Differences between subjective and disability health expectancies across ages in older adults - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Scientific Reports Année : 2024

Differences between subjective and disability health expectancies across ages in older adults

Résumé

Abstract Health expectancies (HEs) have become a key indicator for monitoring healthy aging. So far, they have mainly been calculated based on functional rather than subjective health measures. Yet, by integrating several dimensions (medical, social, and cultural), subjective health is also an important measure of an older person’s health status. In this study, we first estimated HEs using self-rated health (SRH), by age and sex. Second, we compared these results to those obtained when using a disability measure. We used pooled data from three prospective population-based cohorts including adults aged 65 years and over, living in Southwestern France (N = 4468). SRH was assessed using a single question and disability was measured using the Lawton scale. Healthy/Unhealthy Life Expectancies (HLE/UHLE) and Disability/Disability-Free Life Expectancies (DLE/DFLE) were estimated using the Interpolated Markov Chain program (IMaCh), separately in men and women. Women lived longer than men, with similar HLE but longer UHLE at all ages. The proportion of HLE in total LE decreased with age for both sexes and for women, it became smaller than the proportion of UHLE from age 73 onward. In both sexes, while the DLE was shorter than the UHLE in the youngest, a reversal was observed with advancing age. This change occurred earlier in women. Our study supports that SRH and disability showed different aging patterns, with sex and age differences. From a public health perspective, SRH and disability indicators appeared not interchangeable as they uncovered complementary but different information on the needs of aging people.
Fichier principal
Vignette du fichier
Gbessemehlan et al 2024_Health expectancies.pdf (1.71 Mo) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-04626441 , version 1 (26-06-2024)

Identifiants

Citer

Antoine Gbessemehlan, Emmanuelle Cambois, Nicolas Brouard, Luc Letenneur, Hélène Amieva, et al.. Differences between subjective and disability health expectancies across ages in older adults. Scientific Reports, 2024, 14 (1), pp.14731. ⟨10.1038/s41598-024-65416-3⟩. ⟨hal-04626441⟩

Collections

INED U1219
0 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More