Gender Differences in Life Expectancy and Disability-Free Life Expectancy Among Older Adults in São Paulo, Brazil

Flávia Cristina Drumond Andrade, Pilar Egüez Guevara, Maria Lúcia Lebrão, Yeda Aparecida de Oliveira Duarte, Jair Lício Ferreira Santos

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)64-70
Number of pages7
JournalWomen's Health Issues
Volume21
Issue number1
DOIs
StatePublished - Jan 2011

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life expectancy
Life Expectancy
Brazil
woman
disability
man
assistance
gender-specific factors
adult
Activities of Daily Living
care
activity
method
Markov Chains
Public Policy
Longitudinal Studies
Health
Datasets
disability studies
severe disability

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery
  • Health(social science)

Cite this

Gender Differences in Life Expectancy and Disability-Free Life Expectancy Among Older Adults in São Paulo, Brazil. / Drumond Andrade, Flávia Cristina; Guevara, Pilar Egüez; Lebrão, Maria Lúcia; de Oliveira Duarte, Yeda Aparecida; Santos, Jair Lício Ferreira.

In: Women's Health Issues, Vol. 21, No. 1, 01.2011, p. 64-70.

Research output: Contribution to journalArticle

Drumond Andrade, Flávia Cristina; Guevara, Pilar Egüez; Lebrão, Maria Lúcia; de Oliveira Duarte, Yeda Aparecida; Santos, Jair Lício Ferreira / Gender Differences in Life Expectancy and Disability-Free Life Expectancy Among Older Adults in São Paulo, Brazil.

In: Women's Health Issues, Vol. 21, No. 1, 01.2011, p. 64-70.

Research output: Contribution to journalArticle

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