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Women’s excess unhealthy life years: disentangling the unhealthy life years gap

BACKGROUND: Compared to men, women live longer but have more years with disability. We assessed the contribution of gender differences in mortality and disability, total and by cause, to women’s excess unhealthy life years (ULYs). METHODS: We used mortality data for France 2008 from Eurostat, causes...

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Autores principales: Nusselder, Wilma J, Cambois, Emmanuelle M, Wapperom, Dagmar, Meslé, France, Looman, Caspar W N, Yokota, Renata T C, Van Oyen, Herman, Jagger, Carrol, Robine, Jean Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761840/
https://www.ncbi.nlm.nih.gov/pubmed/31280299
http://dx.doi.org/10.1093/eurpub/ckz114
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author Nusselder, Wilma J
Cambois, Emmanuelle M
Wapperom, Dagmar
Meslé, France
Looman, Caspar W N
Yokota, Renata T C
Van Oyen, Herman
Jagger, Carrol
Robine, Jean Marie
author_facet Nusselder, Wilma J
Cambois, Emmanuelle M
Wapperom, Dagmar
Meslé, France
Looman, Caspar W N
Yokota, Renata T C
Van Oyen, Herman
Jagger, Carrol
Robine, Jean Marie
author_sort Nusselder, Wilma J
collection PubMed
description BACKGROUND: Compared to men, women live longer but have more years with disability. We assessed the contribution of gender differences in mortality and disability, total and by cause, to women’s excess unhealthy life years (ULYs). METHODS: We used mortality data for France 2008 from Eurostat, causes of death from the CépiDc-INSERM-database; and disability and chronic conditions data from the French Disability Health Survey 2008–09. ULYs were calculated by the Sullivan method. The contributions of mortality and disability differences to gender differences in ULY were based on decomposition analyses. RESULTS: Life expectancy of French women aged 50 was 36.3 years of which 19.0 were ULYs; life expectancy of men was 30.4 years of which 14.2 were ULYs. Of the 4.8 excess ULYs in women, 4.0 years were due to lower mortality. Of these 4.0 ULYs, 1.8 ULY originated from women’s lower mortality from cancer, 0.8 ULY from heart disease and 0.3 ULY from accidents. The remaining 0.8 excess ULY in women were from higher disability prevalence, including higher disability from musculoskeletal diseases (+1.8 ULY) and anxiety-depression (+0.6 ULY) partly offset by lower disability from heart diseases (−0.8 ULY) and accidents (−0.3 ULY). CONCLUSION: Lower mortality and higher disability prevalence contributed to women’s longer life expectancy with disability. Women’s higher disability prevalence due to non-fatal disabling conditions was partly offset by lower disability from heart disease and accidents. Conditions differentially impact gender differences in ULY, depending on whether they are mainly life-threatening or disabling. The conclusions confirm the health-survival paradox.
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spelling pubmed-67618402019-10-02 Women’s excess unhealthy life years: disentangling the unhealthy life years gap Nusselder, Wilma J Cambois, Emmanuelle M Wapperom, Dagmar Meslé, France Looman, Caspar W N Yokota, Renata T C Van Oyen, Herman Jagger, Carrol Robine, Jean Marie Eur J Public Health Migration BACKGROUND: Compared to men, women live longer but have more years with disability. We assessed the contribution of gender differences in mortality and disability, total and by cause, to women’s excess unhealthy life years (ULYs). METHODS: We used mortality data for France 2008 from Eurostat, causes of death from the CépiDc-INSERM-database; and disability and chronic conditions data from the French Disability Health Survey 2008–09. ULYs were calculated by the Sullivan method. The contributions of mortality and disability differences to gender differences in ULY were based on decomposition analyses. RESULTS: Life expectancy of French women aged 50 was 36.3 years of which 19.0 were ULYs; life expectancy of men was 30.4 years of which 14.2 were ULYs. Of the 4.8 excess ULYs in women, 4.0 years were due to lower mortality. Of these 4.0 ULYs, 1.8 ULY originated from women’s lower mortality from cancer, 0.8 ULY from heart disease and 0.3 ULY from accidents. The remaining 0.8 excess ULY in women were from higher disability prevalence, including higher disability from musculoskeletal diseases (+1.8 ULY) and anxiety-depression (+0.6 ULY) partly offset by lower disability from heart diseases (−0.8 ULY) and accidents (−0.3 ULY). CONCLUSION: Lower mortality and higher disability prevalence contributed to women’s longer life expectancy with disability. Women’s higher disability prevalence due to non-fatal disabling conditions was partly offset by lower disability from heart disease and accidents. Conditions differentially impact gender differences in ULY, depending on whether they are mainly life-threatening or disabling. The conclusions confirm the health-survival paradox. Oxford University Press 2019-10 2019-07-05 /pmc/articles/PMC6761840/ /pubmed/31280299 http://dx.doi.org/10.1093/eurpub/ckz114 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Migration
Nusselder, Wilma J
Cambois, Emmanuelle M
Wapperom, Dagmar
Meslé, France
Looman, Caspar W N
Yokota, Renata T C
Van Oyen, Herman
Jagger, Carrol
Robine, Jean Marie
Women’s excess unhealthy life years: disentangling the unhealthy life years gap
title Women’s excess unhealthy life years: disentangling the unhealthy life years gap
title_full Women’s excess unhealthy life years: disentangling the unhealthy life years gap
title_fullStr Women’s excess unhealthy life years: disentangling the unhealthy life years gap
title_full_unstemmed Women’s excess unhealthy life years: disentangling the unhealthy life years gap
title_short Women’s excess unhealthy life years: disentangling the unhealthy life years gap
title_sort women’s excess unhealthy life years: disentangling the unhealthy life years gap
topic Migration
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761840/
https://www.ncbi.nlm.nih.gov/pubmed/31280299
http://dx.doi.org/10.1093/eurpub/ckz114
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