Municipal health expectancy in Japan: decreased healthy longevity of older people in socioeconomically disadvantaged areas

BACKGROUND: Little is known about small-area variation in healthy longevity of older people and its socioeconomic correlates. This study aimed to estimate health expectancy at 65 years (HE65) at the municipal level in Japan, and to examine its relation to area socio-demographic conditions. METHODS: HE65 of municipalities (N = 3361) across Japan was estimated by a linear regression formula with life expectancy at 65 years and the prevalence of those certificated as needing nursing care. The relation between HE65 and area socio-demographic indicators was examined using correlation coefficients. RESULTS: The estimated HE65 (years) ranged from 13.13 to 17.39 for men and from 14.84 to 20.53 for women. HE65 was significantly positively correlated with the proportion of elderly and per capita income, and negatively correlated with the percentage of households of a single elderly person, divorce rate, and unemployment rate. These relations were stronger in large municipalities (with a population of more than 100,000) than in small and medium-size municipalities. CONCLUSION: A decrease in healthy longevity of older people was associated with a higher percentage of households of a single elderly person and divorce rate, and lower socioeconomic conditions. This study suggests that older people in urban areas are susceptible to socio-demographic factors, and a social support network for older people living in socioeconomically disadvantaged conditions should be encouraged

Unprecedented Migratory Bird Die‐Off: A Citizen‐Based Analysis on the Spatiotemporal Patterns of Mass Mortality Events in the Western United States

Extensive, severe wildfires, and wildfire-induced smoke occurred across the western and central United States since August 2020. Wildfires resulting in the loss of habitats and emission of particulate matter and volatile organic compounds pose serious threatens to wildlife and human populations, especially for avian species, the respiratory system of which are sensitive to air pollutions. At the same time, the extreme weather (e.g., snowstorms) in late summer may also impact bird migration by cutting off their food supply and promoting their migration before they were physiologically ready. In this study, we investigated the environmental drivers of massive bird die-offs by combining socioecological earth observations data sets with citizen science observations. We employed the geographically weighted regression models to quantitatively evaluate the effects of different environmental and climatic drivers, including wildfire, air quality, extreme weather, drought, and land cover types, on the spatial pattern of migratory bird mortality across the western and central US during August-September 2020. We found that these drivers affected the death of migratory birds in different ways, among which air quality and distance to wildfire were two major drivers. Additionally, there were more bird mortality events found in urban areas and close to wildfire in early August. However, fewer bird deaths were detected closer to wildfires in California in late August and September. Our findings highlight the important impact of extreme weather and natural disasters on bird biology, survival, and migration, which can provide significant insights into bird biodiversity, conservation, and ecosystem sustainability

Insurance Fraud: Issues and Challenges

This article is devoted to the phenomenon of insurance fraud. We start by surveying the various forms of insurance fraud as well as its extent and cost. We proceed to analyse the problem as the product of motivation and opportunity, and address the complexities of fraud control. Finally, we provide a high-level overview of current anti-fraud activity. The Geneva Papers on Risk and Insurance (2004) 29, 313–333. doi:10.1111/j.1468-0440.2004.00290.x