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Key Social Determinants to Narrow the Gap between health-adjusted life expectancy and life expectancy in Megacities

Biomedical and Environmental Sciences 2022年第9期35卷 773-781页

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 Department of Medical Statistics School of Public HealthSun Yat-sen UniversityGuangzhou 510080GuangdongChina Department of Chronic Non-communicable Disease Control and Prevention Guangzhou Center for Disease Control and PreventionGuangzhou 510440GuangdongChina Institute for Infectious Disease Control and Prevention Guangdong Provincial Center for Disease Control and PreventionGuangzhou 511430GuangdongChina Peking University Center for Public health and Epidemic Preparedness&Response Peking UniversityBeijing 100191China Sun Yat-sen Global health Institute Sun Yat-sen UniversityGuangzhou 510080GuangdongChina Center for health Information Research Sun Yat-sen UniversityGuangzhou 510080GuangdongChina

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.

关键词： Generalized principal component analysis health-adjusted life expectancy Megacities Quality of life Social determinants Temporal trend Urban expansion

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