scholarly journals Disability-free life expectancy and life expectancy in good self-rated health in Chile: Gender differences and compression of morbidity between 2009 and 2016

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0232445 ◽  
Author(s):  
Ximena Moreno ◽  
Lydia Lera ◽  
Cecilia Albala
2013 ◽  
Vol 25 (8) ◽  
pp. 1299-1312 ◽  
Author(s):  
Md. Ismail Tareque ◽  
Sharifa Begum ◽  
Yasuhiko Saito

2014 ◽  
Vol 19 (8) ◽  
pp. 3327-3334 ◽  
Author(s):  
Alessandro Gonçalves Campolina ◽  
Fernando Adami ◽  
Jair Licio Ferreira Santos ◽  
Maria Lucia Lebrão

The scope of this study was to establish whether the elimination of certain chronic diseases is capable of leading to the compression of morbidity among elderly individuals in Sao Paulo (Brazil), 2010. A population-based, cross-sectional study was carried out with official data for the city of Sao Paulo (Brazil) in 2010 and data from the SABE (Health, Wellbeing and Ageing) study. A total of 907 elderly individuals were evaluated, 640 of whom were women (64.6%). Sullivan's method was used for the calculation of disability-free life expectancy (DFLE). Life tables for cause elimination were used to calculate the probabilities of death with the elimination of health conditions. In absolute terms, the gains in LE and DFLE were greater in the younger age group (60 to 74 years) in both genders. In relative terms (%DFLE in LE), the gains were higher among women aged 75 years or older and among men aged 60 years. If eliminated, heart disease was the condition that would most lead to the compression of morbidity in both genders. The elimination of chronic diseases from the elderly population could lead to a compression of morbidity in men and women at both 60 years of age and 75 years of age or older.


2013 ◽  
Vol 47 (3) ◽  
pp. 514-522 ◽  
Author(s):  
Alessandro Gonçalves Campolina ◽  
Fernando Adami ◽  
Jair Licio Ferreira Santos ◽  
Maria Lucia Lebrão

OBJECTIVE: To determine whether the elimination of certain chronic diseases is capable of leading to the compression of morbidity among elderly individuals.METHODS: A population-based, cross-sectional study was carried out with official data for the city of Sao Paulo, Southeastern Brazil in 2000 and data from the SABE (Health, Wellbeing and Ageing) study. Sullivan's method was used to calculate disability-free life expectancy. Cause-deleted life tables were used to calculate the probabilities of death and disabilities with the elimination of health conditions.RESULTS: The largest gains in disability-free life expectancy, with the elimination of chronic illness, occurred in the female gender. Among individuals of a more advanced age, gains in disability-free life expectancy occurred as result of a relative compression of morbidity. Among men aged 75 years, all conditions studied, except heart disease and systemic arterial pressure, led to an absolute expansion of morbidity and, at the same time, to a relative compression of morbidity upon being eliminated.CONCLUSIONS: The elimination of chronic diseases in the elderly could lead to the compression of morbidity in elderly men and women.


2002 ◽  
Vol 14 (1-2) ◽  
pp. 61-83 ◽  
Author(s):  
Alain Bélanger ◽  
Laurent Martel ◽  
Jean-Marie Berthelot ◽  
Russell Wilkins

Author(s):  
Zachary Zimmer ◽  
Mira Hidajat ◽  
Yasuhiko Saito

The purpose of this research is to determine whether disability-free life expectancy (DFLE) in China has been increasing more rapidly than total life expectancy (TLE). Such a scenario would be consistent with a compression of morbidity, a situation that is especially desirable in a country experiencing rapid population aging and gains in old-age longevity. Us-ing the Chinese Longitudinal Healthy Longevity Study, an exponential survival regression is used to calculate TLE. The Sullivan method is then employed for computing DFLE. Results for a 65 and older sample are compared across data collected during two periods, the first with a 2002 baseline and a 2005 follow-up (N=15,641) and the second with a 2008 baseline and a 2011 follow-up (N=15,622). The first comparison is by age and sex. The second comparison divides the sample further by rural/urban residence and education. The ratio of DFLE/TLE across periods provides evidence of whether older Chinese are living both longer and healthier lives. The findings are favorable for the total population aged 65+, but improvements are only statistically significant for females. Results also suggest heterogeneous compression occurring across residential status with the urban population experiencing more favorable changes than their rural counterparts. Results both portend a compression of morbidity and continuing dis-advantage for rural residents who may not be participating in population-wide improvements in health.


2011 ◽  
Vol 21 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Flávia Cristina Drumond Andrade ◽  
Pilar Egüez Guevara ◽  
Maria Lúcia Lebrão ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Jair Lício Ferreira Santos

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 641-641
Author(s):  
Andrew Kingston ◽  
Holly Bennett ◽  
Louise Robinson ◽  
Lynne Corner ◽  
Carol Brayne ◽  
...  

Abstract The combined contribution of multi-morbidity and socio-economic position (SEP) to trends in disability free life expectancy (DFLE) is unknown. We use longitudinal data from the Cognitive Function and Ageing Studies (CFAS I: 1991; CFAS II: 2011), with two year follow up. Disability was defined as difficulty in activities of daily living, and SEP as area-level deprivation. Multi-morbidity was constructed from nine self-reported health conditions and categorised as 0-1, 2-3, 4+ diseases. In 1991 and 2011, shorter total and disability-free years were associated with greater multi-morbidity. Between 1991 and 2011, gains in life expectancy and DFLE were observed at all levels of multi-morbidity, the greatest gain in DFLE being 4 years for men with 0-1 diseases. As multi-morbidity is more prevalent in more disadvantaged groups, further analyses will investigate whether SEP differences remain at all levels of multi-morbidity.


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