Disability-free life expectancy: a cross-national comparison among Bulgarian, Italian, and Latin American older population

J Aging Health. 2011 Jun;23(4):629-81. doi: 10.1177/0898264310390940. Epub 2011 Jan 10.

Abstract

Objective: To present sociodemographic and health status harmonized variables constructed to evaluate cross-national differences in term of Disability Free Life Expectancy (DFLE) across different surveys.

Method: The study comprises national surveys conducted in Bulgaria, Italy, and Latin America and the Caribbean. A homogeneous group of health determinants for the older population was created and the DFLE indicator based on Sullivan's method was developed considering the harmonized common variables on disability.

Results: For all countries, DFLE values decline as age increases for both sexes, with a pronounced decline among women. Regardless the native country, women always present higher Life Expectancy than men at each age; however, they live a higher percentage of these years with disability.

Discussion: Further research should be carried out with standardized instruments that allow a more direct comparison, along with measurements of the potential differences across countries, which could explain differences in disability prevalence and DFLE.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living / psychology*
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging / physiology*
  • Bulgaria
  • Confidence Intervals
  • Cross-Sectional Studies
  • Disabled Persons
  • Female
  • Health Status
  • Health Surveys
  • Hispanic or Latino
  • Humans
  • Internationality*
  • Italy
  • Latin America
  • Life Expectancy / trends*
  • Male
  • Middle Aged
  • Quality of Life / psychology*
  • Self-Assessment
  • Sex Factors
  • Surveys and Questionnaires