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Socioeconomic differences in healthy and disease-free life expectancy between ages 50 and 75: a multi-cohort study

Alexanderson K; Hyde M; Vahtera J; Salo P; Stenholm S; Kivimäki M; Zaninotto P; Head J; Goldberg M; Westerlund H; Chungkham HS; Zins M

dc.contributor.authorAlexanderson K
dc.contributor.authorHyde M
dc.contributor.authorVahtera J
dc.contributor.authorSalo P
dc.contributor.authorStenholm S
dc.contributor.authorKivimäki M
dc.contributor.authorZaninotto P
dc.contributor.authorHead J
dc.contributor.authorGoldberg M
dc.contributor.authorWesterlund H
dc.contributor.authorChungkham HS
dc.contributor.authorZins M
dc.date.accessioned2022-10-28T14:20:08Z
dc.date.available2022-10-28T14:20:08Z
dc.identifier.urihttps://www.utupub.fi/handle/10024/170756
dc.description.abstractThere are inequalities in healthy life expectancy between ages 50 and 75 according to occupational position. These results suggest that reducing socioeconomic inequalities would make an important contribution to extending healthy life expectancy and disease-free life expectancy.\nThere are striking socioeconomic differences in life expectancy, but less is known about inequalities in healthy life expectancy and disease-free life expectancy. We estimated socioeconomic differences in health expectancies in four studies in England, Finland, France and Sweden.\nWe estimated socioeconomic differences in health expectancies using data drawn from repeated waves of the four cohorts for two indicators: (i) self-rated health and (ii) chronic diseases (cardiovascular, cancer, respiratory and diabetes). Socioeconomic position was measured by occupational position. Multistate life table models were used to estimate healthy and chronic disease-free life expectancy from ages 50 to 75.\nIn all cohorts, we found inequalities in healthy life expectancy according to socioeconomic position. In England, both women and men in the higher positions could expect 82-83% of their life between ages 50 and 75 to be in good health compared to 68% for those in lower positions. The figures were 75% compared to 47-50% for Finland; 85-87% compared to 77-79% for France and 80-83% compared to 72-75% for Sweden. Those in higher occupational positions could expect more years in good health (2.1-6.8 years) and without chronic diseases (0.5-2.3 years) from ages 50 to 75.\nConclusion\nBackground\nMethods\nResults
dc.language.isoen
dc.publisherOxford University Press
dc.titleSocioeconomic differences in healthy and disease-free life expectancy between ages 50 and 75: a multi-cohort study
dc.identifier.urlhttps://academic.oup.com/eurpub/advance-article/doi/10.1093/eurpub/cky215/5126423#
dc.identifier.urnURN:NBN:fi-fe2021042826118
dc.relation.volume29
dc.contributor.organizationfi=kansanterveystiede|en=Public Health|
dc.contributor.organizationfi=psykologia|en=Psychology|
dc.contributor.organizationfi=tyks, vsshp|en=tyks, vsshp|
dc.contributor.organization-code2603103
dc.contributor.organization-code2607307
dc.converis.publication-id37581020
dc.converis.urlhttps://research.utu.fi/converis/portal/Publication/37581020
dc.format.pagerange267
dc.format.pagerange272
dc.identifier.eissn1464-360X
dc.identifier.jour-issn1101-1262
dc.okm.affiliatedauthorSalo, Paula
dc.okm.affiliatedauthorDataimport, tyks, vsshp
dc.okm.affiliatedauthorStenholm, Sari
dc.okm.affiliatedauthorVahtera, Jussi
dc.okm.discipline3142 Public health care science, environmental and occupational healthen_GB
dc.okm.discipline3142 Kansanterveystiede, ympäristö ja työterveysfi_FI
dc.okm.internationalcopublicationinternational co-publication
dc.okm.internationalityInternational publication
dc.okm.typeJournal article
dc.publisher.countryUnited Kingdomen_GB
dc.publisher.countryBritanniafi_FI
dc.publisher.country-codeGB
dc.relation.doi10.1093/eurpub/cky215
dc.relation.ispartofjournalEuropean Journal of Public Health
dc.relation.issue2
dc.year.issued2019


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