Are we living longer but less healthy? Trends in mortality and morbidity in Catalonia (Spain), 1994-2011.

Evidence on trends in prevalence of disease and disability can clarify whether countries are experiencing a compression or expansion of morbidity. An expansion of morbidity, as indicated by disease, has appeared in Europe and other developed regions. It is likely that better treatment, preventive me...

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Publicado en:European Journal of Ageing Vol. 12; no. 1; pp. 61 - 71
Autores principales: Solé-Auró, Aïda, Alcañiz, Manuela
Formato: Artículo
Publicado: Springer Nature Mar2015
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2015
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      pub: Springer Nature
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        10.1007/s10433-014-0317-9
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        au:
          Solé-Auró, Aïda
          Alcañiz, Manuela
        affil: Riskcenter, Department of Econometrics, Statistics and Spanish Economy, University of Barcelona, Av. Diagonal 690 08034 Barcelona Spain
      su:
        Spain
        Mortality
        Age distribution
        Diabetes
        Diseases
        Health status indicators
        Hypertension
        Life expectancy
        People with disabilities
        Cardiovascular diseases
        Confidence intervals
        Research funding
        Surveys
        Secondary analysis
        Body movement
        Data analysis software
      sug:
        subj:
          Mortality
          Age distribution
          Diabetes
          Diseases
          Health status indicators
          Hypertension
          Life expectancy
          People with disabilities
          Spain
          Cardiovascular diseases
          Confidence intervals
          Research funding
          Surveys
          Secondary analysis
          Body movement
          Data analysis software
      keyword:
        Healthy life expectancy
        Mobility limitations
        Healthy life expectancy
        Mobility limitations
      ab: Evidence on trends in prevalence of disease and disability can clarify whether countries are experiencing a compression or expansion of morbidity. An expansion of morbidity, as indicated by disease, has appeared in Europe and other developed regions. It is likely that better treatment, preventive measures, and increases in education levels have contributed to the declines in mortality and increments in life expectancy. This paper examines whether there has been an expansion of morbidity in Catalonia (Spain). It uses trends in mortality and morbidity and links these with survival to provide estimates of life expectancy with and without diseases and mobility limitations. We use a repeated cross-sectional health survey carried out in 1994 and 2011 for measures of morbidity, and information from the Spanish National Statistics Institute for mortality. Our findings show that at age 65 the percentage of life with disease increased from 52 to 70 % for men, and from 56 to 72 % for women; the expectation of life with mobility limitations increased from 24 to 30 % for men and from 40 to 47 % for women between 1994 and 2011. These changes were attributable to increases in the prevalence of diseases and moderate mobility limitation. Overall, we find an expansion of morbidity along the period. Increasing survival among people with diseases can lead to a higher prevalence of diseases in the older population. Higher prevalence of health problems can lead to greater pressure on the health care system and a growing burden of disease for individuals.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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