ArticleBMC public health2022
Trends over two decades in life expectancy with complex health problems among older Swedes: implications for the provision of integrated health care and social care.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Utilization and Lifetime Costs of Formal Care for Alzheimer's Disease Dementia in Sweden.PharmacoEconomics · 2026Article
- Experiences of Formal and Informal Support Among Adult-Daughter Caregivers of People With Dementia in Sweden: A Qualitative Study.Dementia (London, England) · 2026Article
- Reproduction history and health-promoting behaviors are associated with successful aging and survival.GeroScience · 2026Article
- Exploring Professionals' Perceptions of the Potential of Digital Twins in Homecare-A Focus Group Study in Sweden.Healthcare (Basel, Switzerland) · 2026Article
- Older people in Sweden increasingly enter long-term care with extensive care needs-a register study of first-time users based on the SNAC Stockholm Eldercare study.European journal of ageing · 2026Article
- Technical Validation of a Multimodal Cognitive-Haptic Sudoku Platform Under Simulated Tremor Conditions.Bioengineering (Basel, Switzerland) · 2025Article
- The Knowledge We Hold: Exploring Occupational Therapy's Epistemic Identity and the Balance Between Evidence and Practice.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2025Article
- Patient-centered evaluation of integrated care and health equity: evidence from county medical alliances in Henan province.International journal for equity in health · 2025Article
- Mortality risk prediction in octogenarians undergoing emergency colorectal surgery: a tertiary center experience and systematic review of the literature.Frontiers in surgery · 2025Article
- "Returning to the core tasks": a qualitative interview study about how general practitioners in home health care solved problems during the COVID-19 pandemic.Scandinavian journal of primary health care · 2024Article
- Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia.PloS one · 2023Article
- Unveiling the potential of digital twins in homecare: A reflexive thematic analysis of older adults' views.Digital healthArticle
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to population aging, it is essential to examine to what extent rises in life expectancy (LE) consist of healthy or unhealthy years. Most health expectancy studies have been based on single health measures and have shown divergent trends. We used a multi-domain indicator, complex health problems (CHP), indicative of the need for integrated medical and social care, to investigate how LE with and without CHP developed in Sweden between 1992 and 2011. We also addressed whether individuals with CHP more commonly lived in the community in 2011 compared to earlier years.
methodsCHP were defined as having severe problems in at least two of three health domains related to the need for medical and/or social care: symptoms/diseases, cognition/communication, and mobility. The Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD), a nationally representative survey of the Swedish population aged ≥ 77 years with waves in 1992, 2002 and 2011 (n≈2000), was used to estimate the prevalence of CHP. Age- and gender-specific death rates were obtained from the Human Mortality Database. The Sullivan method was deployed to calculate the remaining life expectancy with and without CHP. The estimates were decomposed to calculate the contribution of changes from morbidity and mortality to the overall trends in LE without CHP.
resultsBetween 1992 and 2011, both total LE (+ 1.69 years [95% CI 1.56;1.83] and LE without CHP (+ 0.84 years [-0,87;2.55]) at age 77 increased for men, whereas LE at age 77 increased for women (+ 1.33 [1.21;1.47]) but not LE without CHP (-0.06 years [-1.39;1.26]). When decomposing the trend, we found that the increase in LE with CHP was mainly driven by an increase in the prevalence of CHP. Among individuals with CHP the proportion residing in care homes was lower in 2011 (37%) compared to 2002 (58%) and 1992 (53%).
conclusionsThe findings, that an increasing number of older people are expected to live more years with CHP, and increasingly live in the community, point towards a challenge for individuals and families, as well as for society in financing and organizing coordinated and coherent medical and social services.
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