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The contribution of specific diseases to educational disparities in disability-free life expectancy

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Listed:
  • Nusselder, W.J.
  • Looman, C.W.N.
  • Mackenbach, J.P.
  • Huisman, M.
  • Van Oyen, H.
  • Deboosere, P.
  • Gadeyne, S.
  • Kunst, A.E.

Abstract

Objectives. We examined the contribution that specific diseases, as causes of both death and disability, make to educational disparities in disability-free life expectancy (DFLE). Methods. We used disability data from the Belgian Health Interview Survey (1997) and mortality data from the National Mortality Follow-Up Study (1991-1996) to assess education-related disparities in DFLE and to partition these differences into additive contributions of specific diseases. Results. The DFLE advantage of higher-educated compared with lower-educated persons was 8.0 years for men and 5.9 years for women. Arthritis (men, 1.3 years; women, 2.2 years), back complaints (men, 2.1 years), heart disease/stroke (men, 1.5 years; women, 1.6 years), asthma/chronic obstructive pulmonary disease (COPD) (men, 1.2 years; women, 1.5 years), and "other diseases" (men, 2.4 years) contributed the most to this difference. Conclusions. Disabling diseases, such as arthritis, back complaints, and asthma/COPD, contribute substantially to differences in DFLE by education. Public health policy aiming to reduce existing disparities in the DFLE and to improve population health should not only focus on fatal diseases but also on these nonfatal diseases.

Suggested Citation

  • Nusselder, W.J. & Looman, C.W.N. & Mackenbach, J.P. & Huisman, M. & Van Oyen, H. & Deboosere, P. & Gadeyne, S. & Kunst, A.E., 2005. "The contribution of specific diseases to educational disparities in disability-free life expectancy," American Journal of Public Health, American Public Health Association, vol. 95(11), pages 2035-2041.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.054700_0
    DOI: 10.2105/AJPH.2004.054700
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    Cited by:

    1. Markus Sauerberg, 2020. "The Role of Education for Assessing Population Health: An Analysis of Healthy Life Expectancy by Educational Attainment for 16 European Countries," VID Working Papers 2005, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna.
    2. Herman Oyen & Wilma Nusselder & Carol Jagger & Petra Kolip & Emmanuelle Cambois & Jean-Marie Robine, 2013. "Gender differences in healthy life years within the EU: an exploration of the “health–survival” paradox," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(1), pages 143-155, February.
    3. Joël Coste & José M Valderas & Laure Carcaillon-Bentata, 2022. "The epidemiology of multimorbidity in France: Variations by gender, age and socioeconomic factors, and implications for surveillance and prevention," PLOS ONE, Public Library of Science, vol. 17(4), pages 1-21, April.
    4. A. Burgio & L. Murianni & P. Folino-Gallo, 2009. "Differences in Life Expectancy and Disability Free Life Expectancy in Italy. A Challenge to Health Systems," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 92(1), pages 1-11, May.
    5. Renata Tiene de Carvalho Yokota & Lenildo Moura & Silvânia Suely Caribé de Araújo Andrade & Naíza Nayla Bandeira Sá & Wilma Johanna Nusselder & Herman Oyen, 2016. "Contribution of chronic conditions to gender disparities in disability in the older population in Brazil, 2013," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(9), pages 1003-1012, December.
    6. Emmanuelle Cambois & Caroline Laborde & Isabelle Romieu & Jean-Marie Robine, 2011. "Occupational inequalities in health expectancies in France in the early 2000s: Unequal chances of reaching and living retirement in good health," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 25(12), pages 407-436.

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