Academic Journal
Survival and life expectancy inequality by gender in Thai provinces: Trends from 2015 to 2023.
| Τίτλος: | Survival and life expectancy inequality by gender in Thai provinces: Trends from 2015 to 2023. |
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| Συγγραφείς: | Scherbov S; International Institute for Applied Systems Analysis, Laxenburg, Austria.; College of Population Studies, Chulalongkorn University, Pathumwan, Bangkok, Thailand., Pothisiri W; College of Population Studies, Chulalongkorn University, Pathumwan, Bangkok, Thailand., Prasitsiriphon O; College of Population Studies, Chulalongkorn University, Pathumwan, Bangkok, Thailand., Ediev DM; International Institute for Applied Systems Analysis, Laxenburg, Austria.; North-Caucasian State Academy, Cherkessk, Russia.; Lomonosov Moscow State University, Moscow, Russia., Sanderson W; International Institute for Applied Systems Analysis, Laxenburg, Austria.; Department of Economics, Stony Brook University, Stony Brook, New York, United States of America. |
| Πηγή: | PloS one [PLoS One] 2026 May 13; Vol. 21 (5), pp. e0348587. Date of Electronic Publication: 2026 May 13 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: San Francisco, CA : Public Library of Science |
| Ιατρικοί όροι (MeSH): | Life Expectancy*/trends , COVID-19*/epidemiology , COVID-19*/mortality, Thailand/epidemiology ; SARS-CoV-2/isolation & purification ; Humans ; Male ; Female ; Middle Aged ; Aged ; Socioeconomic Disparities in Health ; Sex Factors ; Life Tables ; Pandemics ; Socioeconomic Factors |
| Περίληψη: | Background: Gender disparities in survival and life expectancy are indicative of broader health and socio-economic inequalities. This study examines temporal trends and subnational variations in gendered survival outcomes across Thailand's 77 provinces between 2015 and 2023, emphasizing the impacts of the COVID-19 pandemic and environmental factors. For the first time, comprehensive provincial life tables have been produced for all Thai provinces for this period. Methods: Using civil registration data, life tables were constructed, from which life expectancy at birth ([Formula: see text]), at age 65 ([Formula: see text]), and survival probabilities between ages 20 and 65 were derived. Generalized additive models (GAM) with Poisson likelihood were employed to estimate mortality rates and analyze temporal trends and regional disparities. All analyses were conducted separately by sex. National-level estimates were computed as population-weighted aggregates of provincial estimates, from which life table indicators were derived consistently. Uncertainty intervals were estimated for key indicators. Results: From 2015 to 2023, the national gender gap in life expectancy at birth widened from 7.0 years to a peak of 7.7 years in 2021, primarily driven by increased male mortality during the COVID-19 pandemic. Provincial variations were substantial, with gender gaps ranging from 5.7 to 9.5 years. PM2.5 exposure measured in 2024 showed a moderate to strong negative correlation with life expectancy, highlighting significant environmental impacts. Conclusions: Persistent and geographically uneven gender disparities in life expectancy underscore the necessity for localized, gender-sensitive interventions targeting male mortality and environmental health risks. (Copyright: © 2026 Scherbov et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.) |
| Competing Interests: | The authors have declared that no competing interests exist. |
| Entry Date(s): | Date Created: 20260513 Date Completed: 20260716 Latest Revision: 20260716 |
| Update Code: | 20260717 |
| PubMed Central ID: | PMC13170844 |
| DOI: | 10.1371/journal.pone.0348587 |
| PMID: | 42127129 |
| Βάση Δεδομένων: | MEDLINE |
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