Health expectancies
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Health expectancies based on SHARE * data For 9 European Union countries in 2004. Emmanuelle Cambois, Aurore Clavel * Survey of Health, Ageing and Retirement in Europe. Computing life and health expectancies. Demographic data. population data for 2004 and 2005 birth data for 2004

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Emmanuelle Cambois, Aurore Clavel * Survey of Health, Ageing and Retirement in Europe

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Health expectancies

based on SHARE* data

For 9 European Union countries in 2004

EmmanuelleCambois, Aurore Clavel

*Survey of Health, Ageing and Retirement in Europe


Computing life and health expectancies

  • Demographic data

  • population data for 2004 and 2005

  • birth data for 2004

  • death data for 2004

Missing data :

- population 2005 for Greece and Italy

- deaths 2004 for Spain, France and Italy

Linear regression

on the maximum

raw data available

  • Population living in institution

The assumption has been made that the prevalence of health states outside and within institutions does not differ (Sullivan method).


Combining life and health data

  • SHARE data

  • SHARE 2004 represents the non-institutionalized population aged 50 and older

  • 11 countries have contributed micro data to the 2004 SHARE baseline study

    (Austria, Belgium, Denmark, France, Germany, Greece, Italy, Netherlands,

    Spain, Sweden and Switzerland) ≈ 23 000 participants


SHARE sample

Total number of participants and response rates for the SHARE survey, per country, sex and age group, 2004


Data and Methods

  • SHARE data

  • SHARE 2004 represents the non-institutionalized population aged 50 and older

  • 11 countries have contributed micro data to the 2004 SHARE baseline study

    (Austria, Belgium, Denmark, France, Germany, Greece, Italy, Netherlands,

    Spain, Sweden and Switzerland) N ≈ 23 000 participants

  • Switzerland is not yet included in EHEMU

Results for 9 countries

N ≈ 21 000 participants

  • Belgium data will only be available in autumn 2006

  • We kept only people aged 50 or above

  • We suppressed people with unknown sex or age


SHARE sample used

Number of participants aged 50 and above

used in the SHARE survey for calculation of health expectancies

per country and sex, 2004


Health expectancies from SHARE

Computation of health expectancies according to various health concepts:

1 Life expectancy and subjective self-rated heath

1.1 Life expectancy in perceived health (European version)

1.1 Life expectancy in perceived health (European version)

2 Life expectancy and morbidity

2.1 Life expectancy without symptoms

2.2 Life expectancy without morbidity

2.2 Life expectancy without morbidity

3 Life expectancy and functional health

3.1 Life expectancy without physical functional limitation

3.2 Life expectancy without activity limitation (HLY)

3.2 Life expectancy without activity limitation (HLY)

3.3 Life Expectancy without instrumental activity restrictions (IADL)

3.4 Life Expectancy without self care activity restrictions (ADL)

  • we will present the 3 Health Expectancies

corresponding to the 3 main health dimensions covered by

the Minimum European Health Module (MEHM)


Perceived health

Morbidity

Activity limitation


=> Good perceived health

=> Fair perceived health

=> Bad perceived health

Life expectancy in perceived health

Would you say your health is …

  • Very good

  • 2. Good

  • 3. Fair

  • 4. Bad

  • 5. Very bad


Life expectancy in perceived health


Life expectancy in perceived health


Health expectancies from SHARE

health expectancies according to various health concepts:

1 Life expectancy and subjective self-rated heath

1.1 Life expectancy in perceived health (European version)

2 Life expectancy and morbidity

2.1 Life expectancy without symptoms

2.2 Life expectancy without morbidity

2.2 Life expectancy without morbidity

3 Life expectancy and functional health

3.1 Life expectancy without physical functional limitation

3.2 Life expectancy without activity limitation (HLY)

3.3 Life Expectancy without instrumental activity restrictions (IADL)

3.4 Life Expectancy without self care activity restrictions (ADL)


Life expectancy with and without morbidity

Has a doctor ever told you that you had any of the conditions on this card? Please tell me the number or numbers of the conditions.

1. A heart attack including myocardial infarction or coronary thrombosis or any other heart problem including congestive heart failure

2. High blood pressure or hypertension

3. High blood cholesterol

4. A stroke or cerebral vascular disease

5. Diabetes or high blood sugar

6. Chronic lung disease such as chronic bronchitis or emphysema

7. Asthma

8. Arthritis, including osteoarthritis, or rheumatism

9. Osteoporosis

10. Cancer or malignant tumour, including leukaemia or lymphoma, but excluding minor skin cancers

11. Stomach or duodenal ulcer, peptic ulcer

12. Parkinson disease

13. Cataracts

14. Hip fracture or femoral fracture

96. None

97. Other conditions, not yet mentioned


Life expectancy with and without morbidity


Health expectancies from SHARE

health expectancies according to various health concepts:

1 Life expectancy and subjective self-rated heath

1.1 Life expectancy in perceived health (European version)

2 Life expectancy and morbidity

2.1 Life expectancy without symptoms

2.2 Life expectancy without morbidity

3 Life expectancy and functional health

3.1 Life expectancy without physical functional limitation

3.2 Life expectancy without activity limitation (HLY)

3.2 Life expectancy without activity limitation (HLY)

3.3 Life Expectancy without instrumental activity restrictions (IADL)

3.4 Life Expectancy without self care activity restrictions (ADL)


Life expectancy with and without activity limitation

For the past six months at least, to what extent have you been limited because of a health problem in activities people usually do?

1. Severely limited

2. Limited, but not severely

3. Not limited

=>This health expectancy corresponds to

the EU Structural Indicator Healthy Life Year (HLY)


Life expectancy with and without activity limitation i.e. EU Healthy Life Year (HLY)


Life expectancy with and without activity limitation i.e. EU Healthy Life Year (HLY)


Crude comparisons of proportion

Men

Women

  • Proportion of life expectancy without morbidity

  • Proportion of life expectancy without activity limitation

  • Proportion of life expectancy in good perceived health


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Austria


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Denmark


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

France


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Germany


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Greece


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Italy


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Netherlands


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Spain


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Sweden


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Austria


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Denmark


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

France


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Germany


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Greece


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Italy


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Netherlands


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Spain


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Sweden


Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006)

Similar 4 step profile for all countries

  • For women:

  • - for 3 south countries (Greece, Italy, Spain) :

  • Same 4 step gradation

  • For men: 2 profiles

  • for the rest : 2 step profile

  • A more in depth analysis will be performed during

    the next year of the EHEMU project


Thank you!


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