ArticleInternational journal of public health2019
A comparison of health expectancies over 10 years: implications for elderly service needs in Hong Kong.
Article in International journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 27 citations in OpenAlex.
- A spatiotemporal analysis of administrative emergency hospitalization data (2012-2021) to assess outreach service adequacy to elderly residential care homes in Hong Kong.BMC health services research · 2026Article
- mHealth as a Key Component of a New Model of Primary Care for Older Adults.JMIR formative research · 2025Article
- Non-Communicable Diseases, Longevity, and Health Span: A Hong Kong Perspective.International journal of environmental research and public health · 2025Article
- Balancing the Demands of Older People and Care Services of Healthy Aging: Assessment and Positioning of Care Facilities.International journal of public health · 2025Article
- Secular trends of life expectancy and disability-free life expectancy at age 65 and associated gender and area-level socioeconomic inequalities in Hong Kong: a serial cross-sectional study between 2007 and 2020.The Lancet regional health. Western Pacific · 2023Article
- Healthy Ageing Should Be a Key Component of Ageing in Place: Case Study from Hong Kong.International journal of environmental research and public health · 2023Article
- Evolutionary game and stability analysis of elderly care service quality supervision from the perspective of government governance.Frontiers in public health · 2023Article
- Mitigating inequalities in community care needs of older adults with dementia: a qualitative case study of an integrated model of community care operated under the proportionate universalism principle.BMC primary care · 2022Article
- Trends over two decades in life expectancy with complex health problems among older Swedes: implications for the provision of integrated health care and social care.BMC public health · 2022Article
- Factors Affecting Trends in Societal Indicators of Ageing Well in Hong Kong: Policies, Politics and Pandemics.The journal of nutrition, health & aging · 2021Article
- A research agenda for ageing in China in the 21st century (2nd edition): Focusing on basic and translational research, long-term care, policy and social networks.Ageing research reviews · 2020Review
- Does the Abbreviated Mental Test Accurately Predict Cognitive Impairment in Thai Older Adults? A Retrospective Study.Pacific Rim international journal of nursing researchArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to estimate health expectancies at age 65 based on physical and cognitive function in 2001-2002 and 2011-2012 and project future needs for carers from 2021 to 2041.
methodsData from the Elderly Health Centres (EHCs) of the Department of Health of the Government of Hong Kong comprising of people aged 65 years or older who enrolled between 2001 and 2002 (EHC 2001-2002) and between 2011 and 2012 (EHC 2011-2012) provided proportion estimates for physical impairment (assessed by independence in activities of daily living) and cognitive impairment (assessed by Abbreviated Mental Test/Mini-Mental Status Examination and self-reported doctor diagnosis of dementia). Health expectancies (years lived with/without physical and/or cognitive impairment) were calculated by Sullivan's method. The proportions of physical and/or cognitive impairment were used to project future needs for carers.
resultsBetween 2001-2002 and 2011-2012, years lived without physical/cognitive impairment decreased for men but increased for women, both of which were less than the increases in total life expectancy. Men assessed in 2011-2012 (classified as EHC 2011-2012) lived more years with physical and/or cognitive impairment than those assessed in 2001-2002 (classified as EHC 2001-2002), and women in EHC 2011-2012 lived more years with physical impairment, but fewer years with cognitive impairment than those in EHC 2001-2002, and women enrolled in EHC 2011-2012 lived more years with physical impairment, but fewer years with cognitive impairment than those in EHC 2001-2002. As populations age, the number of carers needed is expected to increase from 344,000 in 2021 to 629,000 by 2041, or an increase of 82.9%. Sensitivity analyses excluding the participants who had been assessed in 2011-2012 from EHC 2001-2002 gave similar estimations.
conclusionsIncreased life expectancy was not accompanied by an increase in years lived without physical/cognitive impairment. These findings suggest that people will live longer but could be more dependent, which would have considerable implications for elderly service needs in Hong Kong.
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