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Relationships between the Active Aging Index and Disability-Free Life Expectancy: A Case Study in the Rajshahi District of Bangladesh*

Published online by Cambridge University Press:  12 November 2013

Md. Ismail Tareque ,
Nazrul Hoque ,
Towfiqua Mahfuza Islam ,
Kazuo Kawahara  and
Makiko Sugawa
Md. Ismail Tareque*
Affiliation:
Dept. of Health Care Management and Planning, Tokyo Medical and Dental University Dept. of Population Science and Human Resource Development, University of Rajshahi, Bangladesh
Nazrul Hoque
Affiliation:
Dept. of Demography and Institute for Demographic and Socioeconomic Research, University of Texas
Towfiqua Mahfuza Islam
Affiliation:
Dept. of Health Care Management and Planning, Tokyo Medical and Dental University
Kazuo Kawahara
Affiliation:
Dept. of Health Care Management and Planning, Tokyo Medical and Dental University
Makiko Sugawa
Affiliation:
Dept. of Health Care Management and Planning, Tokyo Medical and Dental University
*
†Correspondence and requests for reprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Md. Ismail Tareque, M.Sc. Department of Health Care Management and Planning Graduate School of Medical and Dental Science Tokyo Medical and Dental University 1-5-45 Yushima, Bunkyo-ku Tokyo 113-8519, Japan ([email protected])
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Abstract

Life expectancy has increased considerably throughout the world. In Bangladesh, life expectancy has increased from about 53 years in 1975 to 69 years in 2010. However, it is unknown whether the increase in life expectancy is simultaneously accompanied by an increase in disability-free life expectancy (DFLE). The purpose of the study described in this article was to explore the relationship between life expectancy and DFLE in the Rajshahi District of Bangladesh by examining the relationships between the Active Aging Index (AAI) and DFLE. The study findings suggest that urban, more-educated, elderly males are more active in all aspects of life and have longer DFLE. Females are found to outlive males but are more likely to live a greater part of their remaining life with disability. Positive correlations between the AAI and DFLE suggest that older adults could enjoy more DFLE by involving themselves in active aging activities.

Résumé

L’espérance de vie a considérablement augmenté dans le monde entier. Au Bangladesh, l’espérance de vie a augmenté d’environ 53 ans en 1975 à 69 ans en 2010. Cependant, on ne sait pas si l’augmentation de l’espérance de vie s’accompagne d’une augmentation simultanée d’espérance de vie sans incapacité (EVSI). Le but de l’étude décrite dans cet article était d’examiner la relation entre l’espérance de vie et l’EVSI dans le quartier de Rajshahi au Bangladesh, en examinant les relations entre l’indice de vieillissement actif (IVA) et EVSI. Les résultats de l’étude indiquent que les hommes âgés, urbains et plus cultivés sont plus actifs dans tous les aspects de la vie et avoir plus EVSI. On trouve que les femmes survivent les hommes, mais sont plus susceptibles de vivre une grande partie de leur vie restante avec un handicap. Des correlations positives entre l’IVA et EVSI indiquent que les personnes âgées pourraient bénéficier plus d’EVSI en s’impliquant dans les activités d’un vieillissement actif.

Keywords

agingactive aging indexBangladeshdisability-free life expectancyvieillissmentvieillissementindice de vieillissement actifBangladeshespérance de vie sans incapacité
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 32 , Issue 4 , December 2013 , pp. 417 - 432
Copyright
Copyright © Canadian Association on Gerontology 2013 

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Footnotes

*

Data for this study came from the funded promotional project no. SSRC/74/2000/(PART-5)/137 of the Social Science Research Council in the planning division of the Ministry of Planning, Government of Bangladesh. An earlier version of this article was presented at the Population Association of America (PAA) 2012 Annual Meeting in San Francisco, Calif., US. Thanks are due to the participants of PAA 2012, especially Yasuhiko Saito, Nihon University, Japan, for critical comments on the earlier version. We also thank the reviewers for their insightful and valuable comments that helped improve the manuscript. Finally, we are grateful to the interviewees and the field investigators without whom the study would have been impossible.

References

Active Aging Taskforce. (2003). Active aging taskforce: Report and recommendations. Government of Western Australia, Perth, Australia: Minister for Community Development.Google Scholar
Bailis, D. S., Segall, A., & Chipperfield, J. G. (2003). Two views of self-rated general health status. Social Science & Medicine, 56(2), 203–217.Google Scholar
Barford, A., Dorling, D., Smith, G. D., & Shaw, M. (2006). Life expectancy: Women now on top everywhere. British Medical Journal, 332, 808.Google Scholar
Boyle, J. S., & Counts, M. M. (1988). Toward healthy aging: A theory for community health nursing. Public Health Nursing, 5(1), 45–51.Google Scholar
Brønnum-Hansen, H., Andersen, O., Kjøller, M., & Rasmussen, N. K. (2004). Social gradient in life expectancy and health expectancy in Denmark. Sozial- und Präventivmedizin, 49(1), 36–41.Google Scholar
Buchner, D. M. (1997). Physical activity and quality of life in older adults. Journal of the American Medical Association, 277(1), 64–66.CrossRefGoogle ScholarPubMed
Cain, M. (1986). The consequences of reproductive failure: Dependence, mobility, and mortality among the elderly of rural south Asia. Population Studies, 40(3), 375–388.Google Scholar
Chen, M. Y., Chang, H. C., & Li, M. Y. (2002). Health promotion behaviors among women with high risk breast cancer: From the self-care perspective. Journal of Health Science, 4, 63–74.Google Scholar
Crimmins, E. M., Hayward, M. D., & Saito, Y. (1996). Differentials in active life expectancy in the older population of the United States. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 51(3), S111–S120.Google Scholar
Crimmins, E. M., & Saito, Y. (2001). Trends in healthy life expectancy in the United States, 1970–1990: Gender, racial, and educational differences. Social Science & Medicine, 52(11), 1629–1641.Google Scholar
Crimmins, E. M., Reynolds, S. L., & Saito, Y. (1999). Trends in health and ability to work among the older working-age population. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 54(1), S31–S40.CrossRefGoogle ScholarPubMed
Cruz, G. T., Saito, Y., & Natividad, J. N. (2007). Active life expectancy and functional health transition among Filipino older people. Canadian Studies in Population, 34(1), 29–47.CrossRefGoogle Scholar
Cyarto, E. V., Moorhead, G. E., & Brown, W. J. (2004). Updating the evidence relating to physical activity intervention studies in older people. Journal of Science and Medicine in Sport, 7(1 Suppl), 30–38.CrossRefGoogle ScholarPubMed
Goldman, N., Glei, D. A., & Chang, M. C. (2004). The role of clinical risk factors in understanding self-rated health. Annals of Epidemiology, 14(1), 49–57.Google Scholar
HAI (HelpAge International). (2006). Social pensions in Bangladesh. Retrieved 7 November 2009 fromhttp://www.helpage.org/Researchandpolicy/PensionWatch/Bangladesh.Google Scholar
Haque, M. M., Tareque, M. I., & Mostofa, M. G. (2010). Women empowerment and its impact on fertility in Bangladesh. Demography India, 39(1), 21–34.Google Scholar
Hassan, M. (2007). Country Statement of Bangladesh. In High-Level Meeting on the Regional Review of the Madrid International Plan of Action on Aging (MIPAA), Macao, China, 9–11 October 2007. Economic and Social Commission for Asia and the Pacific, United Nations. Retrieved 3 November 2009 fromhttp://www.unescap.org/esid/psis/meetings/AgingMipaa2007/Bangladesh.pdf.Google Scholar
Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21–37.CrossRefGoogle ScholarPubMed
Idler, E. L., Hudson, S. V., & Leventhal, H. (1999). The meanings of self-ratings of health: A qualitative and quantitative approach. Research on Aging, 21(3), 458–476.CrossRefGoogle Scholar
Jagger, C., Cox, B., Le Roy, S., & European Health Expectancy Monitoring Unit (EHEMU). (2006). Health expectancy calculation by the Sullivan method. Retrieved 1 September 2010 fromhttp://www.ehemu.eu/.Google Scholar
Jagger, C., Gillies, C., Moscone, F., Cambois, E., Oyen, H. V., Nusselder, W., et al. (2008). Inequalities in healthy life years in the 25 countries of the European Union in 2005: A cross-national meta-regression analysis. The Lancet, 372(9656), 2124–2131.CrossRefGoogle ScholarPubMed
Jylhä, M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science & Medicine, 69(3), 307–316.Google Scholar
Liu, X., Liang, J., Muramatsu, N., & Sugisawa, H. (1995). Transitions in functional status and active life expectancy among older people in Japan. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 50(6), S383–S394.CrossRefGoogle ScholarPubMed
Mantzavinis, G. D., Trikalinos, T. A., Dimoliatis, I. D., & Ioannidis, J. P. (2006). Self-reported health in high and very high incomes. Quality of Life Research, 15(3), 547–558.CrossRefGoogle ScholarPubMed
Mathers, C. D., McCallum, J., & Robine, J. M. (Eds). (1994). Advances in health expectancies: Proceedings of the 7th Meeting of the International Network on Health Expectancy (REVES). Canberra, Australia: Australian Institute of Health and Wellness.Google Scholar
Mathers, C. D., Murray, C. J. L., Lopez, A. D., Salomon, J. A., Sadana, R., Tandon, A., et al. (2001). Estimates of healthy life expectancy for 191 countries in the year 2000: Methods and results. Global Programme on Evidence for Health Policy, Discussion paper no. 38, Geneva, Switzerland: World Health Organization.Google Scholar
McCulloch, R. G. (1996). Bone measurement, physical activity and the aging skeleton. Canadian Journal on Aging, 15(1), 54–64.CrossRefGoogle Scholar
McGahan, P. L., Griffith, J. A., Parente, R., & McLellan, A. T. (1986). Addiction severity index: Composite score manual. Philadelphia, PA: University of Pennsylvania/Veterans Administration Center for Studies of Addiction.Google Scholar
McLaughlin, J., & Zeeberg, I. (1993). Self-care and multiple sclerosis: A view from two cultures. Social Science & Medicine, 37(3), 315–329.Google Scholar
Palloni, A., & McEniry, M. (2007). Aging and health status of elderly in Latin America and the Caribbean: Preliminary findings. Journal of Cross-Cultural Gerontology, 22(3), 263–285.Google Scholar
Preston, S. H., & Bennett, N. G. (1983). A census based method for estimating adult mortality. Population Studies, 37(1), 91–104.Google Scholar
Rahman, M. M., Tareque, M. I., Rahman, K. M. M., & Islam, T. M. (2007). Dimension of population aging in Bangladesh. Middle East Journal of Age and Aging, 4(5), 17–22.Google Scholar
Robine, J. M., & Ritchie, K. (1991). Healthy life expectancy: Evaluation of global indicator of change in population health. British Medical Journal, 302(6774), 457–460.CrossRefGoogle ScholarPubMed
Robine, J. M., Mathers, C. D., Bone, M. R., & Romieu, I. (Eds). (1993). Calculation of health expectancies: Harmonization, consensus achieved and future perspectives, vol. 226. Paris, France: Colloque INSERM/John Libbey Eurotext.Google Scholar
Rogers, A., Rogers, R. G., & Belanger, A. (1990). Longer life but worsening health? Measurement and dynamics. The Gerontologist, 30, 640–649.Google Scholar
Ruffing-Rahal, M. A. (1991). Rationale and design for health promotion with older adults. Public Health Nursing, 8(4), 258–263.CrossRefGoogle ScholarPubMed
Shooshtari, S., Menec, V., & Tate, R. (2007). Comparing predictors of positive and negative self-rated health between younger (25–54) and older (55+) Canadian adults: A longitudinal study of well-being. Research on Aging, 29(6), 512–554.CrossRefGoogle Scholar
Sullivan, D. F. (1971). A single index of mortality and morbidity. HSMHA Health Report, 86(4), 347–354.Google Scholar
Tareque, M. I. (2009). Socio-demographic status of the aged population and elderly abuse: A study on rural-urban differentials in Rajshahi District, Bangladesh. Dhaka, Bangladesh: Social Science Research Council (SSRC), Planning Division, Ministry of Planning, the Government of Bangladesh.Google Scholar
Thanakwang, K., & Soonthorndhada, K. (2006). Attributes of active aging among older persons in Thailand: Evidence from the 2002 survey. Asia-Pacific Population Journal, 21(3), 113–135.Google Scholar
United Nations (UN). (1983). Manual X: Indirect techniques for demographic estimation. New York: Author.Google Scholar
United Nations Development Programme (UNDP). (2006). Human development report 2006: Beyond scarcity: Power, poverty and the global water crisis. New York: Author.Google Scholar
UNESCO. (1992). The changing family in Asia: Bangladesh, India, Japan, Philippines, and Thailand. Social and Human Sciences in Asia and the Pacific. RUSHSAP Series on Monographs and Occasional Papers 35. Bangkok, Thailand: Author.Google Scholar
United Nations Population Division (UNPD). (2008a). World population and aging 1950-2050. Department of Economics and Social Affairs (DESA). Retrieved December 2008 fromhttp://www.un.org/esa/population/publications/worldaging19502050/.Google Scholar
United Nations Population Division. (2008b). World population prospects: The 2008 revised population database. UNPD. Retrieved September 2010 fromhttp://esa.un.org/unpd/wpp/unpp/panel_indicators.htm.Google Scholar
World Health Organization (WHO). (2002). Active aging, a policy framework. Non-communicable Disease Prevention and Health Promotion Aging and Life Course-A contribution of the World Health Organization to the Second United Nations World Assembly on Aging, Madrid, Spain, April 2002. Geneva: Author.Google Scholar
World Health Organization. (2010). Health system in Bangladesh. WHO, Bangladesh. Retrieved 29 October 2010 fromhttp://ban.searo.who.int/EN/Section25.htm.Google Scholar
Wong, R., & Palloni, A. (2009). Aging in Mexico and Latin America. In Uhlenberg, P. (Ed.), International handbook of population aging (Vol. 1, pp. 231–252). The Netherlands: Springer.Google Scholar
Yong, V., & Saito, Y. (2009). Trends in healthy life expectancy in Japan: 1986-2004. Demographic Research, 20, 467–494.Google Scholar
Yong, V., & Saito, Y. (2012). Are there education differentials in disability and mortality transitions and active life expectancy among Japanese older adults? Findings from a 10-year prospective cohort study. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 67(3), 343–353.CrossRefGoogle ScholarPubMed