Socio-ecological perspective of older age life expectancy: income, gender inequality, and financial crisis in Europe

被引:15
|
作者
Kim, Jong In [1 ,2 ]
Kim, Gukbin [3 ]
机构
[1] Wonkwang Univ, Div Social Welf & Hlth Adm, Iksan, South Korea
[2] Wonkwang Univ, Inst Longev Sci, Iksan, South Korea
[3] UCL, Global Management Nat Resources, London, England
关键词
Gender inequality; Credit information; National income; Older age life expectancy; LABOR-FORCE PARTICIPATION; SURVIVAL PROBABILITY; ECONOMIC-CRISIS; HEALTH INEQUALITIES; CENTENARIAN; COUNTRIES; LEVEL; INDICATORS; AUSTERITY; POLICIES;
D O I
10.1186/s12992-017-0279-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Population is aging rapidly in Europe. Older age life expectancy (OLE) can be influenced by country-level depth of credit information (DCI) as an indicator of financial crisis, gross national income (GNI) per capita, and gender inequality index (GII). These factors are key indicators of socio-ecological inequality. They can be used to develop strategies to reduce country-level health disparity. The objective of this study was to confirm the relationship between socio-ecological factors and OLE in Europe. Methods: Data were obtained from World Bank, WHO, and UN database for 34 Europe countries. Associations between socio-ecological factors and OLE were assessed with Pearson correlation coefficients and three regression models. These models assumed that appropriate changes in country-level strategies of healthy aging would produce changes in GNI per capital as personal perspective, GII in social environment perspective, and DCI in public policy perspective to implement socio-ecological changes. Hierarchal linear regression was used for final analysis. Results: Although OLE (women and men) had significant negative correlation with GII (gender inequality index, r = -0.798, p = 0.001), it had positive correlations with GNI (gross national income per capita, r = 0.834, p = 0.001) and DCI (depth of credit information index, r = 0.704, p = 0.001) levels caused by financial crisis. Higher levels GNI and DCI but lower GII were found to be predictors of OLE (women and men) (R-2 = 0.804, p < 0.001). Conclusions: Factors affecting older age life expectancy in Europe were identified from socio-ecological perspective. Socio-ecological indicators (GII, GNI, and DCI) in Europe appear to have a latent effect on OLE levels. Thus, country-level strategies of successful aging in Europe should target socio-ecological factors such as GII, GNI, and DCI value.
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页数:8
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