TY - JOUR
T1 - Gender Differences in Life Expectancy and Disability-Free Life Expectancy Among Older Adults in São Paulo, Brazil
AU - Drumond Andrade, Flávia Cristina
AU - Guevara, Pilar Egüez
AU - Lebrão, Maria Lúcia
AU - de Oliveira Duarte, Yeda Aparecida
AU - Santos, Jair Lício Ferreira
N1 - Funding Information:
We analyzed data from the two waves (2000 and 2006) of SABE São Paulo, Brazil. The SABE is a multicenter survey with respondents in seven capital/major cities throughout the countries of Latin America and the Caribbean that has been investigating the health and well-being of older adults (age ≥60 years). The Pan American Health Organization, the Center for Demography and Ecology at the University of Wisconsin—Madison, and the National Institute on Aging provided funding and support for the general survey. In Brazil, the São Paulo State Research Foundation provided additional support. Faculty members at the School of Public Health (Faculdade de Salúde Pública) and São Paulo University (Universidade de São Paulo) coordinated data collection in Brazil. The study was approved by the institutional review boards at the collaborating institutions ( Palloni et al., 2002; Peláez et al., 2005 ; Wong, Peláez, Palloni, & Markides, 2006). Participants provided consent to have their data used for research purposes.
PY - 2011/1
Y1 - 2011/1
N2 - Background: Research on life expectancy has demonstrated the negative impact of disability on the health of older adults and its differential effects on women as evidenced by their higher disabled life expectancy (DLE). The goal of the present study was to investigate gender differences in total life expectancy (TLE), disability-free life expectancy (DFLE), and DLE; examine gender differences on personal care assistance among older adults in São Paulo, Brazil; and discuss the implications for public policies. Methods: The sample was drawn from two waves (2000, 2006) of the dataset of Salud, Bienestar, y Envejecimiento, a large longitudinal study conducted in São Paulo (n = 2,143). The study assessed disability using the activities of daily living (ADL). The interpolation of Markov Chain method was used to estimate gender differences in TLE, DLE, and DFLE. Findings: TLE at age 60 years was approximately 5 years longer for women than men. Women aged 60 years were expected to live 28% of their remaining lives-twice the percentage for men-with at least one ADL disability. These women also lived more years (M = 0.71, SE = 0.42) with three or more ADL disabilities than men (M = 0.82, SE = 0.16). In terms of personal care assistance, women received more years of assistance than men. Conclusion: Among older adults in São Paulo, women lived longer lives but experienced a higher and more severe disability burden than men. In addition, although women received more years of personal assistance than men, women experienced more unmet care assistance needs.
AB - Background: Research on life expectancy has demonstrated the negative impact of disability on the health of older adults and its differential effects on women as evidenced by their higher disabled life expectancy (DLE). The goal of the present study was to investigate gender differences in total life expectancy (TLE), disability-free life expectancy (DFLE), and DLE; examine gender differences on personal care assistance among older adults in São Paulo, Brazil; and discuss the implications for public policies. Methods: The sample was drawn from two waves (2000, 2006) of the dataset of Salud, Bienestar, y Envejecimiento, a large longitudinal study conducted in São Paulo (n = 2,143). The study assessed disability using the activities of daily living (ADL). The interpolation of Markov Chain method was used to estimate gender differences in TLE, DLE, and DFLE. Findings: TLE at age 60 years was approximately 5 years longer for women than men. Women aged 60 years were expected to live 28% of their remaining lives-twice the percentage for men-with at least one ADL disability. These women also lived more years (M = 0.71, SE = 0.42) with three or more ADL disabilities than men (M = 0.82, SE = 0.16). In terms of personal care assistance, women received more years of assistance than men. Conclusion: Among older adults in São Paulo, women lived longer lives but experienced a higher and more severe disability burden than men. In addition, although women received more years of personal assistance than men, women experienced more unmet care assistance needs.
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U2 - 10.1016/j.whi.2010.08.007
DO - 10.1016/j.whi.2010.08.007
M3 - Article
C2 - 21185991
AN - SCOPUS:78650725170
SN - 1049-3867
VL - 21
SP - 64
EP - 70
JO - Women's Health Issues
JF - Women's Health Issues
IS - 1
ER -