Abstract
Objective: To quantitatively estimate life expectancy (LE) and depression and anxiety-free life expectancy (DAFLE) for the years 2013 and 2018 in Jiangxi Province, China, by sex and urban–rural areas. Additionally, to compare the discrepancy of DAFLE/LE of different sexes and urban-rural areas over various years. Methods: Based on the summary of the health statistics of Jiangxi Province in 2013 and 2018 and the results of the 5th and 6th National Health Service Surveys in Jiangxi Province, the model life table is used to estimate the age-specific mortality rate by sex and urban–rural areas. Sullivan’s method was used to calculate DAFLE. Results: Data from 2013 indicate that those aged 15 can expect to live 56.20 years without depression and anxiety for men and 59.67 years without depression and anxiety for women. Compared to 2013, DAFLE had not fluctuated significantly in 2018. The proportion of life expectancy without depression and anxiety (DAFLE/LE) declined between 2013 and 2018. DAFLE/LE in urban areas was higher than in rural areas. Men had higher DAFLE/LE than women. From 2013 to 2018, the DAFLE aged 15 decreased by 0.18 years for urban men and decreased by 0.52 years for urban women, rural areas also decreased to varying degrees. Conclusions: Even if women had a longer life span than men, they would spend more time with depression or anxiety. DAFLE did not increase with the increase in LE from 2013 to 2018, suggesting an absolute expansion of the burden, especially in rural areas. Depression and anxiety health services in Jiangxi, China will face more serious obstacles and challenges, which may lead to more disability. This requires more attention and more effective measures from the public, medical departments and the government.
Highlights
Mental disorders have become an increasingly important public health problem worldwide [1]
It is estimated that in 2015, about 322 million people worldwide were suffering from depression, accounting for 4.4% of the global population, and about 260 million people suffering from anxiety disorders, accounting for 3.6%
It is not just the elderly [7,8,9] who are in their dying years, many adolescents [10,11] who have been in school for a long time and young people [12] who work every day are troubled by depression and anxiety
Summary
Mental disorders have become an increasingly important public health problem worldwide [1]. Of the global population, many people suffer from both depression and anxiety [4] It is not just the elderly [7,8,9] who are in their dying years, many adolescents [10,11] who have been in school for a long time and young people [12] who work every day are troubled by depression and anxiety. The occurrence of these common mental disorders showed a rising trend, acute in low-income countries [4]
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