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Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe

Central and Eastern Europe (CEE) have experienced considerable instability in mortality since the 1960s. Long periods of stagnating life expectancy were followed by rapid increases in life expectancy and, in some cases, even more rapid declines, before more recent periods of improvement. These trend...

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Autores principales: Aburto, José Manuel, van Raalte, Alyson
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290692/
https://www.ncbi.nlm.nih.gov/pubmed/30519844
http://dx.doi.org/10.1007/s13524-018-0729-9
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author Aburto, José Manuel
van Raalte, Alyson
author_facet Aburto, José Manuel
van Raalte, Alyson
author_sort Aburto, José Manuel
collection PubMed
description Central and Eastern Europe (CEE) have experienced considerable instability in mortality since the 1960s. Long periods of stagnating life expectancy were followed by rapid increases in life expectancy and, in some cases, even more rapid declines, before more recent periods of improvement. These trends have been well documented, but to date, no study has comprehensively explored trends in lifespan variation. We improved such analyses by incorporating life disparity as a health indicator alongside life expectancy, examining trends since the 1960s for 12 countries from the region. Generally, life disparity was high and fluctuated strongly over the period. For nearly 30 of these years, life expectancy and life disparity varied independently of each other, largely because mortality trends ran in opposite directions over different ages. Furthermore, we quantified the impact of large classes of diseases on life disparity trends since 1994 using a newly harmonized cause-of-death time series for eight countries in the region. Mortality patterns in CEE countries were heterogeneous and ran counter to the common patterns observed in most developed countries. They contribute to the discussion about life expectancy disparity by showing that expansion/compression levels do not necessarily mean lower/higher life expectancy or mortality deterioration/improvements. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s13524-018-0729-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-62906922018-12-27 Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe Aburto, José Manuel van Raalte, Alyson Demography Article Central and Eastern Europe (CEE) have experienced considerable instability in mortality since the 1960s. Long periods of stagnating life expectancy were followed by rapid increases in life expectancy and, in some cases, even more rapid declines, before more recent periods of improvement. These trends have been well documented, but to date, no study has comprehensively explored trends in lifespan variation. We improved such analyses by incorporating life disparity as a health indicator alongside life expectancy, examining trends since the 1960s for 12 countries from the region. Generally, life disparity was high and fluctuated strongly over the period. For nearly 30 of these years, life expectancy and life disparity varied independently of each other, largely because mortality trends ran in opposite directions over different ages. Furthermore, we quantified the impact of large classes of diseases on life disparity trends since 1994 using a newly harmonized cause-of-death time series for eight countries in the region. Mortality patterns in CEE countries were heterogeneous and ran counter to the common patterns observed in most developed countries. They contribute to the discussion about life expectancy disparity by showing that expansion/compression levels do not necessarily mean lower/higher life expectancy or mortality deterioration/improvements. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s13524-018-0729-9) contains supplementary material, which is available to authorized users. Springer US 2018-11-12 2018-12 /pmc/articles/PMC6290692/ /pubmed/30519844 http://dx.doi.org/10.1007/s13524-018-0729-9 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Article
Aburto, José Manuel
van Raalte, Alyson
Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe
title Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe
title_full Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe
title_fullStr Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe
title_full_unstemmed Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe
title_short Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe
title_sort lifespan dispersion in times of life expectancy fluctuation: the case of central and eastern europe
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290692/
https://www.ncbi.nlm.nih.gov/pubmed/30519844
http://dx.doi.org/10.1007/s13524-018-0729-9
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