Islam, Shariful, Tareque, Ismail, Mondal, Nazrul Islam, Rabbi, Ahbab Mohammad Fazle, Khan, Hafiz T.A. ORCID: https://orcid.org/0000-0002-1817-3730 and Begum, Sharifa (2017) Urban-rural differences in disability-free life expectancy in Bangladesh using the 2010 HIES data. PLoS ONE, 12 (7). e0179987. ISSN 1932-6203

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Abstract

Background

Research on health expectancy has been carried out in Bangladesh but none of it has examined the differences in Disability-Free Life Expectancy (DFLE) between urban and rural setting in context of rapid urbanization of Bangladesh in past decades.

Objectives

The present study aims to estimate DFLE for people of all ages living in urban and rural areas in Bangladesh, and to examine the differences in DFLE between these two areas.

Methods

Data from the Sample Vital Registration System 2010 and the Bangladesh Household Income and Expenditure Survey (HIES) 2010 were used in this study. The Sullivan method was applied to estimate DFLE in Bangladesh.

Results

Higher rates of mortality and disability were observed in rural areas compared to urban areas with few exceptions. Statistically significant differences in DFLE were revealed from birth to age 15 years for both sexes between urban and rural areas. Urban males had a longer life expectancy (LE), longer DFLE and shorter LE with disability both in number and proportion when compared to rural males. Rural females at age 20+ years had a longer LE than urban females but urban females had a longer DFLE and a shorter LE with disability in both number and proportion at all ages than did rural females.

Conclusion

This study demonstrates that there were clear inequalities in LE, DFLE and LE with disability between rural and urban areas of Bangladesh along with age-specific differences as well. These findings may serve as useful and benchmark for intervention and policy implications for reducing the gap in health outcomes.

Item Type:	Article
Identifier:	10.1371/journal.pone.0179987
Additional Information:	© 2017 Islam et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords:	Health expectancy; disability-free life expectancy; urban-rural difference; Bangladesh
Subjects:	Medicine and health > Health promotion and public health Medicine and health > Health promotion and public health > Healthcare education Medicine and health Social sciences > Social work
Depositing User:	Hafiz T.A. Khan
Date Deposited:	10 Jun 2017 09:27
Last Modified:	04 Nov 2024 12:07
URI:	https://repository.uwl.ac.uk/id/eprint/3414

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