Submitted Aug14..pdf (771.97 kB)
Comparison of socio-economic indicators explaining inequalities in Healthy Life Years at age 50 in Europe: 2005 and 2010.
journal contribution
posted on 2015-11-19, 14:25 authored by T. Fouweather, Clare Louise Gillies, P. Wohland, H. Van Oyen, W. Nusselder, J. M. Robine, E Cambois, C. Jagger, JA: EHLEIS TeamBACKGROUND: The first estimates of Healthy Life Years at age 50 (HLY50) across the EU25 countries in 2005 showed substantial variation in healthy ageing. We investigate whether factors contributing to HLY50 inequalities have changed between 2005 and 2010. METHODS: HLY50 for each country and year were calculated using Sullivan's method, applying the age-specific prevalence of activity limitation from the European Union Statistics on Income and Living Conditions (EU-SILC) survey to life tables. Inequalities in life expectancy at age 50 (LE50) and HLY50 between countries were defined as the difference between the maximum and minimum LE50 or HLY50. Relationships between HLY50 and macro-level socio-economic indicators were investigated using meta-regression. Men and women were analysed separately. RESULTS: Between 2005 and 2010 HLY50 inequalities for both men and women in Europe increased. In 2005 and 2010 HLY50 inequalities exceeded LE50 inequalities, particularly in the established EU15 countries in 2010 where HLY50 inequalities (men: 10.7 years; women: 12.5 years) were four times greater for men and three times for women than LE50 inequalities (men: 2.4 years; women: 4.1 years). Only material deprivation significantly explained variation in EU25 HLY50 in both years with, additionally, long-term unemployment in 2010. CONCLUSIONS: Our results suggest that inequalities in HLY50 across Europe are large, increasing and partly explained by levels of material deprivation. Moreover long-term unemployment has become more influential in explaining variation in HLY50 between 2005 and 2010.
History
Citation
The European Journal of Public Health, 2015 DOI: 10.1093/eurpub/ckv070Author affiliation
/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health SciencesVersion
- AM (Accepted Manuscript)
Published in
The European Journal of Public Healtheissn
1464-360XCopyright date
2015Available date
2016-04-15Publisher DOI
Publisher version
http://eurpub.oxfordjournals.org/content/early/2015/04/14/eurpub.ckv070Notes
The file associated with this record is under a 12-month embargo from publication in accordance with the publisher's self-archiving policy, available at http://www.oxfordjournals.org/en/access-purchase/rights-and-permissions/self-archiving-policyb.html. The full text may be available through the publisher links provided above.Language
enAdministrator link
Usage metrics
Categories
No categories selectedKeywords
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC