Objective To evaluate the
health status of Hainan
centenarians and compare the
gender disparity,and to determine whether the‘
male-
female health-
survival paradox’is present among them.
Methods A
cross-sectional study was conducted on the
health status and
gender disparity of individuals
aged 100 and over in Hainan province from June 2014 to December 2016.Data of sociodemographics,
lifestyles as well as
health-related
parameters were collected.The multi dimensional
health assessment of
centenarians was conducted based on the recognition of standard on
Chinese healthy
elderly in 2013.Results A total of 940
centenarians(
men 18.6%,
women 81.4%)were included.The
prevalences of
hypertension,diabetes and
dyslipidemia were 66.1%,9.8%,and 21.2%,respectively,while no significant
gender difference was found.
Male centenarians were more independent in activity of daily living than did
female centenarians(41.1% vs.25.9 %,P <0.001).The
prevalences of
dementia(7.7% vs.4.0%)and
depression(33.6% vs.18.9%)were more dominant in
females than in
males.Multivariate
logistic regression showed that the proportions of functional disability,
depression and
sleep disorders were higher in
female centenarians than in
male centenarians (P<0.05)after adjusting for general demographic characteristics,
lifestyle and other
health indicators.Conclusions Although the
female proportion dominates the
centenarian population,
female general health states are worse than
male centenarians.More attentions on physical and
mental health should be paid to the
female centenarians.