Key Social Determinants to Narrow the Gap between Health-adjusted Life Expectancy and Life Expectancy in Megacities

作     者：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 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 StatisticsSchool of Public HealthSun Yat-sen UniversityGuangzhou 510080GuangdongChina Department of Chronic Non-communicable Disease Control and PreventionGuangzhou Center for Disease Control and PreventionGuangzhou 510440GuangdongChina Institute for Infectious Disease Control and PreventionGuangdong Provincial Center for Disease Control and PreventionGuangzhou 511430GuangdongChina Peking University Center for Public Health and Epidemic Preparedness&ResponsePeking UniversityBeijing 100191China Sun Yat-sen Global Health InstituteSun Yat-sen UniversityGuangzhou 510080GuangdongChina Center for Health Information ResearchSun Yat-sen UniversityGuangzhou 510080GuangdongChina 

出 版 物：《Biomedical and Environmental Sciences》 (生物医学与环境科学（英文版）)

年 卷 期：2022年第35卷第9期

页      面：773-781页

核心收录：

学科分类：0830[工学-环境科学与工程（可授工学、理学、农学学位）] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：supported by the Guangdong Basic and Applied Basic Research Foundation[grant 2020A1515011294,2020A1515110230,and 2021A1515011765] the China Postdoctoral Science Foundation[grant 2021M693594] the Guangzhou Municipal Health Commission[grant No.2021-2023-12,No.20201A011054] Guangzhou Municipal Science and Technology Bureau[grant 2021BRP004] 

主　　题：Generalized principal component analysis Health-adjusted life expectancy Megacities Quality of life Social determinants Temporal trend Urban expansion 

摘      要：Objective Improvement in the quality of life is reflected in the narrowing of the gap between healthadjusted life expectancy(HALE)and life expectancy(LE).The effect of megacity expansion on narrowing the gap is rarely *** study aimed to disclose this potential *** Annual life tables were constructed from identified death records and population counts from multiple administrative sources in Guangzhou,China,from 2010 to *** regression was used to evaluate the temporal *** principal component analysis and multilevel models were applied to examine the county-level association between the gap and social *** Although LE and HALE in megacities are increasing steadily,their gap is *** and health services are guaranteed to narrow this *** personal wealth,a growing number of newborns and healthy immigrants,high urbanization,and healthy aging have helped in narrowing this *** In megacities,parallel LE and HALE growth should be highly considered to narrow their *** social determinants need to be integrated as a whole to formulate public health plans.