Health expectancies in Japan: Gender differences and policy implications for women

Ichiro Tsuji, Catherine Sauvaget, Shigeru Hisamichi

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)


Based on prospective observation of elderly people in the community in Japan, we compared the time-course of development and progression of physical disability between women and men. Men experienced disability at a younger age and at a faster rate than did women. The duration of time spent with disability in women was twice as long as in men. Consequently, women consume about two-thirds of the total resources of formal caregiving services in Japan. Women in Japan are increasingly educated, postponing marriage to higher ages, and less likely to care for parents in the home. Given these changes in family structure and social norms, the capacity for informal family caregiving has decreased dramatically. A recently enacted national long-term care insurance system may further change the picture of caregiving.

Original languageEnglish
Pages (from-to)135-148
Number of pages14
JournalJournal of Women and Aging
Issue number1-2
Publication statusPublished - 2002


  • Active life expectancy
  • Activities of daily living (ADL)
  • Instrumental activities of daily living (IADL)
  • Japan
  • Long-term care insurance
  • Prospective study

ASJC Scopus subject areas

  • Gender Studies
  • Geriatrics and Gerontology


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