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

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25 Citations (Scopus)
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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 languageEnglish
JournalJournal of Aging and Health
Early online date30 Jan 2019
Publication statusE-pub ahead of print - 30 Jan 2019


  • dependence
  • disability
  • life expectancy
  • low- and middle-income countries


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