Impact of access to childhood health services on healthy life expectancy of the older population.

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  • Author(s): Liu C;Liu C; Hou X; Hou X; Wang Q; Wang Q; Xu X; Xu X; Wu B; Wu B; Liu J; Liu J
  • Source:
    Frontiers in public health [Front Public Health] 2023 Sep 19; Vol. 11, pp. 1234880. Date of Electronic Publication: 2023 Sep 19 (Print Publication: 2023).
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: Lausanne : Frontiers Editorial Office
    • Subject Terms:
      Healthy Life Expectancy* ; Life Expectancy*; Female ; Humans ; Aged ; Longevity ; China/epidemiology ; Health Services
    • Abstract:
      Background: Life course theory provides new perspectives on the impact of early experiences on health in old age, where unfortunate childhood experiences can alter an individual's health trajectory. This study aims to calculate the healthy life expectancy of the older population in China under different childhood experiences, and to explore the influence of childhood medical and health services on the health level of older adults.
      Methods: Differences in healthy life expectancy of the older population under different childhood experiences were analyzed using the multi-state life table method to calculate the healthy life expectancy by sex and place of birth, based on the cohort data of Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2008 to 2018.
      Results: The probability of the transition risk from health to non-health gradually increased with age, while the probability of the transition risk from non-health to health decreased with age; In both urban and rural areas, on the probability of the transition risk from health to non-health, the older adults who were able to receive timely medical and health services in childhood were lower than those who failed to receive medical services in time ( Z = -5.833, P < 0.05), but the probability of the transition risk from non-health to health was the opposite ( Z = -5.334, P < 0.05); The probability of the transition risk from health to death is also higher in older adults who were unable to receive timely medical care in childhood ( Z = -5.88, P < 0.05); The healthy life expectancy and its proportion in the remaining life expectancy of older people who received medical and health services in time during childhood were significantly higher than those of their peers ( Z = -5.88, P < 0.05).
      Conclusions: The lack of medical services in childhood has a negative effect on the health of older adults. The healthy life expectancy and its proportion of remaining life expectancy were higher for rural older adults than for urban older adults under the same health care conditions in childhood; the health benefits of good access to health care environment or conditions in childhood were greater for rural older females.
      Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
      (Copyright © 2023 Liu, Hou, Wang, Xu, Wu and Liu.)
    • References:
      Demography. 2013 Apr;50(2):673-97. (PMID: 23104206)
      Soc Sci Med. 2012 Feb;74(4):625-36. (PMID: 22212443)
      Aust N Z J Public Health. 2003;27(1):5-11. (PMID: 14705260)
      Popul Stud (Camb). 2021 Nov;75(3):421-442. (PMID: 33904368)
      BMC Public Health. 2019 Sep 9;19(1):1238. (PMID: 31500600)
      Soc Sci Med. 2006 Nov;63(9):2367-80. (PMID: 16884840)
      Res Pract Thromb Haemost. 2018 Dec 12;3(1):6-8. (PMID: 30656268)
      Healthcare (Basel). 2021 Dec 24;10(1):. (PMID: 35052194)
      Bull World Health Organ. 1992;70(6):791-800. (PMID: 1486677)
      Soc Psychiatry Psychiatr Epidemiol. 2022 Jun;57(6):1147-1156. (PMID: 35103808)
      Proc Natl Acad Sci U S A. 2010 May 11;107(19):8507-12. (PMID: 20442329)
      Popul Stud (Camb). 2022 Mar;76(1):19-36. (PMID: 34110269)
      Front Public Health. 2021 Jul 05;9:690645. (PMID: 34291030)
      Ann Epidemiol. 2016 Apr;26(4):238-40. (PMID: 27084546)
      BMC Public Health. 2023 Apr 22;23(1):744. (PMID: 37087420)
    • Contributed Indexing:
      Keywords: health services; healthy life expectancy; life course theory; multi-state life table; probability of transition risk
    • Publication Date:
      Date Created: 20231006 Date Completed: 20231027 Latest Revision: 20231027
    • Publication Date:
      20231027
    • Accession Number:
      PMC10548462
    • Accession Number:
      10.3389/fpubh.2023.1234880
    • Accession Number:
      37799158