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Active Life Expectancy Estimation×Sullivan Method×
TieteenalaSocial GerontologyVäestötiede
MenetelmäperheSurvival analysisSurvival analysis
Syntyvuosi19831971
KehittäjäSidney Katz, Laurence G. Branch and colleaguesDaniel F. Sullivan
TyyppiLife-table estimator partitioning remaining life into active and dependent yearsPrevalence-based health expectancy estimator
AlkuperäislähdeKatz, S., Branch, L. G., Branson, M. H., Papsidero, J. A., Beck, J. C., & Greer, D. S. (1983). Active life expectancy. New England Journal of Medicine, 309(20), 1218-1224. DOI ↗Sullivan, D. F. (1971). A single index of mortality and morbidity. HSMHA Health Reports, 86(4), 347–354. link ↗
RinnakkaisnimetALE, Disability-Free Years Expectancy, Independent Life Expectancy, Active vs Dependent Life YearsSullivan's Index, Sullivan Health Expectancy Method, Prevalence-Based Health Expectancy, Sullivan Yöntemi
Liittyvät44
TiivistelmäActive life expectancy (ALE) estimates how many of an older person's remaining years are expected to be lived in an active, independent state — free of disability in basic activities of daily living — as opposed to a dependent state requiring help. Introduced by Sidney Katz, Laurence Branch, and colleagues in 1983 in the New England Journal of Medicine, it answered a question that ordinary life expectancy cannot: not just how long people live, but how much of that life is lived in good functional health. The method combines age-specific mortality with the prevalence or transitions of ADL disability within a life-table framework, partitioning total remaining life into active and dependent components that sum to overall life expectancy. Katz and colleagues showed, using data from older adults in Massachusetts, that active life expectancy declines faster than total life expectancy with age and differs across groups. The concept reframed the goal of aging policy from merely extending lifespan to extending the active, independent portion of it. It launched the broader field of health expectancy measures and remains foundational to studying the compression or expansion of late-life morbidity.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.
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