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In 2021, China became an aged society when the share of its elderly population (age 65 years and above) exceeded 14%. In China, as in other upper‐middle‐income and high‐income countries, life expectancy gains are increasingly concentrated at older ages with below‐average health and economic activity. Governments worldwide are hence actively pursuing healthy and productive aging. Healthy aging by some measures is taking place. Similar with other upper‐middle‐income countries, China's young old in their 60s are healthier than the same age group two decades ago. The picture is more complex for the older age group (70 years and above). Although there is a substantial decline in leading disease burdens such as stroke and chronic obstructive pulmonary disease, diseases such as Alzheimer's and other dementia are on the rise. To meet the challenge of a rapidly aging population, China's healthy aging agenda should improve its multipronged approach that seeks to promote healthy lifestyles, enhance the healthcare system, create age‐friendly communities, and tackle socioeconomic and health disparities.


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A review of healthy aging in China, 2000–2019

Show Author's information Litao Zhao1 ( )
East Asian Institute, National University of Singapore, Singapore, Singapore

Abstract

In 2021, China became an aged society when the share of its elderly population (age 65 years and above) exceeded 14%. In China, as in other upper‐middle‐income and high‐income countries, life expectancy gains are increasingly concentrated at older ages with below‐average health and economic activity. Governments worldwide are hence actively pursuing healthy and productive aging. Healthy aging by some measures is taking place. Similar with other upper‐middle‐income countries, China's young old in their 60s are healthier than the same age group two decades ago. The picture is more complex for the older age group (70 years and above). Although there is a substantial decline in leading disease burdens such as stroke and chronic obstructive pulmonary disease, diseases such as Alzheimer's and other dementia are on the rise. To meet the challenge of a rapidly aging population, China's healthy aging agenda should improve its multipronged approach that seeks to promote healthy lifestyles, enhance the healthcare system, create age‐friendly communities, and tackle socioeconomic and health disparities.

Keywords: disability‐adjusted life year, disease burdens, healthy aging, life expectancy, morbidity

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Publication history

Received: 18 May 2022
Accepted: 03 July 2022
Published: 23 August 2022
Issue date: October 2022

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© 2022 The Authors.

Acknowledgements

The author would like to thank the reviewers for their very helpful comments and suggestions. This study was funded by The Humanities and Social Sciences (HSS) Seed Fund, National University of Singapore.

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This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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