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<INDICATOR name="LifeExpect">
	<NAME>LifeExpect</NAME>
	<DESCRIPTION>life expectancy, death rates, years of healthy life</DESCRIPTION>
	<DEFAULT_INDICATOR_VIEW_NAME>LifeExpect.UT_USSexYear</DEFAULT_INDICATOR_VIEW_NAME>
	<TITLE>Life expectancy at birth</TITLE>
	<DEFINITION>Life expectancy is an estimate of the expected average number of years of life (or a person's age at death) for individuals who were born into a particular population. The method developed by C.L. Chiang was used to compute life expectancy.</DEFINITION>
	<NUMERATOR>n/a</NUMERATOR>
	<DENOMINATOR>n/a</DENOMINATOR>
	<DATA_NOTE>The method developed by C.L. Chiang was used to compute life expectancy.</DATA_NOTE>
	<DATA_ISSUES>Life expectancy at birth is strongly influenced by infant and child mortality; life expectancy later in life reflects death rates at or above a given age and is independent of mortality at younger ages.</DATA_ISSUES>
	<DATA_SOURCE_DATE>10/04/2024</DATA_SOURCE_DATE>
	<WHY_IMPORTANT>Life expectancy is a measure that is often used to gauge the overall health of a community. Life expectancy at birth measures health status across all age groups.

Shifts in life expectancy are often used to describe trends in mortality. Being able to predict how populations will age has enormous implications for the planning and provision of services and support. Small increases in life expectancy translate into large increases in the population. 

As the life expectancy of a population lengthens, the number of people living with chronic illnesses tends to increase because chronic illnesses are more common among older persons.</WHY_IMPORTANT>
	<OTHER_OBJECTIVE_DESCRIPTION>One of Utah's 42 Community Health Status Indicators

One of the Council of State and Territorial Epidemiologists (CSTE) Chronic Disease Indicators: "Life Expectancy at Birth"</OTHER_OBJECTIVE_DESCRIPTION>
	<HOW_DOING>Prevention and control of infectious diseases have had a profound impact on life expectancy during the 20th century. Improvements in nutrition, hygiene, and medical care also contributed to decreases in death rates throughout the lifespan. In the U.S., life expectancy at birth from 1900 to 2022 increased from 46.3 to 74.8 years for men, and from 48.3 to 80.2 years for women. However, with the outbreak of COVID-19, life expectancy in the U.S. decreased in 2021 to 76.4, declining by over two years from 78.8 in 2019. This same trend was seen in Utah. In 2020 and 2021, Utah life expectancy at birth were 78.9 years and 78.4 respectively, declining by 1.2 and 1.7 years from 80.1 in 2019. In Utah, the life expectancy rate increased back to 80.1 in 2023, which is the same as what it was in 2019.</HOW_DOING>
	<STATE_VS_US>Women typically outlive men. Females born in Utah today can expect to live 82.1 years, and males born in Utah can expect to live 78.2 years. This becomes evident in later years as individuals survive from their early sixties into their eighties and older. The population of Utahns aged 65+ was 53% female and 47% male according to the 2023 population estimate IBIS version 2023.</STATE_VS_US>
	<WHAT_DOING>Now that people are living longer, it is important to look at ways that those added years can be lived in good health. Exercise, healthy diet and weight, not smoking, moderate use of alcohol, and injury prevention habits such as wearing seat belts all contribute to a healthy life span. 

Improvements in life expectancy increase the proportion of older individuals living in society. Policy-makers must be aware of this trend in order to provide viable and attractive options for elderly persons who require assistance with activities of daily living.</WHAT_DOING>
	<ORG_UNIT_NAME>DEFAULT</ORG_UNIT_NAME>
	<OWNER_USER_ID>kimneerings@utah.gov</OWNER_USER_ID>
	<STATUS_CODE>A</STATUS_CODE>
	<STATUS_DATE>10/23/2024</STATUS_DATE>
	<NOTE>Detail modified by: tzheng@utah.gov, 1/24/2023
Tong- for all views, 2021 Utah life expectancy run SAS G:\TZHENG\IBIS indicator\brian\Life Exp Tong\
Chiang_LE_Final2021.sas. The results in Chiang_test.xlsx 
Chiang_NewSarea99.sas - result in Chiang_NewSarea99new.xlsx.
Chiang_LE_SexAllYears.sas -  result in Chiang_test_sex.xlsx (annually)


For "How we are doing", Go to http://www.cdc.gov/nchs/fastats/life-expectancy.htm
2018 US data from https://www.cdc.gov/nchs/data/databriefs/db355-h.pdf

Get "Life expectancy at birth, at 65, and 75 years of age by sex, race and Hispanic origin " US 65+ life expectancy from  Table 15
https://www.cdc.gov/nchs/data/hus/hus17.pdf#017 table 15  Only 2016 data available on 2018 data update. 

Can't get Utah 65+ ranking for Utah vs. US from table GCT0103 on ACS 1 year 2015 data get all states, rank them
deleted this sentence for now. Can get back after find the table GCT0103. "Utah has a young population and ranks last in the percentage of the population aged 65 and over based on 2017 American Community Survey 1-Year Estimates Table GCT0103"

2014 data-Tong run G:\TZHENG\Brian task\Life Expectancy\Chiang_LE_Cnty.sas  Result went to Chiang_LE_test.xlsx. Take the pink block numbers and plugged into the indicator.
Small area in difference file. Chiang_LE_Sarea.sas Result went to Chiang_Sarea.slsx

The method to calculate life expectancy has been changed from Reed-Merrill to one developed by CL Chiang. The Chiang method is a standard for the World Health Organization.
Chiang CL. Introduction to stochastic processes in Biostatistics. New York [etc.]: John Wiley 1968.</NOTE>
	<SORT_ORDER>3</SORT_ORDER>
	<ACTIVE_FLAG>x</ACTIVE_FLAG>
	<MODIFIED_DATE>10/23/2024</MODIFIED_DATE>
	<MODIFIED_DESCRIPTION>Status changed by: kimneerings@utah.gov</MODIFIED_DESCRIPTION>
	<PUBLISHED_DATE>10/23/2024</PUBLISHED_DATE>
	<HEALTHY_PEOPLE_OBJECTIVE>
		<MODIFIED_DATE></MODIFIED_DATE>
	</HEALTHY_PEOPLE_OBJECTIVE>
	<DATA_SOURCES/>
	<RELATIONS>
		<RELATION name="PopChar">
			<NAME>PopChar</NAME>
			<TITLE>Relevant Population Characteristics</TITLE>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>AgeDistPop</NAME>
					<TITLE>Utah Population Characteristics: Age Distribution of the Population</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AgeDistPop.Ut_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>FPHlth</NAME>
					<TITLE>Fair/poor health</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>FPHlth.Ut_USYear</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>HlthStatMent</NAME>
					<TITLE>Health status: mental health past 30 days</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>HlthStatMent.Ut_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>HlthStatPhys</NAME>
					<TITLE>Health status: physical health past 30 days</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>HlthStatPhys.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>LimAct</NAME>
					<TITLE>Activity Limitation</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME></DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="SystemFactors">
			<NAME>SystemFactors</NAME>
			<TITLE>Health Care System Factors</TITLE>
			<TEXT>With increased life expectancy, the health system will need to respond to increasing numbers of older adults who are more likely to be living with chronic diseases.</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>MedExpSerCat</NAME>
					<TITLE>Medical Assistance Expenditures</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>MedExpSerCat.Year</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="RiskFactors">
			<NAME>RiskFactors</NAME>
			<TITLE>Risk Factors</TITLE>
			<TEXT>Life expectancy at birth is strongly influenced by infant and child mortality.</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>InfMort</NAME>
					<TITLE>Infant mortality</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>InfMort.Ut_USYear</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="HealthStatus">
			<NAME>HealthStatus</NAME>
			<TITLE>Health Status Outcomes</TITLE>
			<TEXT>As life expectancy increases, the number of people living with chronic disease and their effects also increases.</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>ArthActLim</NAME>
					<TITLE>Arthritis and activity limitation</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>ArthActLim.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>ArthDep</NAME>
					<TITLE>Arthritis and poor mental health</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>ArthDep.Age_Sex</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>ArthPrev</NAME>
					<TITLE>Arthritis prevalence</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>ArthPrev.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>BloCholDrDiag</NAME>
					<TITLE>Blood Cholesterol: Doctor-diagnosed High Cholesterol</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>BloCholDrDiag.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>BreCAInc</NAME>
					<TITLE>Breast Cancer Incidence</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>BreCAInc.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>CervCAInc</NAME>
					<TITLE>Cervical Cancer Incidence</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>CervCAInc.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>ColCAInc</NAME>
					<TITLE>Colorectal Cancer Incidence</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>ColCAInc.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>DiabPrev</NAME>
					<TITLE>Diabetes Prevalence</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>DiabPrev.LHD</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>FallInjHosp</NAME>
					<TITLE>Fall injury (unintentional)</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>FallInjHosp.AgeSex</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>FPHlth</NAME>
					<TITLE>Fair/poor health</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>FPHlth.Ut_USYear</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>InfMort</NAME>
					<TITLE>Infant mortality</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>InfMort.Ut_USYear</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>MelSkiInc</NAME>
					<TITLE>Melanoma of the Skin Incidence</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>MelSkiInc.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
	</RELATIONS>
	<INDICATOR_VIEWS>
		<INDICATOR_VIEW>
			<NAME>LifeExpect.UT_USSexYear</NAME>
			<TITLE>Life expectancy at birth</TITLE>
			<SUB_TITLE>by sex, Utah and U.S.,</SUB_TITLE>
			<PERIOD_TITLE>1980-2023</PERIOD_TITLE>
			<Y_TITLE>Age in years</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>LifeExpect.Year</NAME>
			<TITLE>Life expectancy at birth</TITLE>
			<SUB_TITLE>by year, Utah,</SUB_TITLE>
			<PERIOD_TITLE>1999-2023</PERIOD_TITLE>
			<Y_TITLE>Age in years</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>LifeExpect.Eth</NAME>
			<TITLE>Life expectancy at birth</TITLE>
			<SUB_TITLE>by ethnicity, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2019-2023 and U.S., 2022</PERIOD_TITLE>
			<Y_TITLE>Age in years</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>LifeExpect.SA</NAME>
			<TITLE>Life expectancy at birth</TITLE>
			<SUB_TITLE>by Utah Small Area,</SUB_TITLE>
			<PERIOD_TITLE>2019-2023, and U.S., 2022</PERIOD_TITLE>
			<Y_TITLE>Age in years</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>LifeExpect.LHD</NAME>
			<TITLE>Life expectancy at birth</TITLE>
			<SUB_TITLE>by local health district, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2019-2023 and U.S., 2022</PERIOD_TITLE>
			<Y_TITLE>Age in years</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>LifeExpect.Cnty</NAME>
			<TITLE>Life expectancy at birth</TITLE>
			<SUB_TITLE>by county, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2019-2023 and U.S., 2022</PERIOD_TITLE>
			<Y_TITLE>Age in years</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>LifeExpect.Race</NAME>
			<TITLE>Life expectancy at birth</TITLE>
			<SUB_TITLE>by race, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2019-2023 and U.S., 2022</PERIOD_TITLE>
			<Y_TITLE>Age in years</Y_TITLE>
		</INDICATOR_VIEW>
	</INDICATOR_VIEWS>
</INDICATOR>
