SAGE China Wave 2 - 2014 | 14-17 May 20141 |

SAGE Wave 2 China PI Workshop

Dr Paul Kowalco-PI WHO SAGE

Hangzhou, 14 May 2014

SAGE China Wave 2 - 2014 | 14-17 May 20142 |

Population 60+, (%)

UN Pop Div, 2013

14.9%

SAGE China Wave 2 - 2014 | 14-17 May 20143 |

Decline in mortality rate (%)

IHME GBD 2010, 2013

SAGE China Wave 2 - 2014 | 14-17 May 20144 |

Top 25 DALYs, China Percent (%) change

1990-2010

IHME GBD 2010, 2013

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Leading risk

factors

IHME GBD 2010, 2013

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DALYs 60-64

2010 GBD Study, 2013

China Mexico

South Africa

India

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HALE/LE (%) at 60-64

2010 GBD Study, 2013

SAGE China Wave 2 - 2014 | 14-17 May 20148 |

SAGE and SAGE-INDEPTH

The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2005. All

rights reserved

•Mexico•South

Africa•Ghana

•China•India•Russia

•Kenya•Tanzania•Banglades

h

•Viet Nam•Indonesia

SAGE China Wave 2 - 2014 | 14-17 May 20149 |

Limitations in ADLs

SAGE China Wave 2 - 2014 | 14-17 May 201410 |

Hypertension

SAGE China Wave 2 - 2014 | 14-17 May 201411 |

Pain

SAGE China Wave 2 - 2014 | 14-17 May 201412 |

Obesity

0,0

10,0

20,0

30,0

40,0

50,0

60,0

M ale Female M ale Female M ale Female M ale Female M ale Female M ale Female

China India Russian Federation South Africa Ghana M exico

Prevalence obesity (measured) : SAGE (2009-2010)

18-49 50-59 60-69 70-79 80+

SAGE China Wave 2 - 2014 | 14-17 May 201413 |

Abdominal Obesity

0,010,020,030,040,050,060,070,080,090,0100,0

M ale Female M ale Female M ale Female M ale Female M ale Female M ale Female

China India RussianFederation

South Africa Ghana M exico

Prevalence abdominal obesity: SAGE (2009-2010)

18-49 50-59 60-69 70-79 80+

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Physical Activity

0,010,020,030,040,050,060,070,080,090,0

M ale Female M ale Female M ale Female M ale Female M ale Female M ale Female

China India Russian Federation South Africa Ghana M exico

Prevalence of Insufficient physical actvity: SAGE (2009-2010)

18-49 50-59 60-69 70-79 80+

SAGE China Wave 2 - 2014 | 14-17 May 201415 |

Chronic conditions

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Sleep duration

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Life satisfaction

0.4

0.6

0.8

1.0

0.4

0.6

0.8

1.0

20-24 30-3440-44 50-5460-64 70-7480-84 20-2430-34 40-4450-54 60-6470-7480-84 20-24 30-3440-4450-54 60-6470-74 80-84

china india m exico

russian federation south africa ghana

AgeSource: SAG E 2007-2010

Life Satisfaction by Age

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Health care use

A m bulatory (last 12 m onths)

Inpatient (last 3 years)

China 39.7% 15.0%India 50.0% 14.5%Ghana 36.2% 16.8%M exico 63.2% 3.2%Russia 36.9% 30.2%South A frica 21.5% 15.4%

Percentage of respondents over 50 w ho reported using health services† (WHS 2002)

† Respondents who used inpatient services did not answer the questions on use of ambulatory care

Ambulatory (last 12

months) (%)

Inpatient (last 3

years) (%)China62.622.9India88.914.7Ghana73.512.6Mexico40.813.7Russian Fed66.728.6South Africa62.211.7

Percentage 50+ who reported using health services (SAGE 2007-10)

SAGE China Wave 2 - 2014 | 14-17 May 201419 |

Wave 2

Your work on Wave 2 is very important

Differences within country– Trends and changes– Ageing process

Cross-nationally comparable research on ageing and health– Impacts of different policy– Why China and India so different?