4.7 Article

Lifecourse socioeconomic position and cohort differences in health expectancy in Australia: a longitudinal cohort study

期刊

LANCET PUBLIC HEALTH
卷 7, 期 4, 页码 E347-E355

出版社

ELSEVIER SCI LTD

关键词

-

资金

  1. Australian Research Council (ARC) [DP190100459]
  2. ARC [FL190100011]
  3. Australian Research Council [FL190100011] Funding Source: Australian Research Council

向作者/读者索取更多资源

This study analyzed data from two cohorts in Australia to evaluate trends in health expectancies among different socioeconomic groups. The findings showed that social disparities in health expectancies have been maintained, and have increased for some outcomes in Australia over the past two decades.
Background There is a need to know how changes in health expectancy differ for population subgroups globally. The aim of this study was to estimate 10-year trends in health expectancies by individual markers of socioeconomic position from three points over the lifecourse, evaluating how compression and expansion of morbidity have varied within a national population. Methods We analysed data from two cohorts of the Household Income and Labour Dynamics in Australia survey. The cohorts were followed annually from 2001 to 2007 (n=4720; baseline age range 50-100 years) and 2011 to 2017 (n=6632; baseline age range 50-99 years). Health expectancies were estimated at age 65 years for four outcomes reflecting activity limitations, disability, perceived health, and mental health. Cohort differences were compared by gender, age left school, occupational prestige, and housing tenure. Findings Women with low socioeconomic position were the only group with no improvements in life expectancy across the two cohorts. Among men with low education and all women gains in life expectancy comprised entirely of years lived with global activity limitations. Compression of years lived with severe-disability, poor self-rated health, and poor mental health was most consistently observed for men and women with high education and home ownership. Occupational prestige did not greatly differentiate cohort differences in health expectancies. Interpretation Over the past two decades in Australia, social disparities in health expectancies have at least been maintained, and have increased for some outcomes. Equitable gains in health expectancies should be a major public health goal, and will help support sustainable health and social care systems. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据