Healthy lifespan inequality

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...

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Autores: Permanyer, Iñaki|||0000-0002-7051-5144, Villavicencio, Francisco|||0000-0003-3951-7341, Trias Llimós, Sergi|||0000-0002-8052-6736
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:274795
Acceso en línea:https://ddd.uab.cat/record/274795
https://dx.doi.org/urn:doi:10.1007/s10654-023-00989-3
Access Level:acceso abierto
Palabra clave:Ageing
Health inequalities
Longevity
Morbidity
Population health indicators
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spelling Healthy lifespan inequalitymorbidity compression from a global perspectivePermanyer, Iñaki|||0000-0002-7051-5144Villavicencio, Francisco|||0000-0003-3951-7341Trias Llimós, Sergi|||0000-0002-8052-6736AgeingHealth inequalitiesLongevityMorbidityPopulation health indicatorsCurrent 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.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. 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/274795https://dx.doi.org/urn:doi:10.1007/s10654-023-00989-3reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengEuropean Commission https://doi.org/10.13039/501100000780 864616Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2021-128892OB-I00Ministerio de Ciencia e Innovación https://doi.org/10.13039/501100004837 IJC2019-039144-IMinisterio de Ciencia e Innovación https://doi.org/10.13039/501100004837 FJC2019-039314-Iopen accesshttp://purl.org/coar/access_right/c_abf2Aquest 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.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2747952026-06-06T12:50:31Z
dc.title.none.fl_str_mv Healthy lifespan inequality
morbidity compression from a global perspective
title Healthy lifespan inequality
spellingShingle Healthy lifespan inequality
Permanyer, Iñaki|||0000-0002-7051-5144
Ageing
Health inequalities
Longevity
Morbidity
Population health indicators
title_short Healthy lifespan inequality
title_full Healthy lifespan inequality
title_fullStr Healthy lifespan inequality
title_full_unstemmed Healthy lifespan inequality
title_sort Healthy lifespan inequality
dc.creator.none.fl_str_mv Permanyer, Iñaki|||0000-0002-7051-5144
Villavicencio, Francisco|||0000-0003-3951-7341
Trias Llimós, Sergi|||0000-0002-8052-6736
author Permanyer, Iñaki|||0000-0002-7051-5144
author_facet Permanyer, Iñaki|||0000-0002-7051-5144
Villavicencio, Francisco|||0000-0003-3951-7341
Trias Llimós, Sergi|||0000-0002-8052-6736
author_role author
author2 Villavicencio, Francisco|||0000-0003-3951-7341
Trias Llimós, Sergi|||0000-0002-8052-6736
author2_role author
author
dc.subject.none.fl_str_mv Ageing
Health inequalities
Longevity
Morbidity
Population health indicators
topic Ageing
Health inequalities
Longevity
Morbidity
Population health indicators
description 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.
publishDate 2023
dc.date.none.fl_str_mv 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
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dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/274795
https://dx.doi.org/urn:doi:10.1007/s10654-023-00989-3
url https://ddd.uab.cat/record/274795
https://dx.doi.org/urn:doi:10.1007/s10654-023-00989-3
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv European Commission https://doi.org/10.13039/501100000780 864616
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2021-128892OB-I00
Ministerio de Ciencia e Innovación https://doi.org/10.13039/501100004837 IJC2019-039144-I
Ministerio de Ciencia e Innovación https://doi.org/10.13039/501100004837 FJC2019-039314-I
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
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https://creativecommons.org/licenses/by/4.0/
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
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