Zueras, Pilar and Rentería, Elisenda (2020) Trends in disease-free life expectancy at age 65 in Spain: Diverging patterns by sex, region and disease. PLoS One, 15 (11). e0240923-e0240923. DOI https://doi.org/10.1371/journal.pone.0240923
Zueras, Pilar and Rentería, Elisenda (2020) Trends in disease-free life expectancy at age 65 in Spain: Diverging patterns by sex, region and disease. PLoS One, 15 (11). e0240923-e0240923. DOI https://doi.org/10.1371/journal.pone.0240923
Zueras, Pilar and Rentería, Elisenda (2020) Trends in disease-free life expectancy at age 65 in Spain: Diverging patterns by sex, region and disease. PLoS One, 15 (11). e0240923-e0240923. DOI https://doi.org/10.1371/journal.pone.0240923
Abstract
Life expectancy in Spain is among the highest in the world. Nevertheless, we do not know if improvements in health conditions at older ages have followed postponements of death. Previous studies in Spain show a stable trend in years lived in ill health in the past. In this paper we investigate changes between 2006, 2012 and 2017 in life expectancy with and without disease at age 65 in Spain and, for the first time, in Spanish regions, which have autonomous powers of health planning, public health and healthcare. Results show that, at the country level, disease-free life expectancy reduced between 2006 and 2017 in Spain. This was explained by an expansion of most diseases except for some cardiovascular and respiratory chronic conditions. However, at the regional level the evolution was different, especially regarding each disease and sex. First, regional differences reduced between 2006 and 2012 but largely widened in 2017, suggesting that not all regions had the same ability to recover after the 2008 financial crisis that caused government cuts to health services. Second, regional analysis also highlighted diverging trends by sex. While men experienced expansion of morbidity in most regions, women experienced a compression in about half of them, ending up with women showing higher disease-free life expectancies than men in 9 out of the 17 regions considered. This study, then, calls attention to the importance of focusing the analysis of health surveillance to more disaggregated levels, more in accordance with the level of health management, as regional trends showed heterogeneity in the prevalence of diseases and different progresses in the relationship between sexes.
Item Type: | Article |
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Additional Information: | See also, Zueras P, Rentería E (2021) Correction: Trends in disease-free life expectancy at age 65 in Spain: Diverging patterns by sex, region and disease. PLOS ONE 16(3): e0249115. https://doi.org/10.1371/journal.pone.0249115 |
Uncontrolled Keywords: | Humans; Life Expectancy; Life Tables; Morbidity; Prevalence; Cross-Sectional Studies; Aged; Aged, 80 and over; Spain; Female; Male |
Divisions: | Faculty of Social Sciences Faculty of Social Sciences > Institute for Social and Economic Research |
SWORD Depositor: | Unnamed user with email elements@essex.ac.uk |
Depositing User: | Unnamed user with email elements@essex.ac.uk |
Date Deposited: | 14 Jul 2021 13:42 |
Last Modified: | 07 Aug 2024 20:40 |
URI: | http://repository.essex.ac.uk/id/eprint/29983 |
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