典型文献
Key Social Determinants to Narrow the Gap between Health-adjusted Life Expectancy and Life Expectancy in Megacities
文献摘要：
Objective Improvement in the quality of life is reflected in the narrowing of the gap between health- adjusted life expectancy (HALE) and life expectancy (LE). The effect of megacity expansion on narrowing the gap is rarely reported. This study aimed to disclose this potential relationship. Methods Annual life tables were constructed from identified death records and population counts from multiple administrative sources in Guangzhou, China, from 2010 to 2020. Joinpoint regression was used to evaluate the temporal trend. Generalized principal component analysis and multilevel models were applied to examine the county-level association between the gap and social determinants. Results Although LE and HALE in megacities are increasing steadily, their gap is widening. Socio-economic and health services are guaranteed to narrow this gap. Increasing personal wealth, a growing number of newborns and healthy immigrants, high urbanization, and healthy aging have helped in narrowing this gap. Conclusion In megacities, parallel LE and HALE growth should be highly considered to narrow their gap. Multiple social determinants need to be integrated as a whole to formulate public health plans.
文献关键词：
中图分类号：
作者姓名：
XI Jun Yan;CHEN Yuan Yuan;ZHANG Yu Qin;LUO Ao;DU Zhi Cheng;LIANG Bo Heng;DONG Hang;LIN Xiao;QIN Peng Zhe;HAO Yuan Tao
作者机构：
Department of Medical Statistics,School of Public Health,Sun Yat-sen University,Guangzhou 510080, Guangdong,China;Department of Chronic Non-communicable Disease Control and Prevention,Guangzhou Center for Disease Control and Prevention,Guangzhou 510440,Guangdong,China;Institute for Infectious Disease Control and Prevention,Guangdong Provincial Center for Disease Control and Prevention,Guangzhou 511430,Guangdong,China;Peking University Center for Public Health and Epidemic Preparedness&Response, Peking University,Beijing 100191,China;Sun Yat-sen Global Health Institute,Sun Yat-sen University, Guangzhou 510080,Guangdong,China;Center for Health Information Research,Sun Yat-sen University, Guangzhou 510080,Guangdong,China
文献出处：
引用格式：
[1]XI Jun Yan;CHEN Yuan Yuan;ZHANG Yu Qin;LUO Ao;DU Zhi Cheng;LIANG Bo Heng;DONG Hang;LIN Xiao;QIN Peng Zhe;HAO Yuan Tao-.Key Social Determinants to Narrow the Gap between Health-adjusted Life Expectancy and Life Expectancy in Megacities)[J].生物医学与环境科学（英文版）,2022(09):773-781
A类：
Megacities
B类：
Key,Social,Determinants,Narrow,Gap,between,Health,adjusted,Life,Expectancy,Objective,Improvement,quality,life,reflected,narrowing,gap,expectancy,HALE,effect,megacity,expansion,rarely,reported,This,study,aimed,disclose,this,potential,relationship,Methods,Annual,tables,were,constructed,from,identified,death,records,population,counts,multiple,administrative,sources,Guangzhou,China,Joinpoint,regression,was,used,evaluate,temporal,trend,Generalized,principal,component,analysis,multilevel,models,applied,examine,county,association,social,determinants,Results,Although,megacities,increasing,steadily,their,widening,Socio,economic,services,guaranteed,Increasing,personal,wealth,growing,number,newborns,healthy,immigrants,urbanization,aging,have,helped,Conclusion,parallel,growth,should,highly,considered,Multiple,need,integrated,whole,formulate,public,plans
AB值：
0.62321
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