ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2020
Biases in health expectancies due to educational differences in survey participation of older Europeans: It's worth weighting for.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
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- The interplay of risk and protective factors for psychosocial outcome in women after induced abortion - an interview study from Germany.BMC women's health · 2026Article
- Individual preferences for the design of a health coaching-based lifestyle promotion program among middle-aged adults in Hong Kong: a discrete choice experiment.Health and quality of life outcomes · 2026Article
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- Reducing Panic Buying During Crisis Lockdowns: A Randomized Controlled Trial of a Theory-Based Online Intervention.Behavioral sciences (Basel, Switzerland) · 2025Article
- Disentangling the Causal Effects of Education and Participation Bias on Alzheimer Disease Using Mendelian Randomization.Neurology. Genetics · 2025Article
- Cannabis Consumption Before and After Partial Legalization in Germany: Early Trends, Consumption Patterns, and Motives.Deutsches Arzteblatt international · 2025Article
- Psychoactive Substance Use in Germany: Findings From the Epidemiological Survey of Substance Abuse (ESA) in 2024.Deutsches Arzteblatt international · 2025Article
- The impact of lifestyle factors on trajectories of cognitive subtypes in the older adult population.Scientific reports · 2025Article
- Parents' experience in pediatric Tuina treatment program for congenital muscular torticollis in infants and children: qualitative findings from individual interviews.BMC complementary medicine and therapies · 2025Article
- COVID-19 in Rural Ontario Communities: Exploring Women's Mental Health During a Pandemic.International journal of environmental research and public health · 2025Article
- Educational Disparities in Age-Related Hearing Loss and Hearing Aid Use Across Age, Gender, and European Region.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Sex-Specific and Long-Term Trends of Asthma, Allergic Rhinitis, and Atopic Dermatitis in South Korea, 2007-2022: A Nationwide Representative Study.International archives of allergy and immunology · 2025Article
- U.S. residents' self-reported access to veterinary care and implications for care-seeking decisions.Frontiers in veterinary science · 2025Article
- Sociodemographic inequalities in the incidence of COVID-19 in National Household Sample Survey cohort, Brazil, 2020.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024Article
- Including educational status may improve cardiovascular risk calculations such as SCORE2.Frontiers in cardiovascular medicine · 2024Article
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- Recruiting patients for falls prevention in the emergency department - worth the challenge.BMC geriatrics · 2023Observational
Corrections and comments
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Funding
Abstract
Health expectancies are widely used by policymakers and scholars to analyse the number of years a person can expect to live in good health. Their calculation requires life tables in combination with prevalence rates of good or bad health from survey data. The structure of typical survey data, however, rarely resembles the education distribution in the general population. Specifically, low-educated individuals are frequently underrepresented in surveys, which is crucial given the strong positive correlation between educational attainment and good health. This is the first study to evaluate if and how health expectancies for 13 European countries are biased by educational differences in survey participation. To this end, calibrated weights that consider the education structure in the 2011 censuses are applied to measures of activity limitation in the Survey of Health, Ageing and Retirement in Europe. The results show that health expectancies at age 50 are substantially biased by an average of 0.3 years when the education distribution in the general population is ignored. For most countries, health expectancies are overestimated; yet remarkably, the measure underestimates health for many Central and Eastern European countries by up to 0.9 years. These findings highlight the need to adjust for distortion in health expectancies, especially when the measure serves as a base for health-related policy targets or policy changes.
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