Healthy lifespan inequality : morbidity compression from a global perspective
Permanyer, Iñaki (Centre d'Estudis Demogràfics)
Villavicencio, Francisco (Universitat de Barcelona)
Trias Llimós, Sergi (Centre d'Estudis Demogràfics)

Fecha:	2023
Resumen:	Current measures of population health lack indicators capturing the variability in age-at-morbidity onset, an important marker to assess the timing patterns of individuals' health deterioration and evaluate the compression of morbidity. We provide global, regional, and national estimates of the variability in morbidity onset from 1990 to 2019 using indicators of healthy lifespan inequality (HLI). Using data from the Global Burden of Disease Study 2019, we reconstruct age-at-death.
Resumen:	distributions to calculate lifespan inequality (LI), and age-at-morbidity onset distributions to calculate HLI. We measure LI and HLI with the standard deviation. Between 1990 and 2019, global HLI decreased from 24. 74 years to 21. 92, and has been decreasing in all regions except in high-income countries, where it has remained stable. Countries with high HLI are more present in sub-Saharan Africa and south Asia, whereas low HLI values are predominant in high-income countries and central and eastern Europe. HLI tends to be higher for females than for males, and HLI tends to be higher than LI. Globally, between 1990 and 2019 HLI at age 65 increased from 6. 83 years to 7. 44 for females, and from 6. 23 to 6. 96 for males. Improvements in longevity are not necessarily accompanied by further reductions in HLI among longevity vanguard countries. Morbidity is compressing, except in high-income countries, where it stagnates. The variability in the ages at morbidity onset tends to be larger than the variability in lifespans, and such divergence broadens over time. As longevity increases worldwide, the locus of health inequality is moving from death-related inequalities to disease- and disability-centered ones.
Ayudas:	European Commission 864616 Agencia Estatal de Investigación PID2021-128892OB-I00 Ministerio de Ciencia e Innovación IJC2019-039144-I Ministerio de Ciencia e Innovación FJC2019-039314-I
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Ageing ; Health inequalities ; Longevity ; Morbidity ; Population health indicators
Publicado en:	European Journal of Epidemiology, Vol. 38 (2023) , p. 511-521, ISSN 1573-7284

DOI: 10.1007/s10654-023-00989-3
PMID: 37027116

12 p, 3.4 MB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias sociales y jurídicas > Centre d’Estudis Demogràfics (CED-CERCA)
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