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Health expectancy in Canada, late 1970s: Demographic, regional, and social dimensions

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  • Wilkins, R.
  • Adams, O.B.

Abstract

Based on estimates of activity restriction from the Canada Health Survey, institutional data on long-term care, and survival data from vital statistics, we have calculated an index of health expectancy (life expectancy in each state of health), and a summary of these indices which we have called quality-adjusted life expectancy. At birth, expected years of long-term institutionalization were 0.8 for men and 1.5 for women. Expected years of activity restriction not involving long-term institutionalization were 10.8 for men and 14.0 for women; 3.0 of the expected years of activity restriction for men and 1.3 of these years for women were in the most severe category of restriction (unable to do major activity). For both sexes together, quality-adjusted life expectancy was 1.4 years greater in Ontario and the Prairies than in the Atlantic region, 3.2 years greater in Canada's three largest cities than in rural areas and small towns, and 7.7 years greater among persons from high-income families than among persons from low-income families.

Suggested Citation

  • Wilkins, R. & Adams, O.B., 1983. "Health expectancy in Canada, late 1970s: Demographic, regional, and social dimensions," American Journal of Public Health, American Public Health Association, vol. 73(9), pages 1073-1080.
    • Handle: RePEc:aph:ajpbhl:1983:73:9:1073-1080_1
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    Cited by:

    1. Yi Zeng & Danan Gu & Kenneth C. Land, 2003. "A new method for correcting the underestimation of disabled life expectancy inherent in conventional methods: application to the oldest old in China," MPIDR Working Papers WP-2003-033, Max Planck Institute for Demographic Research, Rostock, Germany.
    2. Eileen Crimmins & Mark Hayward & Yasuhiko Saito, 1994. "Changing mortality and morbidity rates and the health status and life expectancy of the older population," Demography, Springer;Population Association of America (PAA), vol. 31(1), pages 159-175, February.
    3. Matthews, Ruth J. & Jagger, Carol & Hancock, Ruth M., 2006. "Does socio-economic advantage lead to a longer, healthier old age?," Social Science & Medicine, Elsevier, vol. 62(10), pages 2489-2499, May.
    4. Nancy A. Ross & Lisa N. Oliver & Paul J. Villeneuve, 2013. "The Contribution of Neighbourhood Material and Social Deprivation to Survival: A 22-Year Follow-up of More than 500,000 Canadians," IJERPH, MDPI, vol. 10(4), pages 1-14, April.
    5. Kenneth Manton & Kenneth Land, 2000. "Active life expectancy estimates for the U.S. elderly population: A multidimensional continuous-mixture model of functional change applied to completed Cohorts, 1982–1996," Demography, Springer;Population Association of America (PAA), vol. 37(3), pages 253-265, August.

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