Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Scand J Public Health. 2023 Aug;51(6):835-842. doi: 10.1177/14034948211062309. Epub 2021 Dec 29.
In an aging society with increasing old age life expectancy, it has become increasingly important to monitor the health development in the population. This paper combines information on mortality and disability and explores educational inequalities in disability-free life expectancy in the aging population in Sweden, and to what extent these inequalities have increased or decreased over time.
A random sample of the Swedish population aged 77 years and above (=2895) provided information about disability in the population in the years 2002, 2004, 2011 and 2014. The prevalence of disability was assessed by five items of personal activities of daily living and incorporated in period life tables for the corresponding years, using the Sullivan method. The analyses were stratified by sex and educational attainment. Estimates at ages 77 and 85 years are presented.
Disability-free life expectancy at age 77 years increased more than total life expectancy for all except men with lower education. Women with higher education had a 2.7-year increase and women with lower education a 1.6-year increase. The corresponding numbers for men were 2.0 and 0.8 years. The educational gap in disability-free life expectancy increased by 1.2 years at age 77 years for both men and women.
在一个老龄化社会中，预期寿命不断延长，因此监测人口健康发展变得越来越重要。本文结合了死亡率和残疾信息，探讨了瑞典老年人口中无残疾预期寿命的教育不平等现象，并探讨了这些不平等现象随时间的变化趋势。
一项针对瑞典 77 岁及以上人群的随机抽样调查（共 2895 人）提供了 2002 年、2004 年、2011 年和 2014 年人口残疾情况的信息。残疾的流行程度通过五个日常生活活动项目进行评估，并使用沙利文方法纳入相应年份的时期生命表中。分析按性别和教育程度分层。报告了 77 岁和 85 岁时的估计值。
除了教育程度较低的男性外，所有人群的无残疾预期寿命增长均超过了总预期寿命。教育程度较高的女性增加了 2.7 年，教育程度较低的女性增加了 1.6 年。相应的男性数字分别为 2.0 年和 0.8 年。在 77 岁时，男性和女性的无残疾预期寿命的教育差距分别增加了 1.2 年。
