Methoden vergleichen

	Healthy Life Expectancy Decomposition	Sullivan Method
Fachgebiet	Social Epidemiology	Demographie
Familie	Process / pipeline	Survival analysis
Entstehungsjahr	2004	1971
Urheber	Wilma J. Nusselder & Caspar W. N. Looman; Daniel F. Sullivan	Daniel F. Sullivan
Typ	Demographic decomposition pipeline for a health-expectancy difference	Prevalence-based health expectancy estimator
Wegweisende Quelle	Nusselder, W. J., & Looman, C. W. N. (2004). Decomposition of differences in health expectancy by cause. Demography, 41(2), 315-334.	Sullivan, D. F. (1971). A single index of mortality and morbidity. HSMHA Health Reports, 86(4), 347–354.
Aliasnamen	Health Expectancy Decomposition, Nusselder-Looman Decomposition, Decomposition of Disability-Free Life Expectancy, Mortality and Disability Decomposition of Health Expectancy	Sullivan's Index, Sullivan Health Expectancy Method, Prevalence-Based Health Expectancy, Sullivan Yöntemi
Verwandt	4	4
Zusammenfassung	Healthy (or disability-free) life expectancy combines how long people live with how much of that life is spent in good health, and differences in it between groups or over time reflect two distinct forces: changes in mortality and changes in the prevalence of disability. Healthy-life-expectancy decomposition separates these forces. Building on the Sullivan method — which weights life-table person-years by the age-specific share of life lived without disability — Wilma Nusselder and Caspar Looman's 2004 method splits the gap in health expectancy between two populations into an additive mortality component and a disability component for each age, and can further attribute each to specific causes. This resolves the central interpretive ambiguity of health expectancy: a population can have higher healthy life expectancy because its people die later, because they are less disabled at each age, or both, and only a decomposition can tell which.	The Sullivan method is a simple, widely used technique for estimating health expectancy — the average number of years a person can expect to live in a given health state, such as free of disability. Introduced by Daniel Sullivan in 1971, it combines an ordinary period life table with the observed age-specific prevalence of the health state, partitioning life-table person-years into healthy and unhealthy years without requiring any longitudinal transition data.