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Changes in active life expectancy in Taiwan: compression or expansion?

E J Tu¹, K Chen

¹Division of Social Science, Hong Kong University of Science and Technology.

Social Science & Medicine (1982)

|December 1, 1994

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In Taiwan, declining mortality supports disability compression, not morbidity expansion. Fatal diseases significantly impact disability, narrowing the gap between disability onset and death.

Area of Science:

Gerontology
Public Health
Epidemiology

Background:

Western studies often support the expansion of morbidity hypothesis.
Taiwan's demographic and health trends present a unique case for studying disability and mortality.

Purpose of the Study:

To estimate active life expectancy in Taiwan.
To investigate whether declining mortality leads to a compression of disability in Taiwan.
To contrast findings with the expansion of morbidity hypothesis.

Main Methods:

Utilized data from the 1986-1989 supplements on Elderly Living Conditions to the Monthly Surveys of Human Resources in Taiwan.
Employed life table analysis to examine the relationship between disability and mortality curves.

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Main Results:

Findings support the hypothesis of disability compression, contrary to the expansion of morbidity observed in Western countries.
Fatal diseases (heart disease, stroke, cancer) are major contributors to disability in Taiwan.
Modern medical advancements have not significantly extended life for individuals with fatal diseases, resulting in a shorter duration between disease onset and death.

Conclusions:

Declining mortality in Taiwan is associated with a compression of disability.
The prevalence of fatal diseases as leading causes of disability, coupled with limited life extension, narrows the interval between disability onset and death.
Taiwan's experience suggests a different pattern of health transition compared to Western nations.