ArticleEuropean journal of ageing2015
Are we living longer but less healthy? Trends in mortality and morbidity in Catalonia (Spain), 1994-2011.
Article in European journal of ageing, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- The effect of behaviour change interventions on changes in physical activity and anthropometrics in ambulatory hospital settings: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2021Pooled it
- Post-war (1946-2017) population health change in the United Kingdom: A systematic review.PloS one · 2019Pooled it
- A new simplified minimum data set better predicts outcomes for individuals admitted to intermediate care functional recovery units in catalonia.The Journal of frailty & aging · 2026Article
- Paths to multimorbidity: a longitudinal perspective on disease accumulation in Catalonia, Spain.European journal of public health · 2026Article
- Microbiome transplants may not improve health and longevity in Drosophila melanogaster.Biology open · 2025Article
- Changes in Disability, Severe Disability, and Dependence in Spain (1986-2020).International journal of public health · 2025Article
- Article
- Examining chronic disease onset across varying age groups of Indian adults using competing risk analysis.Scientific reports · 2023Article
- The role of age inequalities in cause of death in the slow pace of epidemiological transition in India.Scientific reports · 2022Article
- Macro-level factors explaining inequalities in expected years lived free of and with chronic conditions across Spanish regions and over time (2006-2019).SSM - population health · 2022Article
- Stable Gender Gap and Similar Gender Trend in Chronic Morbidities between 1997-2015 in Adult Canary Population.International journal of environmental research and public health · 2022Article
- Depression and Life Satisfaction Among Middle-Aged and Older Adults: Mediation Effect of Functional Disability.Frontiers in psychology · 2021Article
- Educational Inequalities in Life and Healthy Life Expectancies among the 50-Plus in Spain.International journal of environmental research and public health · 2020Article
- Article
- Trends in disease-free life expectancy at age 65 in Spain: Diverging patterns by sex, region and disease.PloS one · 2020Article
- Disability for basic and instrumental activities of daily living in older individuals.PloS one · 2019Article
- Feeling good in old age: factors explaining health-related quality of life.Health and quality of life outcomes · 2018Article
- Educational attainment, gender and health inequalities among older adults in Catalonia (Spain).International journal for equity in health · 2016Article
- Complex health problems among the oldest old in Sweden: increased prevalence rates between 1992 and 2002 and stable rates thereafter.European journal of ageing · 2015Article
- Risk of dependence associated with health, social support, and lifestyle.Revista de saude publica · 2015Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 3 countries.
Funding
Abstract
Evidence on trends in prevalence of disease and disability can clarify whether countries are experiencing a compression or expansion of morbidity. An expansion of morbidity, as indicated by disease, has appeared in Europe and other developed regions. It is likely that better treatment, preventive measures, and increases in education levels have contributed to the declines in mortality and increments in life expectancy. This paper examines whether there has been an expansion of morbidity in Catalonia (Spain). It uses trends in mortality and morbidity and links these with survival to provide estimates of life expectancy with and without diseases and mobility limitations. We use a repeated cross-sectional health survey carried out in 1994 and 2011 for measures of morbidity, and information from the Spanish National Statistics Institute for mortality. Our findings show that at age 65 the percentage of life with disease increased from 52 to 70 % for men, and from 56 to 72 % for women; the expectation of life with mobility limitations increased from 24 to 30 % for men and from 40 to 47 % for women between 1994 and 2011. These changes were attributable to increases in the prevalence of diseases and moderate mobility limitation. Overall, we find an expansion of morbidity along the period. Increasing survival among people with diseases can lead to a higher prevalence of diseases in the older population. Higher prevalence of health problems can lead to greater pressure on the health care system and a growing burden of disease for individuals.
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