title: Health expectancies in Japan: gender differences and policy implications for women.
abstract: Based on prospective observation of elderly people in the community in Japan, we compared the time-course of development and progression of physical disability between women and men. Men experienced disability at a younger age and at a faster rate than did women. The duration of time spent with disability in women was twice as long as in men. Consequently, women consume about two-thirds of the total resources of formal caregiving services in Japan. Women in Japan are increasingly educated, postponing marriage to higher ages, and less likely to care for parents in the home. Given these changes in family structure and social norms, the capacity for informal family caregiving has decreased dramatically. A recently enacted national long-term care insurance system may further change the picture of caregiving.
authors.affiliation: Department of Public Health, Tohoku University School of Medicine, Sendai, Japan. tsuji1@mail.cc.tohoku.ac.jp
authors.forename: Ichiro
authors.initials: I
authors.lastname: Tsuji
authors.forename: Catherine
authors.initials: C
authors.lastname: Sauvaget
authors.forename: Shigeru
authors.initials: S
authors.lastname: Hisamichi
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D004522:Educational Status; D005190:Family; D005260:Female; D016330:Frail Elderly / Q000706:statistics & numerical data*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008017:Life Expectancy; D008134:Long-Term Care / Q000706:statistics & numerical data; D008297:Male; D017533:Marital Status; D011446:Prospective Studies; D012737:Sex Factors; D016387:Women's Health