Background : Life expectancy gaps between Eastern and Western Europe are well reported with even larger variations in healthy life years (HLY). Aims:To compare European countries with respect to a wide range of health expectancies based on more specific measures that cover the disablement process in order to better understand previous inequalities. Methods Health expectancies at age 50 by gender and country using Sullivan's method were calculated from the Survey of Health and Retirement in Europe Wave 2, conducted in 2006 in 13 countries, including two from Eastern Europe (Poland, the Czech Republic). Health measures included co-morbidity, physical functional limitations (PFL), activity restriction, difficulty with instrumental and basic activities of daily living (ADL), and self-perceived health. Cluster analysis was performed to compare countries with respect to life expectancy at age 50 (LE50) and health expectancies at age 50 for men and women. Results In 2006 the gaps in LE50 between countries were 6.1 years for men and 4.1 years for women. Poland consistently had the lowest health expectancies, however measured, and Switzerland the greatest. Polish women aged 50 could expect 7.4 years fewer free of PFL, 6.2 years fewer HLY, 5.5 years less without ADL restriction and 9.5 years less in good self-perceived health than the main group of countries (Austria, Belgium, Denmark, France, Germany, Italy, the Netherlands, Spain, Sweden). Conclusions Substantial inequalities between countries were evident on all health expectancies. However, these differed across the disablement process which could indicate environmental, technological, healthcare or other factors that may delay progression from disease to disability.
Inequalities in health expectancies at older ages in the European Union: findings from the Survey of Health and Retirement in Europe (SHARE)
Résumé
en
Background : Life expectancy gaps between Eastern and Western Europe are well reported with even larger variations in healthy life years (HLY). Aims:To compare European countries with respect to a wide range of health expectancies based on more specific measures that cover the disablement process in order to better understand previous inequalities. Methods Health expectancies at age 50 by gender and country using Sullivan's method were calculated from the Survey of Health and Retirement in Europe Wave 2, conducted in 2006 in 13 countries, including two from Eastern Europe (Poland, the Czech Republic). Health measures included co-morbidity, physical functional limitations (PFL), activity restriction, difficulty with instrumental and basic activities of daily living (ADL), and self-perceived health. Cluster analysis was performed to compare countries with respect to life expectancy at age 50 (LE50) and health expectancies at age 50 for men and women. Results In 2006 the gaps in LE50 between countries were 6.1 years for men and 4.1 years for women. Poland consistently had the lowest health expectancies, however measured, and Switzerland the greatest. Polish women aged 50 could expect 7.4 years fewer free of PFL, 6.2 years fewer HLY, 5.5 years less without ADL restriction and 9.5 years less in good self-perceived health than the main group of countries (Austria, Belgium, Denmark, France, Germany, Italy, the Netherlands, Spain, Sweden). Conclusions Substantial inequalities between countries were evident on all health expectancies. However, these differed across the disablement process which could indicate environmental, technological, healthcare or other factors that may delay progression from disease to disability.
Auteur(s)
C Jagger1, 2
, C Weston2
, E Cambois3
, H van Oyen4
, W Nusselder5
, G Doblhammer6
, Jitka Rychtarikova7
, Jean-Marie Robine8
1
Newcastle University [Newcastle]
( 252912 )
- Newcastle upon Tyne NE1 7RU
- Royaume-Uni
2
University of Leicester
( 300751 )
- University Rd, Leicester LE1 7RH
- Royaume-Uni
3
INED -
Institut national d'études démographiques
( 57627 )
- Campus Condorcet
9, cours des Humanités - CS 50004
93322 Aubervilliers Cedex
- France
4
WIV-ISP -
Institut Scientifique de Santé Publique [Belgique] - Scientific Institute of Public Health [Belgium]
( 443305 )
- Rue Juliette Wytsman, 14 1050 Bruxelles
- Belgique
Réseau International des Instituts Pasteur ( 301247 )
5
Erasmus MC -
Erasmus University Medical Center [Rotterdam]
( 308157 )
- Rotterdam
- Pays-Bas
6
University of Rostock
( 82150 )
- Albert-Einstein-Straße 22 18059 Rostock Germany
- Allemagne
7
UK -
Univerzita Karlova [Praha, Česká republika] = Charles University [Prague, Czech Republic]
( 304738 )
- Ovocný trh 5
Prague 1
116 36
Czech Republic
- Tchéquie
8
CERMES3 - UMR 8211 / U988 / UM 7 -
CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société
( 176631 )
- 7 rue Guy Môquet - BP 8 - 94801 Villejuif Cedex
Site administratif : Campus CNRS- 7, rue Guy Môquet- BP 8- 94801 Villejuif Cedex
Site Paris: CUSP (Centre universitaire des Saints-Pères)- Bâtiment Jacob (3ème étage)- 45, rue des Saints-Pères- 75270 Paris Cedex 06
- France
École des hautes études en sciences sociales UMR 8211 ( 99539 )
;
Université Paris Descartes - Paris 5 UM 7 ( 301664 )
;
Institut National de la Santé et de la Recherche Médicale U988 ( 303623 )
;
Centre National de la Recherche Scientifique UMR 8211 ( 441569 )
Langue du document
Anglais
Nom de la revue
J Epidemiol Community Health -
Journal of Epidemiology and Community Health
(ISSN : 0143-005X, ISSN électronique : 1470-2738)
Publié par BMJ Publishing Group
Revue non référencée dans Sherpa-Romeo
Vulgarisation
Non
Comité de lecture
Oui
Audience
Internationale
Date de publication
2011
Volume
65
Numéro
11
Page/Identifiant
1030-1035
Domaine(s)
Sciences de l'Homme et Société
Mots-clés
en
Medicine, Europe, Retirement, Public health, Surveillance, Survey, Age, Elderly, Health expectancy, Inequality
C Jagger, C Weston, E Cambois, H van Oyen, W Nusselder, et al.. Inequalities in health expectancies at older ages in the European Union: findings from the Survey of Health and Retirement in Europe (SHARE). Journal of Epidemiology and Community Health, 2011, 65 (11), pp.1030-1035. ⟨10.1136/jech.2010.117705⟩. ⟨hal-03477669⟩