Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Trends in life expectancy: did the gap between the healthy and the ill widen or close?
Stockholm University, Faculty of Social Sciences, Department of Sociology.
Show others and affiliations
Number of Authors: 52020 (English)In: BMC Medicine, E-ISSN 1741-7015, Vol. 18, no 1, article id 41Article in journal (Refereed) Published
Abstract [en]

Background During the past decades, life expectancy has continued to increase in most high-income countries. Previous research suggests that improvements in life expectancy have primarily been driven by advances at the upper end of the health distribution, while parts of the population have lagged behind. Using data from the entire Swedish population, this study aims to examine the life expectancy development among subgroups of individuals with a history of common diseases relative to that of the general population. Methods The remaining life expectancy at age 65 was estimated for each year in 1998-2017 among individuals with a history of disease, and for the total Swedish population. We defined population subgroups as individuals with a history of myocardial infarction, ischemic or hemorrhagic stroke, hip fracture, or colon, breast, or lung cancer. We further distinguished between different educational levels and Charlson comorbidity index scores. Results Life expectancy gains have been larger for men and women with a history of myocardial infarction, ischemic or hemorrhagic stroke, and colon or breast cancer than for the general population. The life expectancy gap between individuals with a history of hip fracture or lung cancer and the general population has, however, been growing. Education and comorbidity have affected mortality levels, but have not altered the rate of increase in life expectancy among individuals with disease history. The female advantage in life expectancy was less pronounced among individuals with disease history than among the general population. Conclusions Life expectancy has increased faster in many subpopulations with a history of disease than in the general population, while still remaining at lower levels. Improvements in life expectancy have been observed regardless of comorbidity or educational level. These findings suggest that the rise in overall life expectancy reflects more than just improved survival among the healthy or the delayed onset of disease.

Place, publisher, year, edition, pages
2020. Vol. 18, no 1, article id 41
Keywords [en]
Life expectancy, Population aging, Population health, Epidemiology, Education, Cancer, Cardiovascular diseases
National Category
Public Health, Global Health and Social Medicine
Research subject
Demography
Identifiers
URN: urn:nbn:se:su:diva-181150DOI: 10.1186/s12916-020-01514-zISI: 000521398600001PubMedID: 32192480OAI: oai:DiVA.org:su-181150DiVA, id: diva2:1429720
Available from: 2020-05-12 Created: 2020-05-12 Last updated: 2025-02-20Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Authority records

Drefahl, SvenModig, Karin

Search in DiVA

By author/editor
Drefahl, SvenModig, Karin
By organisation
Department of Sociology
In the same journal
BMC Medicine
Public Health, Global Health and Social Medicine

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 86 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf