ArticleBMJ open2021
Transitions of disability, disability-free life expectancy and health insurance among adults aged 50 and older in Mexico: a multistate life table analysis.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- 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
- Out-of-pocket healthcare expenditures in older Mexican people based on their social security status.Health policy and planning · 2026Article
- The role of living arrangements in disability assistance and survival in Mexican older adults.Innovation in aging · 2026Article
- The compounding burden of disability in Mexico: social protection gaps, chronic disease excess, and prospective mortality from national open data sources.Frontiers in public health · 2026Article
- Health inequities in functional limitation among Mexican older adults: An intersectional approach.PloS one · 2025Article
- Association between the changes in socialsecurity continuity condition and mortality: MHAS 2001-2018 analysis.Salud publica de Mexico · 2023Article
- Article
- The Impact of Seguro Popular on the Progression of Disabilities Among Older Adults With Chronic Degenerative Diseases in Mexico.Research on agingArticle
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Authors and funding
3 authors.
Funding
Abstract
objectivesTo analyse the transitions of disability onset and recovery, estimate life expectancy (LE) with and without disability and explore the relation between insurance and disability patterns in the population aged 50+ in Mexico.
designMultistate life table analysis of data from a longitudinal cohort survey.
settingData came from the Mexican Health and Aging Study, a longitudinal and representative survey of older adults in Mexico.
participants10 651 individuals aged 50+ interviewed in 2012 and 2015, including those who died between waves. PRIMARY AND SECONDARY OUTCOME MEASURES: Disability is measured using the activities of daily living (ADL) scale. Transition rates between disability free, ADL disabled and death were employed to estimate total life expectancy (TLE) and disability-free life expectancy (DFLE).
results46% of the individuals who reported an ADL limitation in 2012 recover from disability by 2015. TLE at age 60 for people without ADL limitations is 30 years (95% CI 28.9 to 31), out of which 4.7 years (95% CI 4.1 to 5.4) are lived with ADL limitations, while TLE at age 60 in the initially disabled is 18.7 years (95% CI 17.3 to 20), with 9.4 years (95% CI 8.4 to 10.3) lived with disability. DFLE at age 60 in people with social security is 24.2 years (95% CI 23.3 to 25.2), in people with public insurance is 24.6 years (95% CI 23.7 to 25.4) and in uninsured people is 26.9 years (95% CI 25.9 to 27.9).
conclusionsIn Mexico, a substantial proportion of ADL disabled individuals recover from disability. Nevertheless, initially disabled individuals have a considerably lower DFLE regardless of age when compared with initially active individuals. There appeared to be no differences in terms of disability and LEs between the individuals with social security and public insurance.
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