Policy Relevance of Health Expectancy in Health Promotion

  • Toshiyuki OjimaEmail author
Part of the International Handbooks of Population book series (IHOP, volume 9)


As the concept of health expectancies can influence politicians and the general public, health expectancies are useful to stimulate health promotion policy. A scientific conference on the epidemiology of ageing of the World Health Organization (WHO) suggested the use of “the expectation of autonomous or disability-free life” in 1983. In Healthy People 2000 by the US, published in 1990, Goal 1 was increasing the span of healthy life for Americans. Healthy Life Years (HLY) was selected in 2004 to be one of the structural indicators for assessing the Lisbon Strategy in Europe. In the Health Japan 21 (the 2nd term), published in 2012, health expectancy was set as the most important target, and current values were also described in Japan. Moreover, health expectancy has become an important index for evaluating the progress of health promotion plans for local governments as well as economic development strategies in Japan. In this chapter, the history and current situation of policy development including health promotion and other policy fields will be reviewed and the contribution of health expectancy discussed.


Health promotion policy Public health Local governments Healthy people Health Japan 21 Lisbon strategy 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Community Health and Preventive MedicineHamamatsu University School of MedicineHamamatsu CityJapan

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