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Erschienen in: European Journal of Ageing 4/2010

01.12.2010 | Original Investigation

Are gaps in disability free life expectancies diminishing in Italy?

verfasst von: Luisa Frova, Alessandra Burgio, Alessandra Battisti

Erschienen in: European Journal of Ageing | Ausgabe 4/2010

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Abstract

This paper studies gender differences in disability free life expectancy (DFLE), taking into account mortality and disability contributions. After analysing the types of disability that account for such differences, it goes on to examine temporal variability and age contributions to mortality and disability variation. The method used is an extension of Arriaga’s model proposed by Nusselder. In 2005, disability free life expectancy at age 30 was 46.23 years for men and 48.74 years for women, with a gender difference of 2.51 years. Decomposing this difference we find that the mortality effect is 3.70 years, while the disability effect is negative and equal to −1.19 years. Ten years earlier, in 1994, DFLE at age 30 was 43.24 years for men and 46.55 years for women, with a difference between genders of 3.32 years. This broke down to a mortality effect of 4.33 years and a disability effect of −1.02 years. In conclusion, the gap in DFLE between men and women is narrowing, thanks to the more rapid drop in mortality rates in men. With respect to disabilities women are disadvantaged, although the difference (in both total disability and different types of disability) has been almost stable in recent years.
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This, obviously, is also true for measurements obtained by the Sullivan-based decomposition model.
 
Literatur
Zurück zum Zitat Alho JM (1992) On prevalence, incidence, and duration in general stable populations. Biometrics 48:587–592CrossRef Alho JM (1992) On prevalence, incidence, and duration in general stable populations. Biometrics 48:587–592CrossRef
Zurück zum Zitat Andreev E, Shkolnikov V, Begun AZ (2002) Algorithm for decomposition of differences between aggregate demographic measures and its application to life expectancies, healthy life expectancies, parity-progression ratios and total fertility rates. Demogr Res 7(14):499–522CrossRef Andreev E, Shkolnikov V, Begun AZ (2002) Algorithm for decomposition of differences between aggregate demographic measures and its application to life expectancies, healthy life expectancies, parity-progression ratios and total fertility rates. Demogr Res 7(14):499–522CrossRef
Zurück zum Zitat Arriaga EE (1984) Measuring and explaining the change in life expectancy. Demography 21:83–96CrossRef Arriaga EE (1984) Measuring and explaining the change in life expectancy. Demography 21:83–96CrossRef
Zurück zum Zitat Arriaga EE (1989) Changing trends in mortality decline during the last decades. In: Ruzicka L, Wunsch G, Kane P (eds) Differential mortality: methodological issues and biosocial factors. Clarendon Press, Oxford, England, pp 105–129 Arriaga EE (1989) Changing trends in mortality decline during the last decades. In: Ruzicka L, Wunsch G, Kane P (eds) Differential mortality: methodological issues and biosocial factors. Clarendon Press, Oxford, England, pp 105–129
Zurück zum Zitat Bah SM (1998) Assessing the contribution of age-sex differentials in causes of death due to infectious and parasitic diseases to the trends in age-sex differentials in life expectancy in Mauritius. Soc Biol 45(3–4):260–272 Bah SM (1998) Assessing the contribution of age-sex differentials in causes of death due to infectious and parasitic diseases to the trends in age-sex differentials in life expectancy in Mauritius. Soc Biol 45(3–4):260–272
Zurück zum Zitat Bebbington A, Bajekal M (2003) Sub-national variations health expectancy. In: Robine JM, Jagger C, Mathers CD, Crimmins EM, Suzman RM (eds) Determining health expectancy. Wiley, Chichester, England, pp 127–147 Bebbington A, Bajekal M (2003) Sub-national variations health expectancy. In: Robine JM, Jagger C, Mathers CD, Crimmins EM, Suzman RM (eds) Determining health expectancy. Wiley, Chichester, England, pp 127–147
Zurück zum Zitat Bellini P, Dalla Zuanna G, Marsili M (1992) Trends in geographical differential mortality in Italy (1970–1990): tradition and change. Genus 48(1–2):155–182 Bellini P, Dalla Zuanna G, Marsili M (1992) Trends in geographical differential mortality in Italy (1970–1990): tradition and change. Genus 48(1–2):155–182
Zurück zum Zitat Bongaarts J (2006) A decomposition of life expectancy levels and trends. Paper presented at the Annual Meeting of Population Association of America Bongaarts J (2006) A decomposition of life expectancy levels and trends. Paper presented at the Annual Meeting of Population Association of America
Zurück zum Zitat Brønnum-Hansen E (2005) Health expectancy in Denmark, 1987–2000. Eur J Public Health 15(1):20–25CrossRef Brønnum-Hansen E (2005) Health expectancy in Denmark, 1987–2000. Eur J Public Health 15(1):20–25CrossRef
Zurück zum Zitat Brønnum-Hansen H, Baadsgaard M (2008) Increase in social inequality in health expectancy in Denmark. Scand J Public Health 36:44–51CrossRef Brønnum-Hansen H, Baadsgaard M (2008) Increase in social inequality in health expectancy in Denmark. Scand J Public Health 36:44–51CrossRef
Zurück zum Zitat Brouard N, Robine JM (1992) A method for calculation of health expectancy applied to longitudinal surveys of the elderly in France. In: Robine JM, Blanclet M, Dowd EJ (eds) Health expectancy. OPCS, HMSO, London, pp 87–94 Brouard N, Robine JM (1992) A method for calculation of health expectancy applied to longitudinal surveys of the elderly in France. In: Robine JM, Blanclet M, Dowd EJ (eds) Health expectancy. OPCS, HMSO, London, pp 87–94
Zurück zum Zitat Buhalis D, Eichhorn V, Michopoulou E, Miller G (2006) Accessibility market and stakeholder analysis. OSSATE/ University of Surrey Buhalis D, Eichhorn V, Michopoulou E, Miller G (2006) Accessibility market and stakeholder analysis. OSSATE/ University of Surrey
Zurück zum Zitat Burgio L, Murianni L, Folino-Gallo P (2009) Differences in life expectancy and disability free life expectancy in Italy. A challenge to health systems. Soc Indic Res 92:1–11CrossRef Burgio L, Murianni L, Folino-Gallo P (2009) Differences in life expectancy and disability free life expectancy in Italy. A challenge to health systems. Soc Indic Res 92:1–11CrossRef
Zurück zum Zitat Conti S, Farchi G, Masocco M, Toccaceli V, Vichi M (1999) The impact of the major causes of death on life expectancy in Italy. Int J Epidemiol 28(5):905–910CrossRef Conti S, Farchi G, Masocco M, Toccaceli V, Vichi M (1999) The impact of the major causes of death on life expectancy in Italy. Int J Epidemiol 28(5):905–910CrossRef
Zurück zum Zitat Conti S, Farchi G, Masocco M, Minelli G, Toccaceli V, Vichi M (2003) Gender differentials in life expectancy in Italy. Eur J Epidemiol 18(2):107–112CrossRef Conti S, Farchi G, Masocco M, Minelli G, Toccaceli V, Vichi M (2003) Gender differentials in life expectancy in Italy. Eur J Epidemiol 18(2):107–112CrossRef
Zurück zum Zitat Crimmins EM, Cambois E (2003) Social inequalities in health expectancy. In: Robine JM, Jagger C, Mathers CD, Crimmins EM, Suzman RM (eds) Determining health expectancy. John Wiley & Sons, Chichester, England, pp 111–125 Crimmins EM, Cambois E (2003) Social inequalities in health expectancy. In: Robine JM, Jagger C, Mathers CD, Crimmins EM, Suzman RM (eds) Determining health expectancy. John Wiley & Sons, Chichester, England, pp 111–125
Zurück zum Zitat Crimmins EM, Saito Y (2001) Trends in healthy life expectancy in the United States, 1970–1990: gender, racial, and educational differences. Soc Sci Med 52(11):1629–1641CrossRef Crimmins EM, Saito Y (2001) Trends in healthy life expectancy in the United States, 1970–1990: gender, racial, and educational differences. Soc Sci Med 52(11):1629–1641CrossRef
Zurück zum Zitat Das Gupta P (1994) Standardisation and decomposing of rates from cross-classified data. Genus 50(3–4):71–196 Das Gupta P (1994) Standardisation and decomposing of rates from cross-classified data. Genus 50(3–4):71–196
Zurück zum Zitat Egidi V, Frova L, Pappagallo M, Spizzichino D (2004) Sopravvivenza e mortalità per causa nelle regioni italiane. In: Rapporto Osservasalute 2004, Vita e Pensiero, pp 23–46 Egidi V, Frova L, Pappagallo M, Spizzichino D (2004) Sopravvivenza e mortalità per causa nelle regioni italiane. In: Rapporto Osservasalute 2004, Vita e Pensiero, pp 23–46
Zurück zum Zitat Freeman J, Hutchison GB (1980) Prevalence, incidence and duration. Am J Epidemiol 112(5):707–723 Freeman J, Hutchison GB (1980) Prevalence, incidence and duration. Am J Epidemiol 112(5):707–723
Zurück zum Zitat Frova L, Prati S (1999) L’evoluzione della mortalità e della sopravvivenza. In: La mortalità in Italia nel periodo 1970–1992: evoluzione e geografia. Fuori Collana, ISTAT-ISS, Istituto Poligrafico e Zecca dello stato, Roma, pp 21–34 Frova L, Prati S (1999) L’evoluzione della mortalità e della sopravvivenza. In: La mortalità in Italia nel periodo 1970–1992: evoluzione e geografia. Fuori Collana, ISTAT-ISS, Istituto Poligrafico e Zecca dello stato, Roma, pp 21–34
Zurück zum Zitat Gómez-Redondo R, Boe G (2005) Decomposition analysis of Spanish life expectancy at birth: evolution and changes in components by sex and age. Demogr Res 13:521–546CrossRef Gómez-Redondo R, Boe G (2005) Decomposition analysis of Spanish life expectancy at birth: evolution and changes in components by sex and age. Demogr Res 13:521–546CrossRef
Zurück zum Zitat Imai K, Soneji S (2007) On the estimation of disability-free life expectancy: Sullivan’s method and its extension. J Am Stat Assoc 102(480):1199–1211CrossRef Imai K, Soneji S (2007) On the estimation of disability-free life expectancy: Sullivan’s method and its extension. J Am Stat Assoc 102(480):1199–1211CrossRef
Zurück zum Zitat ISTAT (2003) La qualità della sopravvivenza: salute e autonomia. In: Rapporto Annuale - La situazione del Paese nel 2002. Roma ISTAT (2003) La qualità della sopravvivenza: salute e autonomia. In: Rapporto Annuale - La situazione del Paese nel 2002. Roma
Zurück zum Zitat Jagger C, Gillies C, Mascone F, Cambois E, Van Oyen H, Nusselder WJ, Robine J-M, (2008) EHLEIS team. Inequalities in healthy life years in the 25 countries of the European Union in 2005: a cross-national meta-regression analysis. Lancet 372(9656):2124–2131CrossRef Jagger C, Gillies C, Mascone F, Cambois E, Van Oyen H, Nusselder WJ, Robine J-M, (2008) EHLEIS team. Inequalities in healthy life years in the 25 countries of the European Union in 2005: a cross-national meta-regression analysis. Lancet 372(9656):2124–2131CrossRef
Zurück zum Zitat Keiding N (1991) Age-specific incidence and prevalence: a statistical perspective. J R Stat Soc A 154(3):371–412CrossRef Keiding N (1991) Age-specific incidence and prevalence: a statistical perspective. J R Stat Soc A 154(3):371–412CrossRef
Zurück zum Zitat Klenk J, Rapp K, Büchele G, Keil U, Weiland SK (2007) Increasing life expectancy in Germany: quantitative contributions from changes in age- and disease-specific mortality. Eur J Public Health 17:587–592CrossRef Klenk J, Rapp K, Büchele G, Keil U, Weiland SK (2007) Increasing life expectancy in Germany: quantitative contributions from changes in age- and disease-specific mortality. Eur J Public Health 17:587–592CrossRef
Zurück zum Zitat Kochanek KD, Maurer JD, Rosenberg HM (1994) Why did black life expectancy decline from 1984 through 1989 in United States? Am J Public Health 84:938–944CrossRef Kochanek KD, Maurer JD, Rosenberg HM (1994) Why did black life expectancy decline from 1984 through 1989 in United States? Am J Public Health 84:938–944CrossRef
Zurück zum Zitat Mathers C, Robine JM (1993) Health expectancy indicators: a review of the work of REVES to date. In: Robine JM (ed) Calculation of health expectancies, harmonization, consensus achieved and future perspectives. Libbey, Paris Mathers C, Robine JM (1993) Health expectancy indicators: a review of the work of REVES to date. In: Robine JM (ed) Calculation of health expectancies, harmonization, consensus achieved and future perspectives. Libbey, Paris
Zurück zum Zitat Matthews FE, Miller LL, Brayne C, Jagger C, the Medical Research council Cognitive Function, Aging Study (MRC CFAS) (2006) Regional differences in multidimensional aspects of health: findings from the MRC cognitive function and ageing study. BMC Public Health 6:90CrossRef Matthews FE, Miller LL, Brayne C, Jagger C, the Medical Research council Cognitive Function, Aging Study (MRC CFAS) (2006) Regional differences in multidimensional aspects of health: findings from the MRC cognitive function and ageing study. BMC Public Health 6:90CrossRef
Zurück zum Zitat Nusselder WJ, Looman CWN (2004) Decomposition of differences in health expectancy by cause. Demography 41(2):315–334CrossRef Nusselder WJ, Looman CWN (2004) Decomposition of differences in health expectancy by cause. Demography 41(2):315–334CrossRef
Zurück zum Zitat Nusselder WJ, Looman CWN, Mackenbach JP, Huisman M et al (2005) The contribution of specific diseases to educational disparities in disability-free. Am J Public Health 95:2035–2041CrossRef Nusselder WJ, Looman CWN, Mackenbach JP, Huisman M et al (2005) The contribution of specific diseases to educational disparities in disability-free. Am J Public Health 95:2035–2041CrossRef
Zurück zum Zitat OECD (2005) Impact of population ageing on health and long-term care expenditure: assessing the effect of morbidity, disability and other cost drivers. Health Division, OECD, Workshop organised by the European Commission (Working Group on Ageing) 21–22 Feb, Brussels OECD (2005) Impact of population ageing on health and long-term care expenditure: assessing the effect of morbidity, disability and other cost drivers. Health Division, OECD, Workshop organised by the European Commission (Working Group on Ageing) 21–22 Feb, Brussels
Zurück zum Zitat Pollard JH (1988) On the decomposition of changes in expectation of life and differentials in life expectancy. Demography 25:265–276CrossRef Pollard JH (1988) On the decomposition of changes in expectation of life and differentials in life expectancy. Demography 25:265–276CrossRef
Zurück zum Zitat Pollard JH (1990) Morbidity and mortality: differentials and their trends. Eur J Popul 6:205–225CrossRef Pollard JH (1990) Morbidity and mortality: differentials and their trends. Eur J Popul 6:205–225CrossRef
Zurück zum Zitat Pressat R (1985) Contributions des écarts de mortalité per âge à la différence des vies moyennes. Population 40(4–5):766–770CrossRef Pressat R (1985) Contributions des écarts de mortalité per âge à la différence des vies moyennes. Population 40(4–5):766–770CrossRef
Zurück zum Zitat Preston SH (1987) Relations among standard epidemiologic measures in a population. Am J Epidemiol 126(2):336–345 Preston SH (1987) Relations among standard epidemiologic measures in a population. Am J Epidemiol 126(2):336–345
Zurück zum Zitat Robine JM, Michel JP (1992) Towards international harmonization of health expectancy indices. In: 5th international workshop of REVES, Ottawa, Reves paper 86 Robine JM, Michel JP (1992) Towards international harmonization of health expectancy indices. In: 5th international workshop of REVES, Ottawa, Reves paper 86
Zurück zum Zitat Robine JM, Mathers C, Bronard N (1993) Trends and differentials in disability-free life expectancy. Paper presented at the conference on Health and Mortality trends among elderly populations: determinants and implications, Sendai City, Japan Robine JM, Mathers C, Bronard N (1993) Trends and differentials in disability-free life expectancy. Paper presented at the conference on Health and Mortality trends among elderly populations: determinants and implications, Sendai City, Japan
Zurück zum Zitat Robine JM, Romieu I, Cambois E (1999) Health expectancy and assessment of populations’ health status. Bull World Health Organ 77:181–185 Robine JM, Romieu I, Cambois E (1999) Health expectancy and assessment of populations’ health status. Bull World Health Organ 77:181–185
Zurück zum Zitat Robine JM, Jagger C, the Euro-Reves group (2003a) Creating a coherent set of indicators to monitor health across Europe. Eur J Public Health 13:6–14CrossRef Robine JM, Jagger C, the Euro-Reves group (2003a) Creating a coherent set of indicators to monitor health across Europe. Eur J Public Health 13:6–14CrossRef
Zurück zum Zitat Robine JM, Romieu I, Michel JM (2003b) Trend in health expectancy. In: Robine JM et al (eds) Determining health expectancy. John Wiley & Sons, Chichester, England, pp 75–101 Robine JM, Romieu I, Michel JM (2003b) Trend in health expectancy. In: Robine JM et al (eds) Determining health expectancy. John Wiley & Sons, Chichester, England, pp 75–101
Zurück zum Zitat Robine JM, Jagger C, Clavel A, Romieu I (2004) Disability-free life expectancy (DFLE) in EU countries from 1991 to 2003. Technical Report 1, August Robine JM, Jagger C, Clavel A, Romieu I (2004) Disability-free life expectancy (DFLE) in EU countries from 1991 to 2003. Technical Report 1, August
Zurück zum Zitat Robine J-M, Jagger C, Van Oyen H et al (2005a) Are we living longer, healthier lives in the EU? Technical Report 2, July Robine J-M, Jagger C, Van Oyen H et al (2005a) Are we living longer, healthier lives in the EU? Technical Report 2, July
Zurück zum Zitat Robine J-M, Jagger C, Van Oyen H et al (2005b) Différentes estimations des espérances de santé dans les pays de l’union européenne en 2002. Technical Report 3, July Robine J-M, Jagger C, Van Oyen H et al (2005b) Différentes estimations des espérances de santé dans les pays de l’union européenne en 2002. Technical Report 3, July
Zurück zum Zitat Schmidt U (2004) Die Politik der Bundesregierung für behinderte Menschen ist eine Erfolgsstory. Press release of the Ministry for Health and Social Security, 15th of December 2004, Berlin Schmidt U (2004) Die Politik der Bundesregierung für behinderte Menschen ist eine Erfolgsstory. Press release of the Ministry for Health and Social Security, 15th of December 2004, Berlin
Zurück zum Zitat Shkolnikov VM, Valkonen T, Begun AZ, Andreev EM (2001) Measuring inter-group inequalities in length of life. Genus LVII(3–4):33–62 Shkolnikov VM, Valkonen T, Begun AZ, Andreev EM (2001) Measuring inter-group inequalities in length of life. Genus LVII(3–4):33–62
Zurück zum Zitat Sullivan DF (1971) A single index of mortality and morbidity. HSMHA Health Rep 86:347–354CrossRef Sullivan DF (1971) A single index of mortality and morbidity. HSMHA Health Rep 86:347–354CrossRef
Zurück zum Zitat Trovato F, Lalu NM (1998) Contribution of cause specific mortality to changing sex differences in life expectancy: seven nation case study. Soc Biol 45(1–2):1–20 Trovato F, Lalu NM (1998) Contribution of cause specific mortality to changing sex differences in life expectancy: seven nation case study. Soc Biol 45(1–2):1–20
Zurück zum Zitat Van Oyen H, Bossuyt N, Deboosere P, Gadeyne S, Abatih E, Demarest SS (2005) Differential inequity in health expectancy by region in Belgium. Soc Prev Med 50(5):301–310 Van Oyen H, Bossuyt N, Deboosere P, Gadeyne S, Abatih E, Demarest SS (2005) Differential inequity in health expectancy by region in Belgium. Soc Prev Med 50(5):301–310
Zurück zum Zitat Velkova A, Wolleswinkel-van den Bosch JH, Mackenbach JP (1997) The east-west life expectancy gap: differences in mortality from conditions amenable to medical intervention. Int J Epidemiol 26(1):75–84CrossRef Velkova A, Wolleswinkel-van den Bosch JH, Mackenbach JP (1997) The east-west life expectancy gap: differences in mortality from conditions amenable to medical intervention. Int J Epidemiol 26(1):75–84CrossRef
Zurück zum Zitat WHO European Observatory on Health Systems and Policies (2009) Health in the European Union. Trends and analysis. Observatory studies series n. 19 WHO European Observatory on Health Systems and Policies (2009) Health in the European Union. Trends and analysis. Observatory studies series n. 19
Zurück zum Zitat Yoshinaga K, Une H (2005) Contributions of mortality changes by age group and selected causes of death to the increase in Japanese’s life expectancy at birth from 1950 to 2000. Eur J Epidemiol 20:49–57CrossRef Yoshinaga K, Une H (2005) Contributions of mortality changes by age group and selected causes of death to the increase in Japanese’s life expectancy at birth from 1950 to 2000. Eur J Epidemiol 20:49–57CrossRef
Metadaten
Titel
Are gaps in disability free life expectancies diminishing in Italy?
verfasst von
Luisa Frova
Alessandra Burgio
Alessandra Battisti
Publikationsdatum
01.12.2010
Verlag
Springer Netherlands
Erschienen in
European Journal of Ageing / Ausgabe 4/2010
Print ISSN: 1613-9372
Elektronische ISSN: 1613-9380
DOI
https://doi.org/10.1007/s10433-010-0173-1

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