Evidence map›Paper›PMID 30307554›Full record

ArticleEuropean journal of public health2019

Socioeconomic differences in healthy and disease-free life expectancy between ages 50 and 75: a multi-cohort study.

Jenny Head, Holendro Singh Chungkham, Martin Hyde, Paola Zaninotto, Kristina Alexanderson, Sari Stenholm, Paula Salo, Mika Kivimäki, Marcel Goldberg, Marie Zins and 2 more

Abstract read
In one paragraph

Article in European journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Socioeconomic inequalities in exposure to neighbourhood environments for physical activity: a systematic review.The international journal of behavioral nutrition and physical activity · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Jenny HeadDepartment of Epidemiology and Public Health, University College London, London, UK.
Holendro Singh ChungkhamNorth-East Centre, Indian Statistical Institute, Tezpur, India.
Martin HydeCentre for Innovative Ageing, University of Swansea, Swansea, UK.
Paola ZaninottoDepartment of Epidemiology and Public Health, University College London, London, UK.
Kristina AlexandersonDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Sari StenholmDepartment of Public Health, University of Turku and University Hospital Turku, Turku, Finland.
Paula SaloDepartment of Psychology, University of Turku, Turku, Finland.
Mika KivimäkiDepartment of Epidemiology and Public Health, University College London, London, UK.
Marcel GoldbergInserm, Population-based Cohorts Unit-UMS 011, Villejuif, France.
Marie ZinsInserm, Population-based Cohorts Unit-UMS 011, Villejuif, France.
Jussi VahteraDepartment of Public Health, University of Turku and University Hospital Turku, Turku, Finland.
Hugo WesterlundStress Research Institute, Stockholm University, Stockholm, Sweden.

Funding

Medical Research Council MR/K013351/1Medical Research Council MR/R024227/1
6 · The paper itself

Abstract

backgroundThere are striking socioeconomic differences in life expectancy, but less is known about inequalities in healthy life expectancy and disease-free life expectancy. We estimated socioeconomic differences in health expectancies in four studies in England, Finland, France and Sweden.

methodsWe estimated socioeconomic differences in health expectancies using data drawn from repeated waves of the four cohorts for two indicators: (i) self-rated health and (ii) chronic diseases (cardiovascular, cancer, respiratory and diabetes). Socioeconomic position was measured by occupational position. Multistate life table models were used to estimate healthy and chronic disease-free life expectancy from ages 50 to 75.

resultsIn all cohorts, we found inequalities in healthy life expectancy according to socioeconomic position. In England, both women and men in the higher positions could expect 82-83% of their life between ages 50 and 75 to be in good health compared to 68% for those in lower positions. The figures were 75% compared to 47-50% for Finland; 85-87% compared to 77-79% for France and 80-83% compared to 72-75% for Sweden. Those in higher occupational positions could expect more years in good health (2.1-6.8 years) and without chronic diseases (0.5-2.3 years) from ages 50 to 75.

conclusionThere are inequalities in healthy life expectancy between ages 50 and 75 according to occupational position. These results suggest that reducing socioeconomic inequalities would make an important contribution to extending healthy life expectancy and disease-free life expectancy.

Indexed as

Health Status DisparitiesHealthy AgingLife ExpectancySocioeconomic FactorsAgedChronic DiseaseCohort StudiesEuropeFemaleHumansLife TablesMaleMiddle AgedSelf Report

Identifiers

PMID30307554
PMCPMC6426044

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.