HEALTH EXPECTANCIES IN SPAIN (1986-2002)

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HEALTH EXPECTANCIES IN SPAIN(1986-2002)
Juan L. Gutiérrez FisacInstituto de Información
SanitariaMinisterio de Sanidad y ConsumoSpain
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HEALTH EXPECTANCIES IN SPAIN

• First calculations DFLE, at the begninig of the
  90
• Survey on disability, impairments and handicaps
  (National Institute of Statistics, 1986)
• Results were pubished at both
• Institutional report (Health Indicators)
• Medical journal (Medicina Clinica)

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Range (Higher-lower) 3.2 5.8
7.7 3.8 5.6 5.9
3.2 15.1 16.1
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• In 1999, The National Institute of Statistics
  carried out a second disability survey, but
  unfortunately the definition of disability was
  different than in the 1986 survey, and we can not
  study trends in DFLE.
• We started to calculate Life Expectancy in good
  perceived health, information available in the
  National health interview surveys carried out
  periodically in Spain since the end of the 80s

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LIFE EXPECTANCY IN GOOD PERCEIVED HEALTH
Life tables National Institute of
StatisticsSelf perceived health National
Health Interview Survey Very good, good
vs fair, bad, very bad
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Life expectancy (LE), life expectancy in good
perceived health (LEGH) and number of years lived
in bad health (YBH) at birth in Spain, 1986-2002
79.7
77.9
76.9
76.4
LEGH
YBH
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Life expectancy (LE), life expectancy in good
perceived health (LEGH) and number of years lived
in bad health (YBH) at birth in men and women in
Spain, 1986-2002
Women
Men
83.0
81.6
80.5
76.3
79.6
74.3
73.3
73.2
LEGH
YBH
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Percentage of years lived in good perceived
health at birth. Spain, 1986-2002.
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Absolute and relative change in LE and LE in good
perceived health (LEGH) at birth in men and
women. Spain, 1986-2002.
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Life expectancy (LE), life expectancy in good
perceived health (LEGH) and numbers of years
lived in bad health (YBH) at 65 years in men and
women in Spain, 1986-2002
Women
Men
20.8
20.0
16.9
19.2
18.4
16.1
15.4
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LEGH
YBH
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LIFE EXPECTANCY IN GOOD PERCEIVED HEALTH AT BIRTH
IN 2002
lt 51 51.0 51.6 51.7 55.6
55.7 59.5 gt 59.5
(Range 15 years)
PERCENTAGE OF YEARS LIVED IN GOOD PERCEIVED
HEALTH AT BIRTH IN 2002
lt 62.7 62.7 65.5 65.6 69.6
69.7 74.3 gt 74.3
(Range 17 )
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Educational differences in LEGH

• Number of deaths of people older than 24 years by
  sex, age and educational level in 1993 council
  deaths registers of Madrid and Barcelona
• Population Census Data 1991
• Self-perceived health status from the National
  Health Interview Survey 1993
• Educational level
• Lower Up to 11 years of school
• Higher 12 and more years of school

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Life expectancy and life expectancy in good
perceived health at 25 years of age by
educational level in men and women in Madrid and
Barcelona, 1993.
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Life expectancy in bad health at 25 years old by
educational level in Madrid and Barcelona.
Women
Men
Lower education
Higher education
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Life expectancy and life expectancy in good
perceived health at 65 years of age by
educational level in men and women in Madrid and
Barcelona, 1993.
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CONCLUSIONS

• Time trends
• LE and LEGH at birth and at 65 years of age have
  been increasing since 1986 both in men and women.
  But a decreased in LEGH has been observed in
  women for the 1995-2002 period.
• Gender differences
• The percentage of years lived in good perceived
  health at birth is higher in men than in women.
  Moreover, while in men this percentage has
  remained stable from 1986, in women it has
  decreased in the last years.

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CONCLUSIONS

• Geographical differences
• There are geographical differences in LEGH in
  Spain, with a North-South and East-West gradient
  that might be explained mainly by socioeconomic
  factors
• Social differences
• Differences by education are greater in LEGH than
  in LE