Decomposition of life expectancy differentials with (and without) conditions by educational attainment for major groups of causes in contemporary Spain: where is the advantage?
Bramajo, Octavio (Centre d'Estudis Demogràfics)
Zueras Castillo, Pilar (Centre d'Estudis Demogràfics)
Rentería, Elisenda (Centre d'Estudis Demogràfics)
Permanyer, Iñaki (Centre d'Estudis Demogràfics)
Centre d'Estudis Demogràfics

Fecha:	2024
Resumen:	Introduction: Healthy life expectancy is higher among individuals with higher socioeconomic standing. However, it is unclear whether such advantage is attributable to longer (i. e. , mortality advantage) or to healthier (morbidity advantage) lifespans across different health conditions. Objective: Estimate the contribution of mortality and morbidity components in differences in condition-free life expectancies (CFLE) and life expectancy with conditions (LEWC) for five major groups of conditions by sex and educational attainment, instead of using a global indicator of morbidity. Methods: Using the Sullivan Method, we computed remaining life expectancies at age 40 and 65, CFLE, and LEWC and applied a stepwise decomposition technique, using national health surveys along with mortality data, in a cross-sectional analysis. Results: An educational gradient was present in almost all conditions, with different intensities. For females, morbidity was the main contributor to educational differences in health expectancies, but mainly in the older age groups. For males, the drivers behind higher health expectancies for high-educated males were evenly distributed across mortality and morbidity between ages 40 and 65, but after that, the mortality gradient vanished between high-educated and middle-educated individuals. Discussion: The changing contribution of the mortality and morbidity gradient for different conditions across age-groups brings evidence to adequately plan health policies to mitigate health gaps and improve quality of life of the populations in a lower social standing.
Ayudas:	Ministerio de Ciencia e Innovación RYC-2017-22586 Agencia Estatal de Investigación PID2020-113934RB-I00
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:	Aging ; Social inequalities ; Spain ; Morbidity ; Mortality
Publicado en:	Genus, Vol. 80 Núm. 10 (July 2024) , ISSN 2035-5556

DOI: 10.1186/s41118-024-00220-5
PMID: 39027674

24 p, 1.7 MB

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