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APHA Scientific Session and Event Listing |
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APHA Scientific Session and Event Listing |
Yoshiharu Fukuda, Department of Epidemiology, National Institute of Public Health, 2-3-6 Minami, Wako, Saitama, Japan, +81-48-458-6115, fukuday@niph.go.jp
This study aimed to estimate long-term care free life expectancy at 65 years (LTCF-LE65) at the prefectural and municipal levels in Japan, and to examine its relation to area socio-demographic conditions. LTCF-LE65 of all prefecture (N=47) and municipalities (N=3300) across Japan in 2000 was estimated with life table (life expectancy at 65 years) and the prevalence of those certificated as needing nursing care, using the database of the Long-term Care Insurance. The relation between LTCF-LE65 and area socio-demographic indicators was examined using correlation coefficients. The prefecture-level LTCF-LE65 (years) ranged from 15.04 to 17.03 for men and 18.84 to 20.41 for women, and the municipality-level LTCF-LE65 ranged from 13.13 to 17.39 for men and 14.84 to 20.53 for women. LTCF-LE65 was significantly positively correlated with the proportion of elderly and per capita income, and negatively correlated with the percentage of households of a single elderly person, divorce rate, and unemployment rate. A decrease in healthy longevity of older people was associated with a higher percentage of households of a single elderly person and divorce rate, and lower socioeconomic conditions. This study showed the large variation of LTCF-LE65 among prefectures and municipalities in Japan. The results suggest that older people in socioeconomically disadvantage conditions are likely to decrease their healthy life expectancy.
Learning Objectives: The participants in this session will be able to identify
Keywords: Long-Term Care, Health Indices
Presenting author's disclosure statement:
Not Answered
The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA