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

SAGE Wave 2 China

PI Workshop

SAGE Wave 2 China

PI Workshop

Dr Paul Kowal

co-PI WHO SAGE

Hangzhou, 14 May 2014

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

Population 60+, (%)Population 60+, (%)

UN Pop Div, 2013

0

5

10

15

20

25

30

35

40

1960 1980 2000 2020 2040 2060

China-Men China-Women High Income Middle Income Low Income

14.9%

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

Decline in mortality rate (%)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

Top 25 DALYs, China

Percent (%) change

1990-2010

IHME GBD 2010, 2013

SAGE China Wave 2 - 2014 | 14-17 May 20145 |

Leading

risk

factors

Leading

risk

factors

IHME GBD 2010, 2013

SAGE China Wave 2 - 2014 | 14-17 May 20146 |

DALYs 60-64DALYs 60-64

0% 20% 40% 60% 80% 100%

1990

2010

Group I Group II Group III

0% 20% 40% 60% 80% 100%

1990

2010

Group I Group II Group III

0% 20% 40% 60% 80% 100%

1990

2010

Group I Group II Group III

2010 GBD Study, 2013

China Mexico

South Africa

0% 20% 40% 60% 80% 100%

1990

2010

Group I Group II Group III

India

SAGE China Wave 2 - 2014 | 14-17 May 20147 |

HALE/LE (%) at 60-64HALE/LE (%) at 60-64

66

68

70

72

74

76

78

1990 2010

Women at 60-64

China

Mexico

South Africa

Tonga

Armenia

Ghana

India

Viet Nam

Bangladesh

Kenya

Tanzania, UnitedRepublic of

Uganda

66

68

70

72

74

76

78

1990 2010

Men at 60-64

2010 GBD Study, 2013

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

SAGE and SAGE-INDEPTHSAGE 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

•Bangladesh

•Viet Nam

•Indonesia

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

Limitations in ADLsLimitations in ADLs

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

HypertensionHypertension

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

PainPain

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

ObesityObesity

0,0

10,0

20,0

30,0

40,0

50,0

60,0

Male Female Male Female Male Female Male Female Male Female Male Female

China India Russian Federation South Africa Ghana Mexico

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 ObesityAbdominal Obesity

0,0

10,0

20,0

30,0

40,0

50,0

60,0

70,0

80,0

90,0

100,0

Male Female Male Female Male Female Male Female Male Female Male Female

China India Russian

Federation

South Africa Ghana Mexico

Prevalence abdominal obesity: SAGE (2009-2010)

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

SAGE China Wave 2 - 2014 | 14-17 May 201414 |

Physical ActivityPhysical Activity

0,0

10,0

20,0

30,0

40,0

50,0

60,0

70,0

80,0

90,0

Male Female Male Female Male Female Male Female Male Female Male Female

China India Russian Federation South Africa Ghana Mexico

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 conditionsChronic conditions

SAGE China Wave 2 - 2014 | 14-17 May 201416 |

Sleep durationSleep duration

SAGE China Wave 2 - 2014 | 14-17 May 201417 |

Life satisfactionLife satisfaction

0.4

0.6

0.8

1.0

0.4

0.6

0.8

1.0

20-24 30-34 40-44 50-54 60-64 70-74 80-84 20-24 30-34 40-44 50-54 60-64 70-74 80-84 20-24 30-34 40-44 50-54 60-64 70-74 80-84

china india mexico

russian federation south africa ghana

AgeSource: SAGE 2007-2010

Life Satisfaction by Age

SAGE China Wave 2 - 2014 | 14-17 May 201418 |

Health care useHealth care use

Ambulatory

(last 12 months)

Inpatient

(last 3 years)

China 39.7% 15.0%

India 50.0% 14.5%

Ghana 36.2% 16.8%

Mexico 63.2% 3.2%

Russia 36.9% 30.2%

South Africa 21.5% 15.4%

Percentage of respondents over 50 who 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) (%)

China 62.6 22.9

India 88.9 14.7

Ghana 73.5 12.6

Mexico 40.8 13.7

Russian Fed 66.7 28.6

South Africa 62.2 11.7

Percentage 50+ who reported using

health services (SAGE 2007-10)

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

Wave 2Wave 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?