ArticleNature medicine2024
Determinants and inequities in healthy working life expectancy in China.
Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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Who cites it
10 citing papers in PubMed.
- Productivity loss associated with type 2 diabetes in China: the trend and projection from 1990 to 2050.Journal of global health · 2026Article
- Country- and individual-level factors associated with healthy working life expectancy: A multinational longitudinal study.PLoS medicine · 2026Article
- The Impact of Working Beyond Retirement on Cognitive Function Among the Retirement-Transition Population.Behavioral sciences (Basel, Switzerland) · 2026Article
- Trends in healthy working life expectancy and its difference by workload group among aged over 50 years: a longitudinal perspective.Scandinavian journal of work, environment & health · 2026Article
- Article
- Article
- Sex-Specific Aging Patterns of Gut Microbiota in Urban Chinese Adults: Guild-Based Analysis and Implications for Healthy Aging.Aging cell · 2025Article
- Healthspan-lifespan gap differs in magnitude and disease contribution across world regions.Communications medicine · 2025Article
- Healthy working life expectancy across birth cohorts in the United States.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Alterations of the oral microbiota in mild Alzheimer's disease and the appropriate application of chlorhexidine gluconate.JAR life · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Many countries are raising the pension age to mitigate the challenges of population aging, but such a solution may ignore the disparities in health and working conditions across populations. Using large-scale longitudinal data from China, this study provides estimates of healthy working life expectancy (HWLE), defined as the average number of years expected to be spent healthy and in work from age 50 years, and highlights substantial inequities in HWLE by gender, socioeconomic status and geographical region. The HWLE from age 50 years was, on average, 6.87 (95% confidence interval: 6.70 to 7.04) years in China. Hypertension was the leading chronic condition for people working unhealthily (5.67 years for men and 4.85 years for women), and arthritis contributed the largest differences in unhealthy working years across people by occupation (agricultural laborer versus enterprise employee, 3.28 years). Moreover, adopting healthy lifestyles was associated with gains in HWLE (2.13 years for men and 1.61 years for women). Our findings suggest that increasing the pension age through a 'one-size-fits-all' approach may not effectively meet the goal of extending working lives. Inclusive initiatives aimed at targeted populations to promote health or work conditions and to facilitate the pension system will be essential to improve HWLE by reducing inequities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.