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Socioeconomic Differences in Healthy and Disease-free Life Expectancy Between Ages 50 and 75: a Multi-cohort Study

Head, J; Chungkham, HS; Hyde, M; Zaninotto, P; Alexanderson, K; Stenholm, S; Salo, P; ... Westerlund, H; + view all (2018) Socioeconomic Differences in Healthy and Disease-free Life Expectancy Between Ages 50 and 75: a Multi-cohort Study. European Journal of Public Health , cky215 10.1093/eurpub/cky215. Green open access

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Abstract

BACKGROUND: There are striking socioeconomic differences in life expectancy, but less is known about inequalities in healthy life expectancy and disease-free life expectancy. We estimated socioeconomic differences in health expectancies in four studies in England, Finland, France and Sweden. METHODS: We estimated socioeconomic differences in health expectancies using data drawn from repeated waves of the four cohorts for two indicators: (i) self-rated health and (ii) chronic diseases (cardiovascular, cancer, respiratory and diabetes). Socioeconomic position was measured by occupational position. Multistate life table models were used to estimate healthy and chronic disease-free life expectancy from ages 50 to 75. RESULTS: In all cohorts, we found inequalities in healthy life expectancy according to socioeconomic position. In England, both women and men in the higher positions could expect 82-83% of their life between ages 50 and 75 to be in good health compared to 68% for those in lower positions. The figures were 75% compared to 47-50% for Finland; 85-87% compared to 77-79% for France and 80-83% compared to 72-75% for Sweden. Those in higher occupational positions could expect more years in good health (2.1-6.8 years) and without chronic diseases (0.5-2.3 years) from ages 50 to 75. CONCLUSION: There are inequalities in healthy life expectancy between ages 50 and 75 according to occupational position. These results suggest that reducing socioeconomic inequalities would make an important contribution to extending healthy life expectancy and disease-free life expectancy.

Type: Article
Title: Socioeconomic Differences in Healthy and Disease-free Life Expectancy Between Ages 50 and 75: a Multi-cohort Study
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/eurpub/cky215
Publisher version: https://doi.org/10.1093/eurpub/cky215
Language: English
Additional information: This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: chronic disease, life expectancy, personal satisfaction, socioeconomic factors, wave - physical agent
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10059018
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