ArticleJournal of epidemiology and community health2019
Expansion of disability across successive Mexican birth cohorts: a longitudinal modelling analysis of birth cohorts born 10 years apart.
Article in Journal of epidemiology and community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Trends and Determinants of Dementia-Related Mortality in Mexico, 2017-2023.Epidemiologia (Basel, Switzerland) · 2026Article
- A dynamic microsimulation of health outcomes in Mexico's aging population.The Gerontologist · 2025Article
- Trends in functional limitations among middle-aged and older adults in the Asia-Pacific: survey evidence from 778,507 observations across six countries.The Lancet regional health. Western Pacific · 2025Article
- Economic Disadvantage During Childhood, Obesity, and Diabetes Across Three Birth Cohorts of Older Mexicans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Disability and its impact on life expectancy: heterogeneity across Mexican states.BMC public health · 2024Article
- Inequalities in Disability-Free and Disabling Multimorbid Life Expectancy in Costa Rica, Mexico, and the United States.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Inequalities in Mortality in the Asia-Pacific: A Cross-National Comparison of Socioeconomic Gradients.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Does a Reduction in Receiving Assistance With Daily Activities Among Older Adults in Mexico Indicate An Increase in Unmet Needs or a Decrease in Needs for Care?The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Rural and urban differences in lifetime occupation and its influence on mortality among Mexican adults.Salud publica de Mexico · 2023Article
- Comparison of the Physical Function Trajectories in Three Birth Cohorts of Chinese Older Adults: A 14-Year Longitudinal Study.The journal of nutrition, health & aging · 2023Article
- Population-level impact of adverse early life conditions on adult healthy life expectancy in low- and middle-income countries.Population studies · 2022Article
- Changes in Life Expectancy and Disability-Free Life Expectancy in Successive Birth Cohorts of Older Cancer Survivors: A Longitudinal Modeling Analysis of the US Health and Retirement Study.American journal of epidemiology · 2022Article
- Article
- Effect of Demographic and Health Dynamics on Cognitive Status in Mexico between 2001 and 2015: Evidence from the Mexican Health and Aging Study.Geriatrics (Basel, Switzerland) · 2021Article
- Spousal Support, Spousal Strain, and Loneliness in Older Mexican Couples.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021Article
- Recovery from physical limitations among older Mexican adults.Archives of gerontology and geriatricsArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundLife expectancy (LE) in Mexico has risen rapidly since the 1950s. In high-income contexts, these increases have coincided with a compression of disability to later ages. However, little evidence on trends in disability-free LE (DFLE) exist from Mexico or elsewhere in Latin America.
methodsUsing data from the Mexican Health and Aging Study, we compare changes in LE and DFLE in ages 50-59, 60-69 and 70-79 using birth-cohort-specific multistate lifetable models across successive 10-year birth cohorts. Disability was measured using the Katz activities of daily living (ADL) index, and limitation was measured using a seven-item questionnaire on physical functioning.
resultsOverall, Mexican adults born in 1953-1962 lived 0.87 (p<0.001) fewer active years between ages 50 and 59 than individuals born in 1942-1951, a difference comprised of a 0.54-year (p<0.001) increase in physically limited LE and a 0.27-year (p<0.001) increase in ADL-disabled LE. Active LE declined by 1.13 (p<0.001) years in ages 60-69, and by 0.93 (p<0.001) years in ages 70-79, across successive 10-year birth cohorts. No substantial changes in total LE were seen in any age group, and the magnitude of the expansion of disability was larger in females than in males.
conclusionsOur results indicate that more recently born cohorts of Mexican adults are spending more years of life with physical limitations and disabilities. These results foreshadow a need to closely monitor adult health in middle-income contexts, as the epidemiological conditions under which disability has expanded in Mexico are similar to those seen in many other countries.
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