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Emmanuelle Cambois, Aurore Clavel * Survey of Health, Ageing and Retirement in Europe

Health expectancies based on SHARE * data For 9 European Union countries in 2004. Emmanuelle Cambois, Aurore Clavel * Survey of Health, Ageing and Retirement in Europe. Computing life and health expectancies. Demographic data. population data for 2004 and 2005 birth data for 2004

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Emmanuelle Cambois, Aurore Clavel * Survey of Health, Ageing and Retirement in Europe

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  1. Health expectancies based on SHARE* data For 9 European Union countries in 2004 EmmanuelleCambois, Aurore Clavel *Survey of Health, Ageing and Retirement in Europe

  2. Computing life and health expectancies • Demographic data • population data for 2004 and 2005 • birth data for 2004 • death data for 2004 Missing data : - population 2005 for Greece and Italy - deaths 2004 for Spain, France and Italy Linear regression on the maximum raw data available • Population living in institution The assumption has been made that the prevalence of health states outside and within institutions does not differ (Sullivan method).

  3. Combining life and health data • SHARE data • SHARE 2004 represents the non-institutionalized population aged 50 and older • 11 countries have contributed micro data to the 2004 SHARE baseline study (Austria, Belgium, Denmark, France, Germany, Greece, Italy, Netherlands, Spain, Sweden and Switzerland) ≈ 23 000 participants

  4. SHARE sample Total number of participants and response rates for the SHARE survey, per country, sex and age group, 2004

  5. Data and Methods • SHARE data • SHARE 2004 represents the non-institutionalized population aged 50 and older • 11 countries have contributed micro data to the 2004 SHARE baseline study (Austria, Belgium, Denmark, France, Germany, Greece, Italy, Netherlands, Spain, Sweden and Switzerland) N ≈ 23 000 participants • Switzerland is not yet included in EHEMU Results for 9 countries N ≈ 21 000 participants • Belgium data will only be available in autumn 2006 • We kept only people aged 50 or above • We suppressed people with unknown sex or age

  6. SHARE sample used Number of participants aged 50 and above used in the SHARE survey for calculation of health expectancies per country and sex, 2004

  7. Health expectancies from SHARE Computation of health expectancies according to various health concepts: 1 Life expectancy and subjective self-rated heath 1.1 Life expectancy in perceived health (European version) 1.1 Life expectancy in perceived health (European version) 2 Life expectancy and morbidity 2.1 Life expectancy without symptoms 2.2 Life expectancy without morbidity 2.2 Life expectancy without morbidity 3 Life expectancy and functional health 3.1 Life expectancy without physical functional limitation 3.2 Life expectancy without activity limitation (HLY) 3.2 Life expectancy without activity limitation (HLY) 3.3 Life Expectancy without instrumental activity restrictions (IADL) 3.4 Life Expectancy without self care activity restrictions (ADL) • we will present the 3 Health Expectancies corresponding to the 3 main health dimensions covered by the Minimum European Health Module (MEHM)

  8. Perceived health Morbidity Activity limitation

  9. => Good perceived health => Fair perceived health => Bad perceived health Life expectancy in perceived health Would you say your health is … • Very good • 2. Good • 3. Fair • 4. Bad • 5. Very bad

  10. Life expectancy in perceived health

  11. Life expectancy in perceived health

  12. Health expectancies from SHARE health expectancies according to various health concepts: 1 Life expectancy and subjective self-rated heath 1.1 Life expectancy in perceived health (European version) 2 Life expectancy and morbidity 2.1 Life expectancy without symptoms 2.2 Life expectancy without morbidity 2.2 Life expectancy without morbidity 3 Life expectancy and functional health 3.1 Life expectancy without physical functional limitation 3.2 Life expectancy without activity limitation (HLY) 3.3 Life Expectancy without instrumental activity restrictions (IADL) 3.4 Life Expectancy without self care activity restrictions (ADL)

  13. Life expectancy with and without morbidity Has a doctor ever told you that you had any of the conditions on this card? Please tell me the number or numbers of the conditions. 1. A heart attack including myocardial infarction or coronary thrombosis or any other heart problem including congestive heart failure 2. High blood pressure or hypertension 3. High blood cholesterol 4. A stroke or cerebral vascular disease 5. Diabetes or high blood sugar 6. Chronic lung disease such as chronic bronchitis or emphysema 7. Asthma 8. Arthritis, including osteoarthritis, or rheumatism 9. Osteoporosis 10. Cancer or malignant tumour, including leukaemia or lymphoma, but excluding minor skin cancers 11. Stomach or duodenal ulcer, peptic ulcer 12. Parkinson disease 13. Cataracts 14. Hip fracture or femoral fracture 96. None 97. Other conditions, not yet mentioned

  14. Life expectancy with and without morbidity

  15. Health expectancies from SHARE health expectancies according to various health concepts: 1 Life expectancy and subjective self-rated heath 1.1 Life expectancy in perceived health (European version) 2 Life expectancy and morbidity 2.1 Life expectancy without symptoms 2.2 Life expectancy without morbidity 3 Life expectancy and functional health 3.1 Life expectancy without physical functional limitation 3.2 Life expectancy without activity limitation (HLY) 3.2 Life expectancy without activity limitation (HLY) 3.3 Life Expectancy without instrumental activity restrictions (IADL) 3.4 Life Expectancy without self care activity restrictions (ADL)

  16. Life expectancy with and without activity limitation For the past six months at least, to what extent have you been limited because of a health problem in activities people usually do? 1. Severely limited 2. Limited, but not severely 3. Not limited =>This health expectancy corresponds to the EU Structural Indicator Healthy Life Year (HLY)

  17. Life expectancy with and without activity limitation i.e. EU Healthy Life Year (HLY)

  18. Life expectancy with and without activity limitation i.e. EU Healthy Life Year (HLY)

  19. Crude comparisons of proportion Men Women • Proportion of life expectancy without morbidity • Proportion of life expectancy without activity limitation • Proportion of life expectancy in good perceived health

  20. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Austria

  21. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Denmark

  22. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) France

  23. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Germany

  24. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Greece

  25. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Italy

  26. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Netherlands

  27. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Spain

  28. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Sweden

  29. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Austria

  30. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Denmark

  31. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) France

  32. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Germany

  33. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Greece

  34. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Italy

  35. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Netherlands

  36. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Spain

  37. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Sweden

  38. Health expectancies profile at age 65 according to the health variables available in SHARE, 2004 (EHEMU 2006) Similar 4 step profile for all countries • For women: • - for 3 south countries (Greece, Italy, Spain) : • Same 4 step gradation • For men: 2 profiles • for the rest : 2 step profile • A more in depth analysis will be performed during the next year of the EHEMU project

  39. Thank you!

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