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Multistate analysis and decomposition of disability-free life expectancy trends in Italy 2004-2019

Author

Listed:
  • Margherita Moretti

    (Max Planck Institute for Demographic Research, Rostock, Germany)

  • Timothy Riffe

    (Max Planck Institute for Demographic Research, Rostock, Germany)

  • Angelo Lorenti

    (Max Planck Institute for Demographic Research, Rostock, Germany)

Abstract

Italy has witnessed increases in life expectancy and severe population ageing, raising concerns about their impact on population health. Disability status greatly affects the participation of older adults in various aspects of life. This study examines the long-term trend of disability-free life expectancy (DFLE) in Italy and explores the drivers in terms of disability onset and recovery dynamics, as well as changes in disability-specific mortality. By using IT-SILC longitudinal data (2004-2019), transition probabilities and DFLE between ages 50 and 79 are calculated, and the drivers of DFLE evolution are analysed through decomposition. DFLE among mid-to-older Italians has progressed overall over the last decades, albeit not as favourably as life expectancy. The trends indicate compression of disability in recent years. Changes in disability transitions have the greatest influence on DFLE patterns, while less the changes in disability-specific mortality. The greatest contributions come from increases in the probability of recovery from disability.

Suggested Citation

  • Margherita Moretti & Timothy Riffe & Angelo Lorenti, 2023. "Multistate analysis and decomposition of disability-free life expectancy trends in Italy 2004-2019," MPIDR Working Papers WP-2023-030, Max Planck Institute for Demographic Research, Rostock, Germany.
    • Handle: RePEc:dem:wpaper:wp-2023-030
    DOI: 10.4054/MPIDR-WP-2023-030
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    References listed on IDEAS

    as
    1. Angelo Lorenti & Christian Dudel & Mikko Myrskylä, 2019. "The Legacy of the Great Recession in Italy: A Wider Geographical, Gender, and Generational Gap in Working Life Expectancy," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 142(1), pages 283-303, February.
    2. Christian Dudel, 2021. "Expanding the Markov Chain Toolbox: Distributions of Occupation Times and Waiting Times," Sociological Methods & Research, , vol. 50(1), pages 401-428, February.
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    More about this item

    Keywords

    Italy; ageing; demographic models; disability;
    All these keywords.

    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics
    • Z0 - Other Special Topics - - General

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