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Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001
Objectives. We aim to develop robust estimates of disability-free life expectancy (DFLE) and healthy life expectancy (HLE) for ethnic groups in England and Wales in 2001 and to examine observed variations across ethnic groups. Design. DFLE and HLE by age and gender for five-year age groups were comp...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Routledge
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4648377/ https://www.ncbi.nlm.nih.gov/pubmed/24897306 http://dx.doi.org/10.1080/13557858.2014.921892 |
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author | Wohland, Pia Rees, Phil Nazroo, James Jagger, Carol |
author_facet | Wohland, Pia Rees, Phil Nazroo, James Jagger, Carol |
author_sort | Wohland, Pia |
collection | PubMed |
description | Objectives. We aim to develop robust estimates of disability-free life expectancy (DFLE) and healthy life expectancy (HLE) for ethnic groups in England and Wales in 2001 and to examine observed variations across ethnic groups. Design. DFLE and HLE by age and gender for five-year age groups were computed for 16 ethnic groups by combining the 2001 Census data on ethnicity, self-reported limiting long-term illness and self-rated health using mortality by ethnic group estimated by two methods: the Standardised Illness Ratio (SIR) method and the Geographically Weighted Method (GWM). Results. The SIR and GWM methods differed somewhat in their estimates of life expectancy (LE) at birth but produced very similar estimates of DFLE and HLE by ethnic group. For the more conservative method (GWM), the range in DFLE at birth was 10.5 years for men and 11.9 years for women, double that in LE. DFLE at birth was highest for Chinese men (64.7 years, 95% CI 64.0–65.3) and women (67.0 years, 95% CI 66.4–67.6). Over half of the ethnic minority groups (men: 10; women: 9) had significantly lower DFLE at birth than White British men (61.7 years, 95% CI 61.7–61.7) or women (64.1 years, 95% CI 64.1–64.2), mostly the Black, Asian and mixed ethnic groups. The lowest DFLE observed was for Bangladeshi men (54.3 years, 95% CI 53.7–54.8) and Pakistani women (55.1 years, 95% CI 54.8–55.4). Notable were Indian women whose LE was similar to White British women but who had 4.3 years less disability-free (95% CI 4.0–4.6). Conclusions. Inequalities in DFLE between ethnic groups are large and exceed those in LE. Moreover, certain ethnic groups have a larger burden of disability that does not seem to be associated with shorter LE. With the increasing population of the non-White British community, it is essential to be able to identify the ethnic groups at higher risk of disability, in order to target appropriate interventions. |
format | Online Article Text |
id | pubmed-4648377 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Routledge |
record_format | MEDLINE/PubMed |
spelling | pubmed-46483772015-12-09 Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001 Wohland, Pia Rees, Phil Nazroo, James Jagger, Carol Ethn Health Articles Objectives. We aim to develop robust estimates of disability-free life expectancy (DFLE) and healthy life expectancy (HLE) for ethnic groups in England and Wales in 2001 and to examine observed variations across ethnic groups. Design. DFLE and HLE by age and gender for five-year age groups were computed for 16 ethnic groups by combining the 2001 Census data on ethnicity, self-reported limiting long-term illness and self-rated health using mortality by ethnic group estimated by two methods: the Standardised Illness Ratio (SIR) method and the Geographically Weighted Method (GWM). Results. The SIR and GWM methods differed somewhat in their estimates of life expectancy (LE) at birth but produced very similar estimates of DFLE and HLE by ethnic group. For the more conservative method (GWM), the range in DFLE at birth was 10.5 years for men and 11.9 years for women, double that in LE. DFLE at birth was highest for Chinese men (64.7 years, 95% CI 64.0–65.3) and women (67.0 years, 95% CI 66.4–67.6). Over half of the ethnic minority groups (men: 10; women: 9) had significantly lower DFLE at birth than White British men (61.7 years, 95% CI 61.7–61.7) or women (64.1 years, 95% CI 64.1–64.2), mostly the Black, Asian and mixed ethnic groups. The lowest DFLE observed was for Bangladeshi men (54.3 years, 95% CI 53.7–54.8) and Pakistani women (55.1 years, 95% CI 54.8–55.4). Notable were Indian women whose LE was similar to White British women but who had 4.3 years less disability-free (95% CI 4.0–4.6). Conclusions. Inequalities in DFLE between ethnic groups are large and exceed those in LE. Moreover, certain ethnic groups have a larger burden of disability that does not seem to be associated with shorter LE. With the increasing population of the non-White British community, it is essential to be able to identify the ethnic groups at higher risk of disability, in order to target appropriate interventions. Routledge 2015-07-04 2014-06-04 /pmc/articles/PMC4648377/ /pubmed/24897306 http://dx.doi.org/10.1080/13557858.2014.921892 Text en © 2014 The Author(s). Published by Taylor & Francis. This is an Open Access article. Non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly attributed, cited, and is not altered, transformed, or built upon in any way, is permitted. The moral rights of the named author(s) have been asserted. |
spellingShingle | Articles Wohland, Pia Rees, Phil Nazroo, James Jagger, Carol Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001 |
title | Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001 |
title_full | Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001 |
title_fullStr | Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001 |
title_full_unstemmed | Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001 |
title_short | Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001 |
title_sort | inequalities in healthy life expectancy between ethnic groups in england and wales in 2001 |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4648377/ https://www.ncbi.nlm.nih.gov/pubmed/24897306 http://dx.doi.org/10.1080/13557858.2014.921892 |
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