Indonesia’s social capacity for population health: the educational gap in active life expectancy
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In this paper, we lay the initial groundwork for anticipating Indonesia’s future burden of disease by developing a demographic model of population health. We develop this model within the analytic framework of a Markov-based multistate life table model to calculate an important indicator of the burden of disease, the expected years of active life of elderly Indonesians. The magnitude of the gap points to the potential consequences of improvements in the nation’s educational level for the future burden of disease. The results show that having some education increases life expectancy but it also expands the expected years with a major functional problem. Overall educational attainment levels, however, are very low, indicating that Indonesia’s elderly are at the leading edge of improvements in the nation’s social capacity for health. The life tables suggest that at the early stages of development, longer life is accompanied by an expansion of morbidity.
KeywordsActive life expectancy Aging Education Health Indonesia
Partial support for this project was provided by a research grant from NIA (1 R55 AG19311), a population center grant from NICHD (1 R24 HD41025), and training support from the East–West Center.
- Crimmins, E. M., Hayward, M. D., & Saito, Y. (1996). Differentials in active life expectancy in the older population. Journal of Gerontology: Social Sciences, 51B, S111–S120.Google Scholar
- Easterlin, R. A. (1997). Growth triumphant, the twenty-first century in historical perspective. Ann Arbor MI: The University of Michigan Press.Google Scholar
- Friedrick, W. H., & Worden, R. L. (1992). Indonesia: A country study. Washington, DC: Library of Congress.Google Scholar
- Hayward, M. D., Crimmins, E. M., & Zhang, Z. (2005). Consequences of educational change for the burden of chronic health problems in the population. In A. H. Gauthier, C. Chu, & S. Tuljapurkar (Eds.), The distribution of private and public resources across generations (pp. 227–242). New York: Oxford University Press.Google Scholar
- Kaneda, T., & Zimmer, Z. (forthcoming), Education, gender, and functional transitions among Indonesian elderly. Journal of Cross-Cultural Gerontology.Google Scholar
- Manton, K. G., & Stallard, E. (1997). Health and disability differences among racial and ethnic groups. In L. G. Martin & B. Soldo (Eds.), Racial and ethnic differences in the health of older Americans (pp. 43–105). Washington, DC: National Academy Press.Google Scholar
- Muhidin, S. (2002). The population of Indonesia: Regional demographic scenarios using a multiregional method and multiple data sources. Amsterdam, Netherlands: Rozenberg Publishers.Google Scholar
- Preston, S. H., & Taubman, P. (1994). Socioeconomic differences in adult mortality, health status. In L. G. Martin & S. H. Preston (Eds.), Demography of aging (pp. 279–318). Washington, DC: National Academy Press.Google Scholar
- United Nations (2005). World population prospects: The 2004 revision. New York: United Nations.Google Scholar
- World Health Organization [WHO] (2000). Life tables for 191 countries: Indonesia 2000. Retrieved March 2005 from http://www3.who.int/whosis/life_tables/life_tables_process.cfm?country=idn&language=en..
- Zimmer, Z., Hermalin, A. I., & Lin, H. S. (2002). Whose education counts? The added impact of adult-child education on physical functioning of older Taiwanese. Journal of Gerontology: Social Sciences, 57(1), S23–32.Google Scholar