Dependence and disability free life expectancy across eight low and middle income countries: a 10/66 study

A. Matthew Prina; Carolina Kralj; Daisy Acosta; Isaac Acosta; Mariella Guerra Arteaga; Yueqin Huang; Amuthavalli T. Jotheeswaran; I. Z. Jimenez-Velazquez; Zhaorui Liu; Juan J. Llibre Rodriguez; Aquiles Salas; Ana Luisa Sosa; Martin Prince

doi:10.1177/0898264319825767

Dependence and disability free life expectancy across eight low and middle income countries: a 10/66 study

A. Matthew Prina, Carolina Kralj, Daisy Acosta, Isaac Acosta, Mariella Guerra Arteaga, Yueqin Huang, Amuthavalli T. Jotheeswaran, I. Z. Jimenez-Velazquez, Zhaorui Liu, Juan J. Llibre Rodriguez, Aquiles Salas, Ana Luisa Sosa, Martin Prince

Univ Puerto Rico, University of Puerto Rico, University of Puerto Rico Medical Sciences Campus, Sch Med

Research output: Contribution to journal › Article › peer-review

28 Citations (Scopus)

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Abstract

Objective: The objective of this study was to estimate healthy life expectancies in eight low- and middle-income countries (LMICs), using two indicators: disability-free life expectancy (DFLE) and dependence-free life expectancy (DepFLE). Method: Using the Sullivan method, healthy life expectancy was calculated based on the prevalence of dependence and disability from the 10/66 cohort study, which included 16,990 people aged 65 or above in China, Cuba, Dominican Republic, India, Mexico, Peru, Puerto Rico, and Venezuela, and country-specific life tables from the World Population Prospects 2017. Results: DFLE and DepFLE declined with older age across all sites and were higher in women than men. Mexico reported the highest DFLE at age 65 for men (15.4, SE = 0.5) and women (16.5, SE = 0.4), whereas India had the lowest with (11.5, SE = 0.3) in men and women (11.7, SE = 0.4). Discussion: Healthy life expectancy based on disability and dependency can be a critical indicator for aging research and policy planning in LMICs.

Original language	English
Journal	Journal of Aging and Health
Early online date	30 Jan 2019
DOIs	https://doi.org/10.1177/0898264319825767
Publication status	E-pub ahead of print - 30 Jan 2019

Keywords

dependence
disability
life expectancy
low- and middle-income countries

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/0898264319825767Licence: CC BY

Dependence and disability free_PRINA_Accepted30December2018_GOLD VoR (CC BY)Final published version, 538 KBLicence: CC BY

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Prina, A. M., Kralj, C., Acosta, D., Acosta, I., Guerra Arteaga, M., Huang, Y., Jotheeswaran, A. T., Jimenez-Velazquez, I. Z., Liu, Z., Llibre Rodriguez, J. J., Salas, A., Sosa, A. L., & Prince, M. (2019). Dependence and disability free life expectancy across eight low and middle income countries: a 10/66 study. Journal of Aging and Health. Advance online publication. https://doi.org/10.1177/0898264319825767

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abstract = "Objective: The objective of this study was to estimate healthy life expectancies in eight low- and middle-income countries (LMICs), using two indicators: disability-free life expectancy (DFLE) and dependence-free life expectancy (DepFLE). Method: Using the Sullivan method, healthy life expectancy was calculated based on the prevalence of dependence and disability from the 10/66 cohort study, which included 16,990 people aged 65 or above in China, Cuba, Dominican Republic, India, Mexico, Peru, Puerto Rico, and Venezuela, and country-specific life tables from the World Population Prospects 2017. Results: DFLE and DepFLE declined with older age across all sites and were higher in women than men. Mexico reported the highest DFLE at age 65 for men (15.4, SE = 0.5) and women (16.5, SE = 0.4), whereas India had the lowest with (11.5, SE = 0.3) in men and women (11.7, SE = 0.4). Discussion: Healthy life expectancy based on disability and dependency can be a critical indicator for aging research and policy planning in LMICs.",

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AU - Prina, A. Matthew

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AU - Acosta, Isaac

AU - Guerra Arteaga, Mariella

AU - Huang, Yueqin

AU - Jotheeswaran, Amuthavalli T.

AU - Jimenez-Velazquez, I. Z.

AU - Liu, Zhaorui

AU - Llibre Rodriguez, Juan J.

AU - Salas, Aquiles

AU - Sosa, Ana Luisa

AU - Prince, Martin

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N2 - Objective: The objective of this study was to estimate healthy life expectancies in eight low- and middle-income countries (LMICs), using two indicators: disability-free life expectancy (DFLE) and dependence-free life expectancy (DepFLE). Method: Using the Sullivan method, healthy life expectancy was calculated based on the prevalence of dependence and disability from the 10/66 cohort study, which included 16,990 people aged 65 or above in China, Cuba, Dominican Republic, India, Mexico, Peru, Puerto Rico, and Venezuela, and country-specific life tables from the World Population Prospects 2017. Results: DFLE and DepFLE declined with older age across all sites and were higher in women than men. Mexico reported the highest DFLE at age 65 for men (15.4, SE = 0.5) and women (16.5, SE = 0.4), whereas India had the lowest with (11.5, SE = 0.3) in men and women (11.7, SE = 0.4). Discussion: Healthy life expectancy based on disability and dependency can be a critical indicator for aging research and policy planning in LMICs.

AB - Objective: The objective of this study was to estimate healthy life expectancies in eight low- and middle-income countries (LMICs), using two indicators: disability-free life expectancy (DFLE) and dependence-free life expectancy (DepFLE). Method: Using the Sullivan method, healthy life expectancy was calculated based on the prevalence of dependence and disability from the 10/66 cohort study, which included 16,990 people aged 65 or above in China, Cuba, Dominican Republic, India, Mexico, Peru, Puerto Rico, and Venezuela, and country-specific life tables from the World Population Prospects 2017. Results: DFLE and DepFLE declined with older age across all sites and were higher in women than men. Mexico reported the highest DFLE at age 65 for men (15.4, SE = 0.5) and women (16.5, SE = 0.4), whereas India had the lowest with (11.5, SE = 0.3) in men and women (11.7, SE = 0.4). Discussion: Healthy life expectancy based on disability and dependency can be a critical indicator for aging research and policy planning in LMICs.

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Dependence and disability free life expectancy across eight low and middle income countries: a 10/66 study

Abstract

Keywords

UN SDGs

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