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Estimating health expectancy in presence of missing data: an application using HID survey

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  • Cristina Giudici

  • Maria Arezzo

  • Nicolas Brouard

Abstract

In this article we estimate health transition probabilities using longitudinal data collected in France for the survey on handicaps, disabilities and dependencies from 1998 to 2001. Life expectancies with and without disabilities are estimated using a Markov-based multi-state life table approach with two non-absorbing states: able to perform all activities of daily living (ADLs) and unable or in need of help to perform one or more ADLs, and the absorbing state of death. The loss of follow-up between the two waves induces biases in the probabilities estimates: mortality estimates were biased upwards; also the incidence of recovery and the onset of disability seemed to be biased. Since individuals were not missing completely at random, we correct this bias by estimating health status for drop-outs using a non parametric model. After imputation, we found that at the age of 70 disability-free life expectancy decreases by 0.5 years, whereas the total life expectancy increases by 1 year. The slope of the stable prevalence increases, but it remains lower than the slope of the cross sectional prevalence. The gender differences on life expectancy did not change significantly after imputation. Globally, there is no evidence of a general reduction in ADL disability, as defined in our study. The added value of the study is the reduction of the bias induced by sample attrition. Copyright Springer-Verlag Berlin Heidelberg 2013

Suggested Citation

  • Cristina Giudici & Maria Arezzo & Nicolas Brouard, 2013. "Estimating health expectancy in presence of missing data: an application using HID survey," Statistical Methods & Applications, Springer;Società Italiana di Statistica, vol. 22(4), pages 517-534, November.
    • Handle: RePEc:spr:stmapp:v:22:y:2013:i:4:p:517-534
    DOI: 10.1007/s10260-013-0233-8
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    References listed on IDEAS

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    1. Cristina Giudici & Silvia Polettini & Alessandra Rose & Nicolas Brouard, 2019. "Which Aspects of Elderly Living Conditions are Important to Predict Mortality? The Complex Role of Family Ties at Home and in Institutions," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 142(3), pages 1255-1283, April.

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