scholarly journals Life expectancy among elderly Brazilians in 2003 according to different levels of functional disability

2008 ◽  
Vol 24 (4) ◽  
pp. 845-852 ◽  
Author(s):  
Mirela Castro Santos Camargos ◽  
Carla Jorge Machado ◽  
Roberto Nascimento Rodrigues
Keyword(s):  
Life Expectancy ◽  
Functional Disability ◽  
Household Survey ◽  
National Sample ◽  
Life Tables ◽  
Gender And Age ◽  
Disability Free Life Expectancy ◽  
Sullivan Method ◽  
Different Levels

The aim of the present study was to estimate disability-free life expectancy for the Brazilian elderly in 2003, by gender and age, based on different concepts of functional disability. The Sullivan method is used to combine the period life tables from the Brazilian Institute of Geography and Statistics (IBGE, 2003) and the prevalence of functional disability according to the 2003 National Sample Household Survey (PNAD 2003). The main results of the study indicate that at age 60, Brazilian men can expect to live 19 years, 39% with mild, 21% with moderate, and 14% with severe functional disability, respectively. At the same age, Brazilian women can expect to live 22 years: 56% with mild, 32% with moderate, and 18% with severe functional disability.

Trends in Partial Disability-Free Life Expectancy between the Ages of 45 and 70 in Canada, 2000–2014

2022 ◽  
pp. 1-7
Author(s):  
Judith Lefebvre ◽  
Yves Carrière
Keyword(s):  
Life Expectancy ◽  
Health Utility Index ◽  
Health Utility ◽  
Canadian Community Health Survey ◽  
Retirement Age ◽  
Utility Index ◽  
Community Health Survey ◽  
Recent Trends ◽  
Disability Free Life Expectancy ◽  
Sullivan Method

Abstract To better evaluate the benefits of a possible increase in the normal retirement age, this article proposes to examine recent trends in the health status of Canadians between 45 and 70 years of age. Using the Sullivan method, trends from 2000 to 2014 in partial disability-free life expectancy (PDFLE) between the ages of 45 and 70 years are computed. Disability is estimated using attributes of the Health Utility Index correlated with the capacity to work, and is looked at by level of severity. Data from the Canadian Community Health Survey were used to estimate the prevalence of disability. Results reveal a slight increase in partial life expectancy between the ages of 45 and 70, and a larger number of those years spent in poor health since the beginning of the 2000s. Hence, this study brings no evidence in support of the postponement of the normal retirement age if this policy were solely based on gains in life expectancy.

Disability-free life expectancy at old ages in Egypt

2020 ◽  
pp. 1-15
Author(s):  
Soha Metwally
Keyword(s):  
Life Expectancy ◽  
Decision Makers ◽  
Sample Population ◽  
Functional Difficulties ◽  
Disability Prevalence ◽  
Disability Free Life Expectancy ◽  
The Common ◽  
Nationally Representative ◽  
Type Data ◽  
Sullivan Method

Abstract This study aimed to estimate among the older population in Egypt (aged 60 years and over): 1) disability prevalence rates, their levels of severity and the common types and 2) disability-free life expectancy (DFLE) by sex, age and disability type. Data were from the nationally representative 2016 Household Observatory Survey (HOS-2016), with 4658 persons aged 60+ constituting the study sample population. To identify individuals with disabilities, the HOS asked respondents a short set of questions on functional difficulties, as suggested by the United Nations Washington Group on Disability Statistics. The DFLE was estimated using the Sullivan method. Older (60+) women reported a higher prevalence of disability than older men. Women had longer DFLEs and longer disabled life expectancies (DLEs) than men but had lower proportions of DFLE to their total lifetime. The findings suggest that, at age 60, around 30% of life expectancy in Egypt can be expected to be with limitations in mobility and vision. Men, although they live for fewer years than women, can expect to have a greater proportion of their life expectancy free of disability. The findings of the study suggest that the contextual differences in how the process of ageing is experienced need to be considered by decision-makers when designing gender-responsive health policies.

scholarly journals Income inequality in disability-free life expectancy in Denmark

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
H Brønnum-Hansen ◽  
E Foverskov ◽  
I Andersen
Keyword(s):  
Income Inequality ◽  
Life Expectancy ◽  
Social Inequality ◽  
Socioeconomic Position ◽  
Life Tables ◽  
Register Data ◽  
Disposable Income ◽  
Inequality In Health ◽  
Disability Free Life Expectancy ◽  
The Difference

Abstract Background The state old-age pension in Denmark is adjusted in line with the projected increasing life expectancy without taking social inequality in health and life expectancy into account. The purpose of the study was to estimate income disparities in life expectancy and disability-free life expectancy (DFLE) at age 50. Methods By linking nationwide register data on income and mortality each individual at any age was divided into equivalised disposable income quartiles and life tables were constructed for each quartile. Data from the Danish Survey of Health, Ageing and Retirement in Europe (SHARE) was linked to register data providing access to information on respondents equivalised disposable income. Finally, data from the life tables were combined with prevalence on activity limitations by income quartiles from SHARE to estimate DFLE by Sullivan’s method. Differences in DFLE were investigated and decomposed into contributions from mortality and disability effects. Results A clear social gradient was seen for life expectancy as well as DFLE. Thus, life expectancy at age 50 differed between the highest and lowest income quartile by 8.0 years for men and 5.0 years for women. The difference in DFLE was 11.8 and 10.3 years for men and women, respectively. For men the mortality effect from the decomposition contributed by 4.1 years to the difference of 11.8 years in DFLE and 3.9 years to the difference in expected years with disability of 3.8 years while the disability effect contributed by 7.7 years. Conclusions The study quantifies social inequality in health in Denmark. Although income inequality in life expectancy and DFLE can partly be explained by loss of income due to chronic diseases, one would expect a welfare state to provide better financial security for citizens with health problems. Furthermore, the marked social disparity when approaching retirement age is questioning the fairness of implementing a pension scheme independently of socioeconomic position. Key messages Disability-free life expectancy differs between income quartiles by more than 10 years. Pension age follows the projected increasing life expectancy independently of socioeconomic position. This seems unfair.

scholarly journals Trends of Healthy Life Expectancy of the Elderly in China in 1994–2015: Revisiting From the Perspective of Morbidity Transition

2022 ◽  
Vol 9 ◽  
Author(s):  
Zhen Zhang ◽  
Junhan Dong ◽  
Chenyuan Zhao ◽  
Qiang Li
Keyword(s):  
Life Expectancy ◽  
Dynamic Equilibrium ◽  
The Elderly ◽  
Underlying Mechanism ◽  
Healthy Life Expectancy ◽  
Health Improvement ◽  
Healthy Life ◽  
Disability Free Life Expectancy ◽  
Sullivan Method

Research on healthy life expectancy (HLE) in China has been fueled by a spate of new data sources and studies, yet no consensus is reached on the pattern of HLE changes and the underlying mechanism. This study examined the change of HLE in China over 20 years with long term national data. Health status, measured by activities of daily living, is combined with mortality to calculate the disability-free life expectancy by the Sullivan method. The results show that the HLE rose slower than life expectancy (LE) in 1994–2004, indicating morbidity expansion. However, in 2010–2015, the proportion of HLE to LE increased, manifesting morbidity compression. A counterfactual analysis further shows that health improvement has been increasingly important in increasing HLE in 2010–2015, despite the dominance of mortality decline. The findings suggest that morbidity can transition between compression, expansion and dynamic equilibrium over a long period due to different combinations of mortality and health improvements. Given the limited data in this study, whether and how morbidity transitions unfold in the future remains open and requires further research.

scholarly journals Changes in Disability-Free Life Expectancy in Canada between 1994 and 2007

2014 ◽  
Vol 41 (1-2) ◽  
pp. 192 ◽  
Author(s):  
Rachel Margolis ◽  
Scott Mandich
Keyword(s):  
Life Expectancy ◽  
Moderate Increase ◽  
Men And Women ◽  
Life Expectancy At Birth ◽  
Disability Free Life Expectancy ◽  
Sullivan Method ◽  
Expansion Of Morbidity

Life expectancy at birth continues to increase in Canada, reaching 81.2 years in 2009. Knowing whether these older years are healthy or disabled is critical for policymakers. We examine changes in disability-free life expectancy for men and women in Canada in 1994 and 2007 using the Sullivan method. We find that increases in life expectancy for men were due to a moderate increase in healthy years and a larger increase in disabled years. The increases in life expectancy for womenwere driven almost completely by increases in disabled years, suggesting an “expansion of morbidity” among women.

Increasing inequalities in disability-free life expectancy among older adults in Sweden 2002–2014

2021 ◽  
pp. 140349482110623
Author(s):  
Louise Sundberg ◽  
Neda Agahi ◽  
Jonas W. Wastesson ◽  
Johan Fritzell ◽  
Stefan Fors
Keyword(s):  
Life Expectancy ◽  
Daily Living ◽  
Educational Inequalities ◽  
Swedish Population ◽  
Educational Differences ◽  
Total Life Expectancy ◽  
Disability Free Life Expectancy ◽  
Lower Education ◽  
Sullivan Method ◽  
Total Life

Background: In an aging society with increasing old age life expectancy, it has become increasingly important to monitor the health development in the population. This paper combines information on mortality and disability and explores educational inequalities in disability-free life expectancy in the aging population in Sweden, and to what extent these inequalities have increased or decreased over time. Methods: A random sample of the Swedish population aged 77 years and above ( n=2895) provided information about disability in the population in the years 2002, 2004, 2011 and 2014. The prevalence of disability was assessed by five items of personal activities of daily living and incorporated in period life tables for the corresponding years, using the Sullivan method. The analyses were stratified by sex and educational attainment. Estimates at ages 77 and 85 years are presented. Results: Disability-free life expectancy at age 77 years increased more than total life expectancy for all except men with lower education. Women with higher education had a 2.7-year increase and women with lower education a 1.6-year increase. The corresponding numbers for men were 2.0 and 0.8 years. The educational gap in disability-free life expectancy increased by 1.2 years at age 77 years for both men and women. Conclusions: While most of the increase in life expectancy was years free from disability, men with lower education had an increase of years with disability. The educational differences prevailed and increased over the period as the gains in disability-free life expectancy were smaller among those with lower education.

scholarly journals Healthy life expectancy vs health expenditure by sullivan method in Malaysia

2019 ◽  
Vol 14 (1) ◽  
pp. 402 ◽  
Author(s):  
Muhammad Hakeem Omar ◽  
Nurin Haniah Asmuni ◽  
Sharifah Nazatul Shima
Keyword(s):  
Life Expectancy ◽  
Health Expenditure ◽  
Healthy Life Expectancy ◽  
Morbidity Rate ◽  
Healthy Life ◽  
Mortality And Morbidity ◽  
Malaysian Population ◽  
United State ◽  
Disability Free Life Expectancy ◽  
Sullivan Method

<span lang="EN-MY">The improvement of mortality rates in many countries over the world has a major impact on cost associated with living longer due to mortality and morbidity risk. In particular, the trend in life expectancy of Malaysian population has steadily increased for many years where in 2017, Malaysian are expected to live up to 74.8 years compared to 74.3 years in 2011. Life expectancy can be defined as the average period of a person may expect to live, while the definition of disability-free life expectancy is the average number of years a person is expected to live without health disability.  If a person takes a good care and services through the advancement of medical technology, it may expend the period of life expectancy for a person. Thus, longevity may have a positive relationship with health expenditure. United State for instance spends more on health across years, however United State becomes the outlier as compared to other countries with higher percentage of increase in life expectancy per dollar spent on health expenditure. Disability or disability-free life expectancy can rise at certain degree among Malaysian. The general public do not know whether longevity will expose a person to a greater period spend in disability state or not. Therefore, this paper presents healthy life expectancy vs. health expenditure by Sullivan method in Malaysia to provide further understanding of morbidity rate for Malaysian population due to longevity. This paper calculates the disability-free life expectancy for Malaysian population which then will be used in country comparison. Relationship between disability-free life expectancy and health expenditure will be studied. Sullivan method will be applied in the calculation by using a period life table based on age and gender groups.</span>

scholarly journals Socioeconomic differentials and disease-free life expectancy of the elderly in Brazil

2017 ◽  
Vol 3 (1) ◽  
pp. 64 ◽  
Author(s):  
Luciana Correia Alves ◽  
Natália Martins Arruda
Keyword(s):  
Chronic Disease ◽  
Life Expectancy ◽  
Socioeconomic Inequality ◽  
Household Survey ◽  
The Elderly ◽  
Social Changes ◽  
Estimate Life Expectancy ◽  
National Household Survey ◽  
Socioeconomic Differentials ◽  
Sullivan Method

The objective of this study was to estimate life expectancy with and without a specific chronic disease among the Brazilian elderly population, by sex and socioeconomic factors, for the years 1998 and 2008. Life expectancy with and without hypertension, diabetes, bronchitis/asthma, and heart disease were calculated using the Sullivan method and prevalence estimates from data collected in the two years through the Brazilian National Household Survey (PNAD). Hypertension was the chronic disease with the largest effect on life expectancy. Among socioeconomic determinants, education proved more relevant than income. Having more years of education increased the average healthy time. Socioeconomic inequality negatively affected the health of women more than men. Despite the social changes in Brazil in recent decades with a reduction in inequality and poverty, the effect of socioeconomic inequality in the country on the health status of the elderly remains evident.

scholarly journals Changes in total and disability-free life ex-pectancy among older adults in China: Do they portend a compression of morbidity?

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Zachary Zimmer ◽  
Mira Hidajat ◽  
Yasuhiko Saito
Keyword(s):  
Life Expectancy ◽  
Population Aging ◽  
Compression Of Morbidity ◽  
Urban Residence ◽  
Healthy Longevity ◽  
Total Life Expectancy ◽  
Disability Free Life Expectancy ◽  
Older Chinese ◽  
Sullivan Method

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.

scholarly journals Race, sex and depression-free life expectancy in Brazil, 1998–2013

2018 ◽  
Vol 4 (1) ◽  
pp. 1 ◽  
Author(s):  
Luciana Correia Alves ◽  
Claudia Cristina Pereira
Keyword(s):  
Life Expectancy ◽  
White Women ◽  
Household Survey ◽  
National Health Survey ◽  
Lower Number ◽  
Depression Prevalence ◽  
National Household Survey ◽  
Sullivan Method ◽  
Great Burden ◽  
Over Time

Depression brings a great burden of disease to Brazil. This study investigates depression-free life expectancy (DFLE) between 1998 and 2013 in the country. We used data from Brazilian National Household Survey, National Health Survey and Life Tables provided by the Brazilian Institute of Geography and Statistics considering individuals 30 years and older. DFLE by race and sex was calculated using the Sullivan method. We observed improvements in DFLE over time, for all race/color groups. In general, men had a smaller share of years lived with depression when compared to women within the same race groups. Compared to whites, blacks/ browns and people of other races/colors had the highest DFLE for both men and women. White women had the lowest percentage of DFLE. Blacks displayed better estimates of DFLE and lower number of years living with depression than whites, despite the evidence of worse health outcomes depicted in the literature. Further research is needed to understand the lower depression prevalence found for blacks that reflects directly into a higher DFLE.

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