Fouweather Tony, Gillies Clare, Wohland Pia, Van Oyen Herman, Nusselder Wilma, Robine Jean-Marie, Cambois Emmanuelle, Jagger Carol
1 Institute of Health and Society, Newcastle University and Newcastle University Institute for Ageing, Newcastle upon Tyne, UK.
2 Department of Health Sciences, University of Leicester, Leicester, UK.
Eur J Public Health. 2015 Dec;25(6):978-83. doi: 10.1093/eurpub/ckv070. Epub 2015 Apr 14.
The first estimates of Healthy Life Years at age 50 (HLY50) across the EU25 countries in 2005 showed substantial variation in healthy ageing. We investigate whether factors contributing to HLY50 inequalities have changed between 2005 and 2010.
HLY50 for each country and year were calculated using Sullivan's method, applying the age-specific prevalence of activity limitation from the European Union Statistics on Income and Living Conditions (EU-SILC) survey to life tables. Inequalities in life expectancy at age 50 (LE50) and HLY50 between countries were defined as the difference between the maximum and minimum LE50 or HLY50. Relationships between HLY50 and macro-level socio-economic indicators were investigated using meta-regression. Men and women were analysed separately.
Between 2005 and 2010 HLY50 inequalities for both men and women in Europe increased. In 2005 and 2010 HLY50 inequalities exceeded LE50 inequalities, particularly in the established EU15 countries in 2010 where HLY50 inequalities (men: 10.7 years; women: 12.5 years) were four times greater for men and three times for women than LE50 inequalities (men: 2.4 years; women: 4.1 years). Only material deprivation significantly explained variation in EU25 HLY50 in both years with, additionally, long-term unemployment in 2010.
Our results suggest that inequalities in HLY50 across Europe are large, increasing and partly explained by levels of material deprivation. Moreover long-term unemployment has become more influential in explaining variation in HLY50 between 2005 and 2010.
2005年对欧盟25国50岁健康生命年（HLY50）的首次估计显示，健康老龄化存在显著差异。我们调查了2005年至2010年间导致HLY50不平等的因素是否发生了变化。
使用沙利文方法计算每个国家和年份的HLY50，将欧盟收入和生活条件统计调查（EU - SILC）中的特定年龄活动受限患病率应用于生命表。国家之间50岁预期寿命（LE50）和HLY50的不平等定义为最高和最低LE50或HLY50之间的差异。使用元回归研究HLY50与宏观层面社会经济指标之间的关系。对男性和女性分别进行分析。
2005年至2010年间，欧洲男性和女性的HLY50不平等都有所增加。2005年和2010年，HLY50不平等超过了LE50不平等，特别是在2010年的欧盟15个老牌国家，HLY50不平等（男性：10.7年；女性：12.5年）男性是LE50不平等（男性：2.4年；女性：4.1年）的四倍，女性是三倍。只有物质匮乏在这两年中显著解释了欧盟25国HLY50的差异，此外，2010年长期失业也有影响。
我们的结果表明，欧洲HLY50的不平等很大，且在增加，部分原因是物质匮乏水平。此外，长期失业在解释2005年至2010年间HLY50的差异方面变得更具影响力。
