Health expectancy indicators: what do they measure?
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos Saúde Coletiva (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2021005019207 |
Resumo: | Abstract Background Health expectancy indicators aim at capturing the quality dimension of total life expectancy.; however, the underlying approach, definition of health, and information source differ considerably among the indicators available. Objective (1) Review the main concepts and approaches used to estimate health expectancy focusing on two widely used European health indicators: Health-Adjusted Life Expectancy (HALE) and Healthy Life Years (HLY); (2) identify underlying differences between the results yielded by these two indicators. Method Statistical differences between the HALE and HLY indicators by sex at ages 50, 60, and 70 were tested using pairwise and global Student´s t-tests and z-scores based on standard deviation. Data for 29 European countries were collected from the European Health Expectancy Monitoring Unit (EHEMU) information system and the World Health Organization (WHO) Global Burden of Disease Study 2016 (GBD 2016). Results The HALE indicator estimates were smoother across European countries compared with those of the HLY indicator, present a narrower sex gap in morbidity, higher z-scores compared with the average distribution across Europe, and results less sensitive to cross-national variations. Conclusion The HALE estimates indicate that morbidity is more compressed for both sexes, whereas the HLY estimates suggest that morbidity is more compressed for males but more expanded for females. These contrasting results demonstrate that health expectancy indicators should be interpreted with caution. |
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Health expectancy indicators: what do they measure?HALEHLYSullivan’s methodhealth expectancymorbidityAbstract Background Health expectancy indicators aim at capturing the quality dimension of total life expectancy.; however, the underlying approach, definition of health, and information source differ considerably among the indicators available. Objective (1) Review the main concepts and approaches used to estimate health expectancy focusing on two widely used European health indicators: Health-Adjusted Life Expectancy (HALE) and Healthy Life Years (HLY); (2) identify underlying differences between the results yielded by these two indicators. Method Statistical differences between the HALE and HLY indicators by sex at ages 50, 60, and 70 were tested using pairwise and global Student´s t-tests and z-scores based on standard deviation. Data for 29 European countries were collected from the European Health Expectancy Monitoring Unit (EHEMU) information system and the World Health Organization (WHO) Global Burden of Disease Study 2016 (GBD 2016). Results The HALE indicator estimates were smoother across European countries compared with those of the HLY indicator, present a narrower sex gap in morbidity, higher z-scores compared with the average distribution across Europe, and results less sensitive to cross-national variations. Conclusion The HALE estimates indicate that morbidity is more compressed for both sexes, whereas the HLY estimates suggest that morbidity is more compressed for males but more expanded for females. These contrasting results demonstrate that health expectancy indicators should be interpreted with caution.Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2021005019207Cadernos Saúde Coletiva n.ahead 2021reponame:Cadernos Saúde Coletiva (Online)instname:Universidade Federal do Rio de Janeiro (UFRJ)instacron:UFRJ10.1590/1414-462x202199010376info:eu-repo/semantics/openAccessLego,Vanessa dieng2021-12-10T00:00:00Zoai:scielo:S1414-462X2021005019207Revistahttp://www.iesc.ufrj.br/cadernos/ONGhttps://old.scielo.br/oai/scielo-oai.phpabelha@iesc.ufrj.br||abelha@iesc.ufrj.br2358-291X1414-462Xopendoar:2021-12-10T00:00Cadernos Saúde Coletiva (Online) - Universidade Federal do Rio de Janeiro (UFRJ)false |
dc.title.none.fl_str_mv |
Health expectancy indicators: what do they measure? |
title |
Health expectancy indicators: what do they measure? |
spellingShingle |
Health expectancy indicators: what do they measure? Lego,Vanessa di HALE HLY Sullivan’s method health expectancy morbidity |
title_short |
Health expectancy indicators: what do they measure? |
title_full |
Health expectancy indicators: what do they measure? |
title_fullStr |
Health expectancy indicators: what do they measure? |
title_full_unstemmed |
Health expectancy indicators: what do they measure? |
title_sort |
Health expectancy indicators: what do they measure? |
author |
Lego,Vanessa di |
author_facet |
Lego,Vanessa di |
author_role |
author |
dc.contributor.author.fl_str_mv |
Lego,Vanessa di |
dc.subject.por.fl_str_mv |
HALE HLY Sullivan’s method health expectancy morbidity |
topic |
HALE HLY Sullivan’s method health expectancy morbidity |
description |
Abstract Background Health expectancy indicators aim at capturing the quality dimension of total life expectancy.; however, the underlying approach, definition of health, and information source differ considerably among the indicators available. Objective (1) Review the main concepts and approaches used to estimate health expectancy focusing on two widely used European health indicators: Health-Adjusted Life Expectancy (HALE) and Healthy Life Years (HLY); (2) identify underlying differences between the results yielded by these two indicators. Method Statistical differences between the HALE and HLY indicators by sex at ages 50, 60, and 70 were tested using pairwise and global Student´s t-tests and z-scores based on standard deviation. Data for 29 European countries were collected from the European Health Expectancy Monitoring Unit (EHEMU) information system and the World Health Organization (WHO) Global Burden of Disease Study 2016 (GBD 2016). Results The HALE indicator estimates were smoother across European countries compared with those of the HLY indicator, present a narrower sex gap in morbidity, higher z-scores compared with the average distribution across Europe, and results less sensitive to cross-national variations. Conclusion The HALE estimates indicate that morbidity is more compressed for both sexes, whereas the HLY estimates suggest that morbidity is more compressed for males but more expanded for females. These contrasting results demonstrate that health expectancy indicators should be interpreted with caution. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2021005019207 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2021005019207 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1414-462x202199010376 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro |
publisher.none.fl_str_mv |
Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro |
dc.source.none.fl_str_mv |
Cadernos Saúde Coletiva n.ahead 2021 reponame:Cadernos Saúde Coletiva (Online) instname:Universidade Federal do Rio de Janeiro (UFRJ) instacron:UFRJ |
instname_str |
Universidade Federal do Rio de Janeiro (UFRJ) |
instacron_str |
UFRJ |
institution |
UFRJ |
reponame_str |
Cadernos Saúde Coletiva (Online) |
collection |
Cadernos Saúde Coletiva (Online) |
repository.name.fl_str_mv |
Cadernos Saúde Coletiva (Online) - Universidade Federal do Rio de Janeiro (UFRJ) |
repository.mail.fl_str_mv |
abelha@iesc.ufrj.br||abelha@iesc.ufrj.br |
_version_ |
1750128227497541632 |