Sicsic Jonathan, Ronchetti Jérôme, Rapp Thomas
Université Paris Cité, LIRAES (laboratoire interdisciplinaire de recherche appliquée en économie-gestion et santé), 45 rue des Saints-Pères, F-75006 Paris, France - Chaire « Aging UP ! », université Paris Cité, Paris, France - LIEPP (laboratoire interdisciplinaire d'évaluation des politiques publiques), Sciences Po, 27 rue Saint-Guillaume, 75337 Paris, France.
Laboratoire de recherche Magellan (EA 3713), université Lyon 3, Lyon, France.
Med Sci (Paris). 2023 Jun-Jul;39(6-7):551-557. doi: 10.1051/medsci/2023077. Epub 2023 Jun 30.
We introduce a new individual measure of healthy aging on a sample of more than 39,000 individuals and compare the results for France with 11 other European countries and the United States. Our healthy aging measure is based on the discrepancy between the calendar age of populations with their estimated physiological age, which corresponds to a measure of age adjusted for the effects of comorbidities and functional health. France is ranked in the lower middle of our healthy aging scale, with the Nordic countries (Denmark, Sweden, Netherlands), Switzerland and Greece being ahead. Economic capital has a strong impact on the estimated physiological age and on healthy aging trajectories. Socioeconomic inequalities are particularly marked in France as well as in Italy and the United States. The generosity of long-term care policies seems to be positively associated with the level of healthy aging of the populations. More work is required to identify the drivers of healthy aging among individuals living in OECD countries.
我们在一个超过39000人的样本中引入了一种新的健康老龄化个体测量方法，并将法国与其他11个欧洲国家及美国的结果进行了比较。我们的健康老龄化测量方法基于人口的日历年龄与其估计生理年龄之间的差异，该生理年龄对应于一种针对合并症和功能健康影响进行调整的年龄测量。法国在我们的健康老龄化排名中处于中低水平，北欧国家（丹麦、瑞典、荷兰）、瑞士和希腊排名靠前。经济资本对估计生理年龄和健康老龄化轨迹有很大影响。社会经济不平等在法国以及意大利和美国尤为明显。长期护理政策的慷慨程度似乎与人口的健康老龄化水平呈正相关。需要开展更多工作来确定经合组织国家居民健康老龄化的驱动因素。
