Abstract
Given the decline in mortality experienced by most developed countries for several decades, principally at very high ages, the population structure is undergoing massive modifications. Among other things, this has a specific impact on the average state of health of the population. This point has led to the development of a new type of indicator, close to life expectancy: health expectancy. Life expectancy assesses the level of mortality by the number of years lived by the population; it gives quantitative information about the expected average length of life. Similarly, health expectancy assesses the level of health of the population, by the number of years lived in good and bad health; it combines both, quantitative information indicated through mortality and more qualitative information about health expressed by morbidity.
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References
Bebbington, A. (1994): Oral communication to the 7th meeting of the International Network on Health Expectancy (REVES), Canberra, February 1994.
Bebbington, A.C. (1988): The expectation of life without disability in England and Wales: 1976-1988, in Population Trends 66, 26–29.
Bone, R.M. (1992): International efforts to measure health expectancy, in Journal of Epidemiology and Community Health 46, 555–558.
Brown, S.C. (1990): Aging and disability trends in the Third World. Unpublished Working Paper presented at the Population Association of America Annual Meeting, May 1990 in Toronto.
Cambois, E./Robine, J.M. (1994): Use of demographic tools in the assessment of health level of populations. Proceedings of workshop ‘Life table in Europe: data, methods and models’. Louvain-la-Neuve, April 1994 (to be published).
Chamie, M. (1989): Survey Design Strategies for the study of Disability, in World Health Statistics Quarterly 42, 122–140.
Chamie, M. (1990a): Data collection Standards for Disability: Implications to the Study of Dis ability-Free Life Expectancy, in 2nd Work-group meeting REVES, Network on Health Expectancy and the disability process / Réseau Espérance de vie en Santé, Geneva, March 1990 (Principal Working Paper, REVES Paper No. 28).
Chamie, M. (1990b): Report of the Committee on the Conceptual Harmonization of statistics for the study of Disability-Free Life Expectancy. Reves Paper N° 41, Strasbourg, November 1990.
Crimmins E.M./ Saito Y./ Ingegneri, D. (1989): Changes in life expectancy and disability-free life expectancy in the United States, in Population Development Review 15, 235–267.
Crimmins, E.M. (1990): Are Americans healthier as well as longer-lived?, in Journal Insurance and Medicine 22, 89–92.
Crimmins, E.M./ Ingegneri, D.G. (1991): Trends in health among the American population, in A. Rappaport/ S. J. Schieber (eds.): Demography and Retirement: the 21st Century, Wesport/London: Praeger, 225–242.
Dillard, S. (1983): Durée ou qualité de la vie ?, in Les Publications du Québec 70. (Conseil Affaires Sociales et de la Famille; collection: La santé des Québécois). Montréal.
Egedi, V. (1990): Population ageing and changing lifestyles in Europe, in Fourth Meeting of the seminar on present demographic trends and lifestyle in Europe. Strasbourg, 18-20 September.
Fries, J.F. (1980): Aging, natural death, and the compression of morbidity, in New England Journal of Medicine 303, 130–135.
Fries, J.F. (1989): The compression of morbidity: near or far?, in Milbank Memorial Fundation Quarterly / Health and Society 67, 208–232.
Gruenberg, E.M. (1977): The failures of success, in Milbank Memorial Fundation Quarterly/Health and Society 55, 3–24.
Jordan, C.W. (1952): Society of Actuarie’s textbook on life contingencies. Chicago: The Society of Actuaries.
Jordan, C.W. (1975): Society of Actuarie’s textbook on life contingencies. Second edition. Chicago: The Society of Actuaries.
Katz, S./ Branch, L.G./ Branson, M.H./ Papsidero, J.A./ Beck, J.C./ Greer, D.S. (1983): Active life expectancy, in New England Journal of Medicine 309, 1218–1224.
Kramer, M. (1980): The rising pandemic of mental disorders and associated chronic diseases and disabilities, in Acta Psychiatrica Scandinavica 62, 282–297.
Kytir, J. (1994): Lebenserwartung frei von Behinderung, in Statistische Nachrichten 8, 650–657.
Manton, K.G./ Corder, L.S./ Stallard, E. (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, in Journal of Gerontological Nursing 48, 153–166.
Manton, K.G. (1982): Changing concepts of morbidity and mortality in the elderly population, in Milbank Memorial Fundation Quarterly / Health and Society 60, 183–244.
Mathers, C.D. (1991): Health expectancies in Australia 1981 and 1988. Canberra: Australian Institute of Health; AGPS, 117.
Mathers, D.C. (1995): Health expectancy in Australia 1993: premilinary results, in D.C. Mathers, J. McCallum, J.M. Robine (eds.): Advances in health expectancies: Canberra: Australian Institute of Health, 198–212.
McKinlay, J.B./ McKinlay, S.M./ Beaglehole, R. (1989): A review of the evidence concerning the impact of medical measures on recent mortality and morbidity in the United States, in International Journal of Health Services 19, 181–208.
Nanjo, Z. Shigematsu (1987). Construction of Health Life Tables. Paper presented at the 27th Meeting of Kyushu Region (Population Association of Japan), August 22, 1987.
National Research Council, Commitee on National Statistics. Trends in disability at older ages; summary of a Workshop. 1994, V.A. Freedman/ B.J. Soldo (eds.): Washington DC: National Academy Press.
Olshansky, S.J./ Rudberg, M.A./ Carnes, B.A./ Cassel, C.K./ Brody, J.A. (1991): Trading off longer life for worsening health: the expansion of morbidity hypothesis, in Journal of Aging and Health 3, 194–216.
Perenboom, R.J.M./Boshuizen, H. C./van de Water, H.P.A. (1993): Trends in health expectancies in the Netherlands, 1981-1990, in Calculation of health expectancies: harmonization, consensus achieved and future perpectives. John Libbey Eurotext.
REVES (1993): Statistical World Yearbook ‘Health expectancy’. Paris, Les Editions INSERM.
Robine, J.M./ Brouard, N./ Colvez, A (1987): Les indicateurs d’espérance de vie sans incapacité (EVSI): des indicateurs globaux de l’état de santé des populations, in Revue Epidemiologie Santé Publique 35, 206–224.
Robine, J.M./ Bucquet, D./ Ritchie, K. (1991): L’espérance de vie sans incapacité, un indicateur de l’évolution des conditions de santé au cours du temps: 20 ans de calcul, in Cah Québécois Démographie 20, 205–235.
Robine, J.M./ Mathers, C. (1993): Measuring the compression or expansion of morbidity through changes in health expectancy, in Calculation of health expectancies: harmonization, consensus achieved and future perpectives. Montrouge: John Libbey Eurotext, 269–286.
Robine, J.M./ Mormiche P. (1993): L’espérance de vie sans incapacité augmente, in INSEE Première 281, 1–4.
Robine, J.M. (1995): Presentation and work program of EURO-REVES, a European concerted action for harmonisation of health expectancy in Europe, in D.C. Mathers/ J. McCallum / J.M. Robine (eds.): Advances in health expectancies. Canberra: Australian Institute of Health and Welfare, 295–308.
Rogers, R.G./ Rogers A./ Belanger, A. (1989): Active life among the elderly in the United States: multistate life-table estimates and population projections, in Milbank Memorial Fundation Quarterly 67, 370–411.
Sanders, B.S. (1964): Measuring community health levels, in American Journal of Public Health 54, 1063–1070.
Spiegelman, M. (1957): The versatility of the life table, in American Journal of Public Health 47, 297–304.
Sullivan, D.F. (1971): A single index of mortality and morbidity, in HSMHA Health Report 86, 347–354.
Tu, E.J.-C./Chen, K. (1992): Changes in active life expextancy in Taiwan: compression or expansion? in 5th International Workshop of REVES, Ottawa, February 1992, (Reves paper No. 104).
United Nations Statistical Office (1990): Disability Statistics Compendium. New York: United Nations (Statistics on Special Population Groups, Series Y, No. 4).
Wilkins, R/ Chen, J./ Ng, E. (1995): Changes in health expectancy in Canada from 1986 to 1991, in D.C. Mathers/ J. McCallum/ J.M. Robine (eds.): Advances in health expectancies. Canberra: Australian Institute of Health and Welfare, 115–132.
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Cambois, E., Robine, JM. (1996). An International Comparison of Trends in Disability-Free Life Expectancy. In: Eisen, R., Sloan, F.A. (eds) Long-Term Care: Economic Issues and Policy Solutions. Developments in Health Economics and Public Policy, vol 5. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4096-0_2
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