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Dependence- and Disability-Free Life Expectancy Across Eight Low- and Middle-Income Countries: A 10/66 Study

Lookup NU author(s): Dr Yu-Tzu WuORCiD


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© The Author(s) 2019.Objective: The objective of this study was to estimate healthy life expectancies in eight low- and middle-income countries (LMICs), using two indicators: disability-free life expectancy (DFLE) and dependence-free life expectancy (DepFLE). Method: Using the Sullivan method, healthy life expectancy was calculated based on the prevalence of dependence and disability from the 10/66 cohort study, which included 16,990 people aged 65 or above in China, Cuba, Dominican Republic, India, Mexico, Peru, Puerto Rico, and Venezuela, and country-specific life tables from the World Population Prospects 2017. Results: DFLE and DepFLE declined with older age across all sites and were higher in women than men. Mexico reported the highest DFLE at age 65 for men (15.4, SE = 0.5) and women (16.5, SE = 0.4), whereas India had the lowest with (11.5, SE = 0.3) in men and women (11.7, SE = 0.4). Discussion: Healthy life expectancy based on disability and dependency can be a critical indicator for aging research and policy planning in LMICs.

Publication metadata

Author(s): Prina AM, Wu Y-T, Kralj C, Acosta D, Acosta I, Guerra M, Huang Y, Jotheeswaran AT, Jimenez-Velazquez IZ, Liu Z, Llibre Rodriguez JJ, Salas A, Sosa AL, Prince M

Publication type: Article

Publication status: Published

Journal: Journal of Aging and Health

Year: 2019

Volume: 32

Issue: 5-6

Pages: 401-409

Print publication date: 01/06/2020

Online publication date: 31/01/2019

Acceptance date: 02/04/2016

ISSN (print): 0898-2643

ISSN (electronic): 1552-6887

Publisher: Sage Publications Inc.


DOI: 10.1177/0898264319825767


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