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HEALTH EXPECTANCY IN RUSSIAN FEDERATION: GENDER DIFFERENCES AND CROSS-COUNTRY COMPARISONS

This study examines gender differences in health expectancy in Russia and compares it with other countries. It analyzes self-rated health and chronic morbidity using data from national representative surveys in 2004.

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HEALTH EXPECTANCY IN RUSSIAN FEDERATION: GENDER DIFFERENCES AND CROSS-COUNTRY COMPARISONS

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  1. HEALTH EXPECTANCY IN RUSSIAN FEDERATION: GENDER DIFFERENCES AND CROSS-COUNTRY COMPARISONS Ramonov Alexander, post-graduate student, Higher School of Economics, Russia 2010-2011

  2. HEALTH SUMMARY MEASURES HEALTHY LIFE EXPECTANCY Tx = A + B = T(x)DFLE + T(x)DALE DALE = T(x)DALE / l(x) DFLE = T(x)DFLE / l(x) f – DALE weighting function T(x)DALE BURDEN OF BAD HEALTH T(x)DFLE DALYs = C + g(B) [Murray, Lopez, 1996] C (years of life lost due to excess mortality) = T(x)MODEL -T(x) B - years of life lost due to morbidity DALE – Disability Adjusted Life Expectancy DFLE – Disability Free Life Expectancy DALYs – Disability Adjusted Life Years HALE – Health Adjusted Life Expectancy g – DALYs weighting function

  3. CONTRIBUTION AND METHODOLOGY • Healthy life expectancy in Russian Federation was estimated: • Andreev, shkolnikov, McKee[Andreev et all., 2003 ]. Data: RLMS, WVS, 1996. Self-perceived health indicator. • WHO estimates for 199 countries including Russia in 2002 and 2007[Mathers et all, 2000] • Komarov et all – 1997, handicap free life expectancy estimates. • Martin Bobak [Bobak et all., 2004]: Healthy life expectancy in Russia and Sweden, cross-country comparisons using self rated health and disability indicators • Contribution: • HALE estimates were made using different health indicators and 2 national representative surveys for the same year (2004). Cross-sectional study. • Data: • 1) Life table indicators (life table statistics for 2004). • 2) RLMS (13 wave, 2004, sample size = 12641 individualswww.rlms-hse.ru. • 3) GGS , (1st wave, 2004. Sample size = 11261 individuals).

  4. METHODOLOGY Health indicators in RLMS and GGS Self-rated health Chronic diseases How is your health in general? «Very good» + «Good» + «Average» = «Good health» «Very bad» + «Bad» = «Bad health» GGS: Do you have any chronic diseases? RLMS: variable was created from: • Heart chronic disease • Lung chronic disease • Liver chronic disease • Spine chronic disease • Other chronic diseases Methods: Sullivan’s health expectancy Healthy life expectancy decomposition[Andreev, Shkolnikov,Begun, 2002] Monte-Carlo simulations for 95% confidence intervals estimates

  5. DESCRIPTIVES

  6. DESCRIPTIVES Share of respondents rating their health as poor and having chronic diseases among males (estimates from GGS and RLMS data 2004), males

  7. DESCRIPTIVES Share of respondents rating their health as poor and having chronic diseases among males (estimates from GGS and RLMS data 2004), females

  8. HALE (SELF-RATED HEALTH) Healthy Life Expectancy among Russian males and females estimated using data on self-rated health, RLMS and GGS surveys data, 2004

  9. HALE (CHRONIC MORBIDITY) Healthy Life Expectancy among Russian males and females estimated using data on chronic morbidity, RLMS and GGS surveys data, 2004

  10. CROSS-COUNTRY COMPARISONS LEe(x)and HALE H(x)of Russian, Western and Eastern European countries male and females aged 50

  11. HALE DECOMPOSITION (SELF-RATED HEALTH) Female-male difference in e(30) = 11,8years Female-male difference in eH(30) =5,5 years

  12. HALE DECOMPOSITION (CHRONIC MORBIDITY) Female-male difference in e(30) = 11,8years Female-male difference in eH(30) =-0,74 years

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