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Changes in disability-free life expectancy (DFLE) at birth between 2000 and 2010 across Japanese prefectures

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  • Yuka Minagawa Sugawara

    (Sophia University)

  • Yasuhiko Saito

    (Nihon University)

Abstract

Objectives The second phase of Healthy Japan 21 seeks to increase disability-free life expectancy (DFLE) more than life expectancy (LE) between 2013 and 2022. In the face of the rising incidence of disability, the feasibility of achieving this goal remains unclear. Methods We examine changes in DFLE at birth between 2000 and 2010 across 47 prefectures, with particular attention given to changes in the absolute number of years and in the proportion of disability-free life years. Results Although LE increased across all prefectures, there is a variation in DFLE. While the number of disability-free life years increased in many parts of the country, some prefectures had decreases in DFLE. Downturns become particularly evident when DFLE is interpreted in relative terms. The proportion of life spent without disability declined in the majority of prefectures. Conclusions Results from subnational level analyses suggest that the rate of increase in DFLE lagged behind that in LE across Japanese prefectures during the past decade. More policy attention should be devoted to health-promotion initiatives at the prefecture level to achieve the nationwide health agenda.

Suggested Citation

  • Yuka Minagawa Sugawara & Yasuhiko Saito, 2016. "Changes in disability-free life expectancy (DFLE) at birth between 2000 and 2010 across Japanese prefectures," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(7), pages 739-749, September.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:7:d:10.1007_s00038-016-0847-3
    DOI: 10.1007/s00038-016-0847-3
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    References listed on IDEAS

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    1. Vanessa Yong & Yasuhiko Saito, 2009. "Trends in healthy life expectancy in Japan: 1986 - 2004," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 20(19), pages 467-494.
    2. Vicki Freedman & Robert Schoeni & Linda Martin & Jennifer Cornman, 2007. "Chronic conditions and the decline in late-life disability," Demography, Springer;Population Association of America (PAA), vol. 44(3), pages 459-477, August.
    3. Olivia S. Mitchell & John Piggott & Satoshi Shimizutani, 2004. "Aged-Care Support in Japan: Perspectives and Challenges," NBER Working Papers 10882, National Bureau of Economic Research, Inc.
    4. Freedman, V.A. & Martin, L.G., 2000. "Contribution of chronic conditions to aggregate changes in old-age functioning," American Journal of Public Health, American Public Health Association, vol. 90(11), pages 1755-1760.
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