, so it is important to consider these when looking at health inequality. We aimed to evaluate LE, HLE, and non-healthy life expectancy (NHLE) in 1707 municipalities using Areal Deprivation Index (ADI) in Japan for the first time.

Methods

We calculated the observed LE, HLE, and NHLE using death, population, and Long-term care insurance data for 2010-2014 and applied the variance weighted least squares model to estimate LE, HLE, and NHLE by 100 percentiles using the standardized ADI.

Findings

The e

SUBMITTER: Kataoka A 

PROVIDER: S-EPMC8355904 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature