Decennial trends and inequalities in healthy life expectancy: The HUNT Study, Norway
| Autor: | Steinar Westin, Erik R. Sund, Steinar Krokstad, Siri Høivik Storeng |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Gerontology Inequality media_common.quotation_subject 03 medical and health sciences Life Expectancy 0302 clinical medicine Hunt study Humans 030212 general & internal medicine Social determinants of health Aged Self-rated health media_common Aged 80 and over Norway 030503 health policy & services Healthy life expectancy Public Health Environmental and Occupational Health Health Status Disparities General Medicine Middle Aged Cross-Sectional Studies Socioeconomic Factors Life expectancy Dependency ratio Female 0305 other medical science Psychology |
| Zdroj: | Scandinavian Journal of Public Health. 46:124-131 |
| ISSN: | 1651-1905 1403-4948 |
| DOI: | 10.1177/1403494817695911 |
| Popis: | Aims: Norway is experiencing a rising life expectancy combined with an increasing dependency ratio – the ratio of those outside over those within the working force. To provide data relevant for future health policy we wanted to study trends in total and healthy life expectancy in a Norwegian population over three decades (1980s, 1990s and 2000s), both overall and across gender and educational groups. Methods: Data were obtained from the HUNT Study, and the Norwegian Educational Database. We calculated total life expectancy and used the Sullivan method to calculate healthy life expectancies based on self-rated health and self-reported longstanding limiting illness. The change in health expectancies was decomposed into mortality and disability effects. Results: During three consecutive decades we found an increase in life expectancy for 30-year-olds (~7 years) and expected lifetime in self-rated good health (~6 years), but time without longstanding limiting illness increased less (1.5 years). Women could expect to live longer than men, but the extra life years for females were spent in poor self-rated health and with longstanding limiting illness. Differences in total life expectancy between educational groups decreased, whereas differences in expected lifetime in self-rated good health and lifetime without longstanding limiting illness increased. Conclusions: The increase in total life expectancy was accompanied by an increasing number of years spent in good self-rated health but more years with longstanding limiting illness. This suggests increasing health care needs for people with chronic diseases, given an increasing number of elderly. Socioeconomic health inequalities remain a challenge for increasing pensioning age. |
| Databáze: | OpenAIRE |
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