ArticlePloS one2020
Life expectancy and active life expectancy by disability status in older U.S. adults.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 31 citations in OpenAlex.
- Digital exclusion, functional limitations transitions, and life expectancy: a multinational longitudinal study.SSM - population health · 2026Article
- Hobby engagement, disability transitions, and life expectancy: a multinational longitudinal study.Journal of global health · 2026Article
- Study on depression-free life expectancy in the elderly population in China.BMC public health · 2025Article
- Cost-effectiveness and budget impact analyses of the 24-valent pneumococcal conjugate vaccine in adults aged 50 and older.Vaccine · 2025Article
- Adaptive Sports Exposure Impacts Pediatric Orthopaedic Surgeon Comfort in Treating Patients With Disabilities.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Impact of acupuncture on mortality in patients with disabilities and newly diagnosed heart failure: a nationwide cohort study.Frontiers in medicine · 2025Article
- Tree-based analysis of longevity predictors and their ten-year changes: a 35-Year mortality follow-up.BMC geriatrics · 2024Article
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- Medication adherence in patients with type 2 diabetes after disability onset: a difference-in-differences analysis using nationwide data.BMC medicine · 2024Article
- Dietary inflammatory index and disability among older adults in Guangzhou: a cross-sectional analysis.Frontiers in public health · 2024Article
- Societal Cost of Racial Pneumococcal Disease Disparities in US Adults Aged 50 Years or Older.Applied health economics and health policy · 2024Article
- The average life expectancy of persons with disabilities in China.SSM - population health · 2023Article
- Dimensionality and invariance of ADL, IADL, BI-M2/WG-SS, and GALI in large surveys in France (2008-2014) and implications for measuring disability in epidemiology.Archives of public health = Archives belges de sante publique · 2023Article
- Association Between Types of Loneliness and Risks of Functional Disability in Older Men and Women: A Prospective Analysis.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Article
- New Advances in Supportive Care: Chemoprotective Agents as Novel Opportunities in Geriatric Oncology.Current oncology reports · 2022Review
- Article
- Association between self-reported body mass index and active life expectancy in a large community-dwelling sample of older U.S. adults.BMC geriatrics · 2022Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe Medicare Health Outcome Survey (HOS) is the largest longitudinal survey of the U.S. community-dwelling elderly population. This study estimated total life expectancy, active life expectancy (ALE), and disability-free life expectancy (DFLE) by disability status among HOS participants.
methodsData were from the Medicare HOS Cohort 15 (baseline 2012, follow-up 2014). We included respondents aged ≥ 65 years (n = 164,597). Participants' disability status was assessed based on the following six activities of daily living (ADL): bathing, dressing, eating, getting in or out of chairs, walking, and using the toilet. The multi-state models were used to estimate life expectancy, ALE, and DFLE by participants' baseline disability status and age.
resultsPersons who had higher-level ADL limitations had a shorter life expectancy, ALE, and DFLE. Also persons with disability had greater expected life years with disability than those with no limitations and those with mild limitations. For example, among 65-year old respondents with no limitations, mild limitations, and disability, life expectancy was 19.9, 18.6, and 17.1 years, respectively; ALE was 14.0, 9.5, and 7.2 years, respectively; DFLE was 17.3, 15.2, and 11.4 years, respectively; and expected years with disability was 2.6, 3.4, and 5.7 years, respectively.
conclusionsThis study demonstrated that greater levels of disability adversely impact life expectancy, ALE, DFLE, and expected number of years with a disability among U.S. older adults. Understanding levels of disability, and how these may change over time, would enhance health care quality and planning services related to home care and housing in this community-dwelling population.
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