, Volume 31, Issue 1, pp 159–175 | Cite as

Changing mortality and morbidity rates and the health status and life expectancy of the older population

  • Eileen M. Crimmins
  • Mark D. Hayward
  • Yasuhiko Saito
Measurement, Migration, Marriage, and Mortality


This paper demonstrates the consequences of changes in mortality and health transition rates for changes in both health status life expectancy and the prevalence of health problems in the older population. A five-state multistate life table for the mid-1980s provides the baseline for estimating the effect of differing mortality and morbidity schedules. Results show that improving mortality alone implies increases in both the years and the proportion of dependent life; improving morbidity alone reduces both the years and the proportion of dependent life. Improving mortality alone leads to a higher prevalence of dependent individuals in the life table population; improving morbidity alone leads to a lower percentage of individuals with problems in functioning.


Life Expectancy Transition Rate Life Table Mortality Change Transition Schedule 
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  1. Allison, P. D. 1982. “Discrete-Time Methods for the Analysis of Event Histories.” Pp. 61–98 in Sociological Methodology, edited by S. Leinhart. San Francisco: Jossey-Bass.Google Scholar
  2. Bebbington, A. C. 1991. “The Expectation of Life without Disability in England and Wales: 1976–88.” Population Trends 66:26–29.Google Scholar
  3. Blossfeld, H.-P., A. Hamerle, and K. U. Mayer. 1989. Event History Analysis. Hillsdale, NJ: Erlbaum.Google Scholar
  4. Branch, L. G., J. M. Guralnik, D. J. Foley, F. J. Kohout, T. T. Wetle, A. Ostfeld, and S. Katz. 1991. “Active Life Expectancy for 10,000 Caucasian Men and Women in Three Communities.” Journal of Gerontology 46:M145–50.Google Scholar
  5. Colvez, A. and M. Blanchet. 1981. “Disability Trends in the United States Population 1966–76: Analysis of Reported Causes.” American Journal of Public Health 71:464–71.CrossRefGoogle Scholar
  6. Crimmins, E. M. 1987. “Evidence on the Compression of Morbidity.” Gerontologica Perspecta 1:45–49.Google Scholar
  7. —. 1990. “Are Americans Healthier as Well as Longer-Lived?” Journal of Insurance Medicine 22:89–92.Google Scholar
  8. Crimmins, E. M. and D. G. Ingegneri. 1992. “Health Trends in the American Population.” Pp. 259–78 in Demography and Retirement: The 21st Century, edited by A. M. Rappaport and S. J. Schieber. Westport, CT: Greenwood.Google Scholar
  9. Crimmins, E. M. and Y. Saito. 1993. “Getting Better and Getting Worse: Transitions in Functional Status among Older Americans.” Journal of Aging and Health 5:3–36.CrossRefGoogle Scholar
  10. Crimmins, E. M., Y. Saito, and M. D. Hayward. 1993. “Sullivan and Multistate Methods of Estimating Active Life Expectancy: Two Methods, Two Answers.” Pp. 155–60 in Calculation of Health Expectancies: Harmonization, Consensus Achieved and Future Perspectives, edited by J. M. Robine, C. D. Mathers, M. R. Bone, and I. Romieu. Paris: Libbey Eurotext.Google Scholar
  11. Crimmins, E. M., Y. Saito, and D. Ingegneri. 1989. “Changes in Life Expectancy and Disability-Free Life Expectancy in the United States.” Population and Development Review 15:235–67.CrossRefGoogle Scholar
  12. Fries, J. F. 1980. “Aging, Natural Death and the Compression of Morbidity.” New England Journal of Medicine 303:130–35.CrossRefGoogle Scholar
  13. Garber, A. M. and T. MaCurdy. 1990. “Predicting Nursing Home Utilization among the High-Risk Elderly.” Pp. 173–204 in Issues in the Economics of Aging, edited by D. Wise. Chicago: University of Chicago Press.Google Scholar
  14. Gruenberg, E. M. 1977. “The Failure of Success.” Milbank Memorial Fund Quarterly 55:3–34.CrossRefGoogle Scholar
  15. Hayward, M. D. and W. R. Grady. 1990. “Work and Retirement among a Cohort of Older Men in the United States, 1963–1983.” Demography 27:337–56.CrossRefGoogle Scholar
  16. Kramer, M. 1980. “The Rising Pandemic of Mental Disorders and Associated Chronic Diseases and Disabilities.” Acta Psychiatrica Scandinavica 285:382–97.CrossRefGoogle Scholar
  17. Manton, K. G. 1982. “Changing Concepts of Morbidity and Mortality in the Elderly Population.” Milbank Memorial Fund Quarterly 60: 183–244.CrossRefGoogle Scholar
  18. Manton, K., L. S. Corder, and E. Stallard. 1993. “Estimates of Change in Chronic Disability and Institutional Incidence and Prevalence Rates in the U.S. Elderly Population From the 1982, 1984 and 1989 National Long Term Care Survey.” Journal of Gerontology 48:S153–66.Google Scholar
  19. Manton, K., and E. Stallard. 1990. “Changes in Health Functioning and Mortality.” Pp. 140–62 in The Legacy of Longevity, edited by S. Stahl. Newbury Park, CA: Sage.Google Scholar
  20. —. 1991. “Cross-Sectional Estimates of Active Life Expectancy for the U.S. Elderly and Oldest-Old Populations.” Journal of Gerontology: Social Sciences 46:S170–82.Google Scholar
  21. Preston, S. 1982. “Individual Life Cycles and Population Characteristics.” American Sociological Review 47:253–64.CrossRefGoogle Scholar
  22. Riley, J. C. 1990. “The Risk of Being Sick: Morbidity Trends in Four Countries.” Population and Development Review 16:403–32.CrossRefGoogle Scholar
  23. Robine, J.-M. and K. Ritchie. 1991. “Healthy Life Expectancy: Evaluation of a New Global Indicator for Change in Population Health.” British Medical Journal 302:457–60.CrossRefGoogle Scholar
  24. Rogers, A. 1975. Introduction to Multi-Regional Mathematical Demography. New York: Wiley.Google Scholar
  25. —. 1992. “Heterogeneity and Selection in Multistate Population Analysis.” Demography 29:31–38.CrossRefGoogle Scholar
  26. Rogers, A. and J. Ledent. 1976. “Increment-Decrement Life Tables: A Comment.” Demography 13:287–90.CrossRefGoogle Scholar
  27. Rogers, A., R. Rogers, and A. Belanger. 1990. “Longer Life but Worse Health? Measurement and Dynamics.” The Gerontologist 30:640–49.Google Scholar
  28. Rogers, R., A. Rogers, and A. Belanger. 1989. “Active Life among the Elderly in the United States: Multistate Life Table Estimates and Population Projections.” Milbank Memorial Fund Quarterly 67:370–411.Google Scholar
  29. Schoen, R. 1988. Modeling Multigroup Populations. New York: Plenum.Google Scholar
  30. Schoen, R. and K. Woodrow. 1980. “Labor Force Status Life Tables for the United States, 1972.” Demography 17:297–322.CrossRefGoogle Scholar
  31. U.S. Bureau of the Census. 1992. Statistical Abstract of the United States: 1992. Washington, DC: U.S. Bureau of the Census.Google Scholar
  32. Vebrugge, L. M. 1984. “Longer Life but Worsening Health? Trends in Health and Mortality of Middle-Aged and Older Persons.” Milbank Memorial Fund Quarterly 62:474–519.Google Scholar
  33. —. 1989. “Recent, Present and Future Health of American Adults.” pp. 333–51 in Annual Review of Public Health, Vol. 10, edited by L. Breslow, J. E. Fielding, and L. B. Love. Palo Alto: Annual Reviews Inc.Google Scholar
  34. Willekens, F. J., I. Shah, J. M. Shah, and P. Ramachandran. 1982. “Multi-State Analysis of Marital Status Life Tables: Theory and Application.” Population Studies 36: 129–44.CrossRefGoogle Scholar
  35. Wilkins, R. and O. B. Adams. 1983. “Health Expectancy in Canada, Late 1970’s: Demographic, Regional, and Social Dimensions.” American Journal of Public Health 73: 1073–80.CrossRefGoogle Scholar
  36. Ycas, M. A. 1987. “Are the Eighties Different? Continuity and Change in the Health of Older Persons.” Pp. 57–61 in Proceedings of the 1987 Public Health Conference on Records and Statistics. Hyattsville, MD: National Center for Health Statistics.Google Scholar

Copyright information

© Population Association of America 1994

Authors and Affiliations

  • Eileen M. Crimmins
    • 1
  • Mark D. Hayward
    • 2
  • Yasuhiko Saito
    • 1
  1. 1.Andrus Gerontology CenterUniversity of Southern CaliforniaLos Angeles
  2. 2.Department of Sociology and Population Research InstituteThe Pennsylvania State UniversityUniversity Park

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