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Sex differences in healthy life expectancy from self-perceived assessments of health in the city of Sao Paulo, Brazil
Author(s)Mirela Castro Santos Camargos, Carla Jorge Machado, Roberto Nascimento Rodrigues
Journal titleAgeing and Society, vol 28, part 1, January 2008
Pagespp 35-48
Sourcehttp://www.journals.cambridge.org/ASO
KeywordsOlder men ; Older women ; Good Health ; Ill health ; Life expectancy tables ; Comparison ; Brazil.
AnnotationWhether life is spent in good health or disability has a critical influence on the use of healthcare services. It is also known that average healthy life expectancy differs by sex. This paper reports estimations of healthy and unhealthy life expectancy in old age using self-reported assessments of health for the city of Sao Paulo, Brazil in 2000-2001. Data are derived from the Health, Well-being and Aging in Latin America and the Caribbean Project (SABE), and from population censuses and mortality statistics. Sullivan's estimation method was used, combining the age-specific schedule of the current probabilities of death with the prevalence of self-perceived of "poor" and "good" health. The paper also reports multivariate analyses of the factors associated with variations by age group and sex in self-perceived health. The findings reveal that, at all ages, women live longer than men and for more years in a healthy state. Among men, those aged 60, 65 or 70 were expected to live a higher percentage of their remaining life than women in a healthy state, but among those aged 75, 80 and 85, the opposite held. Among women, the percentage of remaining years that were unhealthy, did not increase as age increased, which differs from previous findings. The multivariate analyses showed that with increasing age, for women the number of chronic diseases decreased but dependency increased, and for men the opposite held. This finding indicates that the percentage of the life span spent in poor self-perceived health more accurately predicts mortality in men than women. (RH).
Accession NumberCPA-071221002 A
ClassmarkBC: BD: CD: CH: S7: 48: 7W6

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