ArticleJournal of epidemiology and community health1999
Health expectancy in New Zealand, 1981-1991: social variations and trends in a period of rapid social and economic change.
Article in Journal of epidemiology and community health, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Gender differences in healthy life years within the EU: an exploration of the "health-survival" paradox.International journal of public health · 2013Article
- Trends in health expectancy at age 65 for various health indicators, 1987-2005, Denmark.European journal of ageing · 2008Article
- Measuring inequalities in health: the case for healthy life expectancy.Journal of epidemiology and community health · 2006Article
- Compression, expansion, or dynamic equilibrium? The evolution of health expectancy in New Zealand.Journal of epidemiology and community health · 2004Article
- A note on the use of sensitivity analysis to explore the potential impact of declining institutional care utilisation on disability prevalence.Population health metrics · 2004Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveTo assess social variations and trends in health expectancy over a period of rapid social and economic change.
designCross sectional survey data on the association between social status--gender, socioeconomic class and ethnic group--and measures of health status at two points in time approximately a decade apart. The Sullivan method of calculating health expectancy was used.
settingThe adult population of New Zealand in the periods 1980-81 and 1992-93.
participantsRepresentative samples of the adult civilian non-institutionalised population of 6,891 (1980-81) and 5,873 (1992-93) respectively. MAIN
resultsIn comparison with life expectancy, adjusting for health status narrowed the gender gap but widened socioeconomic and ethnic differentials. These results were replicated for three measures--self reported health, mobility, and handicap--suggesting a robustness of outcome to specific indicators. Comparable data over the period of study were only available for the mobility measure. Increases in longevity appeared to be fully absorbed by minor disability. Ethnic and socioeconomic disadvantages remained static or widened for the 15-64 age group, suggesting a potential social polarisation in the disability transition.
conclusionsThe operationalization of health expectancy appears to be rather robust to specific indicators. Health expectancy may provide a sensitive health impact assessment of social and economic policy. Existing theories of the disability transition may need to be modified to take account of social variation, at least in the special case of disability free health expectancy over the 15-64 age range.
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