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Changes in total and disability-free life expectancy among older adults in China: Do they portend a compression of morbidity?

                                      3.4 Changes in TLE and DFLE by Rural/urban Residence and Education

                                      Table 4 illustrates changes experienced by males and females aged 80, divided into four
                                      sub-groups according to rural/urban residence and lower/higher education. Net changes in
                                      TLE and DFLE were positive for all sub-groups except DFLE for rural, higher educated
                                      males. For instance, for males living in rural areas with lower education, TLE increased
                                      from 6.72 (95% CIs 6.40–7.05) to 6.92 (95% CIs 6.60–7.24), representing a net increase
                                      of 0.20 years. DFLE for this group increased from 5.65 (95% CIs 5.72–6.01) to 5.86 (95%
                                      CIs 5.72–6.01), a net of 0.21 years. The ratio of DFLE/TLE indicates that relative increas-
                                      es in DFLE kept pace with TLE, increasing slightly from 0.840 for the 2002–05 period to
                                      0.847 for the 2008–11 period.
                                        The results differ across sub-groups. Net TLE and DFLE and ratios increased more for
                                      urbanites versus rural residents and more for females versus males. Take, for instance, ur-
                                      ban lower-educated females, who at age 80 seem to have benefited quite substantially. For

       Table 4. Total and disability free life expectancy statistics at age 80 by sex, rural/urban residence, education and period
                                        Males                                      Females
               Period           2002–05        2008–11      Net change      2002–05       2008–11       Net change
        i. Rural / Lower educated
        TLE                       6.72          6.92          +0.20          7.52          7.93          +0.41
           95% CI               6.40–7.05     6.60–7.24                    7.16–7.87      7.56–8.31
        DFLE                      5.65          5.86          +0.21          5.73          6.38          +0.65
           95% CI               5.50–5.80     5.72–6.01                    5.55–5.90      6.24–6.53
        Ratio of DFLE/TLE        0.840          0.847         +0.01          0.762         0.805         +0.04
           95% CI              0.817–0.863    0.766–0.827                 0.739–0.785    0.786–0.823

        ii. Rural / Higher educated
        TLE                       7.13          7.33          +0.20          7.96          8.38          +0.42
           95% CI               6.53–7.73     6.71–7.95                    5.68–10.23    6.19–10.57
        DFLE                      5.99          5.99          +0.00          6.06          7.21          +1.15
           95% CI               5.73–6.25     5.72–6.26                    5.18–6.94      6.50–7.93
        Ratio of DFLE/TLE        0.840          0.816         −0.02          0.762         0.861         +0.10
           95% CI              0.803–0.876    0.780–0.853                 0.651–0.873    0.776–0.946

        iii. Urban / Lower educated
        TLE                       6.89          7.52          +0.63          7.69          8.59          +0.90
           95% CI               6.50–7.28     6.96–8.08                    7.30–8.08      7.99–9.18
        DFLE                      5.11          5.99          +0.88          5.32          6.53          +1.30
           95 % CI              4.90–5.31     5.76–6.22                    5.13–5.51      6.32–6.75
        Ratio of DFLE/TLE        0.741          0.796         +0.06          0.692         0.761         +0.06
           95% CI              0.711–0.771    0.766–0.827                 0.667–0.717    0.736–0.786

        iv. Urban / Higher educated
        TLE                       7.30          7.96          +0.66          8.14          9.05          +0.91
           95% CI               6.77–7.84     7.00–8.91                    6.97–9.30     6.51–11.60
        DFLE                      5.43          6.05          +0.62          5.11          6.98          +1.87
           95% CI               5.17–5.69     5.72–6.26                    4.52–5.70      6.40–7.56
        Ratio of DFLE/TLE        0.744          0.760         +0.02          0.628         0.771         +0.14
           95% CI              0.708–0.779    0.717–0.803                 0.555–0.700    0.707–0.835

       International Journal of Population Studies | 2015, Volume 1, Issue 1                                    12
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