Cohort Changes in Active Life Expectancy in the U.S. Elderly Population: Experience From the 1982-2004 National Long-Term Care Survey
العنوان: | Cohort Changes in Active Life Expectancy in the U.S. Elderly Population: Experience From the 1982-2004 National Long-Term Care Survey |
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المؤلفون: | XiLiang Gu, Gene Lowrimore, Kenneth G. Manton |
المصدر: | The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 63:S269-S281 |
بيانات النشر: | Oxford University Press (OUP), 2008. |
سنة النشر: | 2008 |
مصطلحات موضوعية: | Male, Gerontology, Activities of daily living, Social Psychology, Health Status, MEDLINE, Psychological intervention, Cohort Studies, Age Distribution, Life Expectancy, Quality of life (healthcare), Activities of Daily Living, Humans, Medicine, Disabled Persons, Life Tables, Sex Distribution, Aged, Aged, 80 and over, Stochastic Processes, business.industry, United States, Health Planning, Clinical Psychology, Long-term care, Chronic Disease, Cohort, Quality of Life, Life expectancy, Female, Geriatrics and Gerontology, business, Demography, Cohort study |
الوصف: | To understand declines in chronic disability prevalence in the U.S. elderly population, we examined cohort changes in active life expectancy, a health measure relating population disability and longevity dynamics.We computed active life expectancy and life expectancy using the six National Long-Term Care Surveys done from 1982 to 2004 and linked to continuous-time Medicare service data for the same time period by using a stochastic process model based on disability scores calculated using grade of membership analyses. We simultaneously estimated continuous-time disability dynamic and mortality functions to calculate life tables for specific disability states and for temporally changing mixtures of disability states.Disability dynamics, measured as changes in grade of membership scores, showed significant variation across two birth cohorts followed for 24 years. Disability dynamics and disability-specific hazard functions were significantly improved in the younger cohort (persons aged 65-74 in 1982).Our results, supporting the hypothesis of morbidity compression, indicate that younger cohorts of elderly persons are living longer in better health. The methods describe individual disability transitions and mortality and other factors associated with disability changes, making it possible to better evaluate interventions to promote future declines in disability. |
تدمد: | 1758-5368 1079-5014 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7c68dd073930668a4686bde2e557dad4 https://doi.org/10.1093/geronb/63.5.s269 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....7c68dd073930668a4686bde2e557dad4 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 17585368 10795014 |
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