ArticleBMC geriatrics2021
Socioeconomic inequalities in life expectancy and disability-free life expectancy among Chilean older adults: evidence from a longitudinal study.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Frailty-free life expectancy and its association with socio-economic characteristics: an analysis of the English Longitudinal Study of Ageing cohort study.BMC medicine · 2025Article
- Ethnic differences in disability-free life expectancy and disabled life expectancy in older adults in Chile.BMC geriatrics · 2024Article
- Association of healthy lifestyle with life expectancy free of five major disabilities in Chinese older adults.Journal of global health · 2024Article
- Trends in socioeconomic inequalities in life expectancy and lifespan variation in Chile.Frontiers in public health · 2024Article
- Gender differences in life expectancy free of depressive symptoms in Chile between 2003 and 2016.Global mental health (Cambridge, England) · 2024Article
- The socioeconomic distribution of life expectancy and healthy life expectancy in Chile.International journal for equity in health · 2023Article
- Health-related quality of life by household income in Chile: a concentration index decomposition analysis.International journal for equity in health · 2022Article
- Social Determinants of Remaining Life Expectancy at Age 60: A District-Level Analysis in Germany.International journal of environmental research and public health · 2022Article
- Gender and education inequalities in dynapenia-free life expectancy: ELSI-Brazil.Revista de saude publica · 2022Article
- Forecasting Healthy Life Expectancy Among Chilean Community-Dwelling Older Adults With and Without Sarcopenia.Frontiers in medicine · 2022Article
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4 authors.
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Abstract
backgroundChile has one of the longest life expectancies of Latin America. The country is characterised by an important macroeconomic growth and persisting socioeconomic inequalities. This study analyses socioeconomic differences in life expectancy (LE) and disability-free life expectancy (DFLE) among Chilean older people.
methodsThe sample of the Social Protection Survey, a longitudinal study, was analysed. Five waves, from 2004 to 2016, were considered. The indicator was disability, defined as having difficulties to perform at least one basic activity of daily living. Type of health insurance was used to determine socioeconomic position (SEP). Total LE and DFLE were estimated with multistate life table models.
resultsAt age 60, men in the higher SEP could expect to live 3.7 years longer (22.2; 95% CI 19.6-24.8) compared to men of the same age in the medium SEP (18.4; 95% CI 17.4-19.4), and 4.9 years longer than men of the same age in the lower SEP (17.3; 95% CI 16.4-18.2). They also had a DFLE (19.4; 95% CI 17.1-21.7) 4 (15.4; 95% CI 14.6-16.1) and 5.2 (14.2; 95% CI 13.4-14.9) years longer, compared to the same groups. Women aged 60 years in the higher SEP had a LE (27.2; 95% CI 23.7-30.8) 4.6 (22.7; 95% CI 21.9-23.5) and 5.6 (21.6; 20.6-22.6) years longer, compared to women in the medium and the lower SEP. The difference in DFLE, for the same age and groups was 4.9 and 6.1 years, respectively (high: 21.4; 95% CI 19.5-23.3; medium: 16.5; 95% CI 15.8-17.1; low: 15.3; 95% CI 14.6-16.0). Socioeconomic differences in LE and DFLE were observed among both sexes until advanced age. DISCUSSION: Socioeconomic inequalities in LE and DFLE were found among Chilean older men and women. Older people in the highest SEP live longer and healthier lives.
conclusionA reform to the Chilean health system should be considered, in order to guarantee timely access to care and benefits for older people who are not in the wealthiest group.
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