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...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 reported.This study aimed to disclose this potential relationship.Methods Annual life tables were constructed from identified death records and population counts from multiple administrative sources in Guangzhou,China,from 2010 to 2020.Joinpoint regression was used to evaluate the temporal trend.Generalized principal component analysis and multilevel models were applied to examine the county-level association between the gap and social determinants.Results Although LE and HALE in megacities are increasing steadily,their gap is widening.Socioeconomic and health services are guaranteed to narrow this gap.Increasing personal wealth,a growing number of newborns and healthy immigrants,high urbanization,and healthy aging have helped in narrowing this gap.Conclusion In megacities,parallel LE and HALE growth should be highly considered to narrow their gap.Multiple social determinants need to be integrated as a whole to formulate public health plans.展开更多
In December 2019,an outbreak of COVID-19 occurred in Wuhan City in Hubei Province of China.Neighboring Hunan Province launched a Level 1 public health emergency response on January 24,2020.Chenzhou City,located in the...In December 2019,an outbreak of COVID-19 occurred in Wuhan City in Hubei Province of China.Neighboring Hunan Province launched a Level 1 public health emergency response on January 24,2020.Chenzhou City,located in the southernmost part of Hunan Province,bordering Guangdong Province and Jiangxi Province,has formed an agglomeration zone for processing trade and laborintensive industries.At the beginning of the outbreak,most businesses in this region suspended production,and they resumed production gradually after February 10,2020.展开更多
基金supported by the Guangdong Basic and Applied Basic Research Foundation[grant 2020A1515011294,2020A1515110230,and 2021A1515011765]the China Postdoctoral Science Foundation[grant 2021M693594]+1 种基金the Guangzhou Municipal Health Commission[grant No.2021-2023-12,No.20201A011054]Guangzhou Municipal Science and Technology Bureau[grant 2021BRP004]。
文摘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 reported.This study aimed to disclose this potential relationship.Methods Annual life tables were constructed from identified death records and population counts from multiple administrative sources in Guangzhou,China,from 2010 to 2020.Joinpoint regression was used to evaluate the temporal trend.Generalized principal component analysis and multilevel models were applied to examine the county-level association between the gap and social determinants.Results Although LE and HALE in megacities are increasing steadily,their gap is widening.Socioeconomic and health services are guaranteed to narrow this gap.Increasing personal wealth,a growing number of newborns and healthy immigrants,high urbanization,and healthy aging have helped in narrowing this gap.Conclusion In megacities,parallel LE and HALE growth should be highly considered to narrow their gap.Multiple social determinants need to be integrated as a whole to formulate public health plans.
基金funded by the Innovation and Entrepreneurship Training Program Fund for College Students in Hunan Province[2020-3677]
文摘In December 2019,an outbreak of COVID-19 occurred in Wuhan City in Hubei Province of China.Neighboring Hunan Province launched a Level 1 public health emergency response on January 24,2020.Chenzhou City,located in the southernmost part of Hunan Province,bordering Guangdong Province and Jiangxi Province,has formed an agglomeration zone for processing trade and laborintensive industries.At the beginning of the outbreak,most businesses in this region suspended production,and they resumed production gradually after February 10,2020.
