healthy life years (hly) at age 65 in the european union using the silc 2005 the ehemu team

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Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team www.ehemu.eu

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Page 1: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Healthy Life Years (HLY) at age 65 in the European Union

using the SILC 2005

The EHEMU Teamwww.ehemu.eu

Page 2: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Data and Methods

• Life tables 2005 (provisional)

• Age specific prevalence of activity limitation from Eurostat (weighted)

• Estimation of HLY and 95% CI, using Sullivan method

• Difference between EHEMU and Eurostat values• At age 65 max absolute difference 0.59 yrs men and

0.35 yrs women

Page 3: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Raw prevalence data

Page 4: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Prevalence of activity limitation for men by age

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

16 20 25 30 35 40 45 50 55 60 65 70 75 80 85

age

prevalence

Austria

Belgium

Cyprus

CzechRepublic

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Ireland

Italy

Latvia

Lithuania

Luxembourg

Malta

Netherlands

Poland

Portugal

Slovakia

Slovenia

Spain

Sweden

UnitedKingdom

sex 1

With activity limitations

age

country

Denmark

Page 5: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Prevalence of activity limitation for women by age

Denmark

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

16 20 25 30 35 40 45 50 55 60 65 70 75 80 85

age

prevalence

Austria

Belgium

Cyprus

CzechRepublic

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Ireland

Italy

Latvia

Lithuania

Luxembourg

Malta

Netherlands

Poland

Portugal

Slovakia

Slovenia

Spain

Sweden

UnitedKingdom

sex 2

With activity limitations

age

country

Page 6: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

0

0.1

0.2

0.3

0.4

0.5

0.6

16 20 25 30 35 40 45 50 55 60 65 70 75 80 85

age

prevalence

Austria

Belgium

Cyprus

CzechRepublic

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Ireland

Italy

Latvia

Lithuania

Luxembourg

Malta

Netherlands

Poland

Portugal

Slovakia

Slovenia

Spain

Sweden

UnitedKingdom

sex 1

Strongly limited

age

country

Prevalence of severe activity limitation for men by age

Denmark missing

Page 7: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Prevalence of severe activity limitation for women by age

Denmark missing

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

16 20 25 30 35 40 45 50 55 60 65 70 75 80 85

age

prevalence

Austria

Belgium

Cyprus

CzechRepublic

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Ireland

Italy

Latvia

Lithuania

Luxembourg

Malta

Netherlands

Poland

Portugal

Slovakia

Slovenia

Spain

Sweden

UnitedKingdom

sex 2

Strongly limited

age

country

Page 8: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

16 20 25 30 35 40 45 50 55 60 65 70 75 80 85

Austria

Belgium

Cyprus

CzechRepublic

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Ireland

Italy

Latvia

Lithuania

Luxembourg

Malta

Netherlands

Poland

Portugal

Slovakia

Slovenia

Spain

Sweden

UnitedKingdom

sex 1

chronic_yes

age

country

Prevalence of chronic morbidity for men by age

Page 9: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Prevalence of chronic morbidity for women by age

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

16 20 25 30 35 40 45 50 55 60 65 70 75 80 85

Austria

Belgium

Cyprus

CzechRepublic

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Ireland

Italy

Latvia

Lithuania

Luxembourg

Malta

Netherlands

Poland

Portugal

Slovakia

Slovenia

Spain

Sweden

UnitedKingdom

sex 2

chronic_yes

age

country

Page 10: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Prevalence of good perceived health for men by age

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

16 20 25 30 35 40 45 50 55 60 65 70 75 80 85

Austria

Belgium

Cyprus

CzechRepublic

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Ireland

Italy

Latvia

Lithuania

Luxembourg

Malta

Netherlands

Poland

Portugal

Slovakia

Slovenia

Spain

Sweden

UnitedKingdom

sex 1

With good perceived health

age

country

Page 11: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Prevalence of good perceived health for women by age

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

16 20 25 30 35 40 45 50 55 60 65 70 75 80 85

Austria

Belgium

Cyprus

CzechRepublic

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Ireland

Italy

Latvia

Lithuania

Luxembourg

Malta

Netherlands

Poland

Portugal

Slovakia

Slovenia

Spain

Sweden

UnitedKingdom

sex 2

With good perceived health

age

country

Page 12: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Prevalence of poor perceived health for men by age

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

16 20 25 30 35 40 45 50 55 60 65 70 75 80 85

Austria

Belgium

Cyprus

CzechRepublic

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Ireland

Italy

Latvia

Lithuania

Luxembourg

Malta

Netherlands

Poland

Portugal

Slovakia

Slovenia

Spain

Sweden

UnitedKingdom

sex 1

Poor perceived health

age

country

Page 13: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Prevalence of poor perceived health for women by age

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

16 20 25 30 35 40 45 50 55 60 65 70 75 80 85

Austria

Belgium

Cyprus

CzechRepublic

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Ireland

Italy

Latvia

Lithuania

Luxembourg

Malta

Netherlands

Poland

Portugal

Slovakia

Slovenia

Spain

Sweden

UnitedKingdom

sex 2

Poor perceived health

age

country

Page 14: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Healthy Life Year Results

Page 15: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Distribution of LE and HLY EU25, 2005

Page 16: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

LE at age 65 men and women

Correlation = 0.85 Men range 4.9 years

Women range = 4.3 years

Page 17: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

LE and HLY at age 65 men

Correlation = 0.67 LE range 4.9 years HLY range = 9.7 years

Page 18: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

LE and HLY at age 65 women

Correlation = 0.47 LE range 4.3 years HLY range = 10.6 years

Page 19: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

HLY at age 65 2005

Page 20: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

HLY at age 65 2005

Page 21: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

HLY% at age 65 2005

Page 22: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

HLY% at age 65 2005

Page 23: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

HLY % at age 65 men and women

Correlation = 0.97 Men range 81% - 26% Women range = 74% - 19%

Page 24: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Moderate and severe AL years at age 65 men

Correlation = -0.11Moderate range 2.6-8.6

Severe range = 0-5.3

Page 25: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Moderate and severe AL years at age 65 women

Correlation = -0.38Moderate range 3.2-12.9

Severe range = 0-7.9

Page 26: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

2) Life expectancy:2) Variations in LE at age 65 of 4.9 years for men and 4.3 for

women

Conclusions

3) HLY and HLY% at age 65• Greater variation than in LE – 9.7 years for men and 10.6 for

women• HLY% varies by 55% in men and women• Countries with high years in moderate AL are not necessarily

high in severe AL

4) Gender differences at age 65• High correlation between LE, HLY and HLY% at age 65

between men and women

1) Prevalence data from SILC 2005:• In general coherent apart from activity limitation in Denmark

Page 27: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Next steps

• Sensitivity checks– Life expectancy assumptions– Institutionalised population

Page 28: Healthy Life Years (HLY) at age 65 in the European Union using the SILC 2005 The EHEMU Team

Healthy Life Years (HLY) at age 65 in the European Union

using the SILC 2005