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| Healthy Life Expectancy Decomposition× | Healthy Life Expectancy× | |
|---|---|---|
| Lĩnh vực≠ | Social Epidemiology | Nhân khẩu học |
| Họ≠ | Process / pipeline | Survival analysis |
| Năm ra đời≠ | 2004 | 1971 |
| Người khởi xướng≠ | Wilma J. Nusselder & Caspar W. N. Looman; Daniel F. Sullivan | Daniel F. Sullivan (Sullivan method); developed by the WHO/REVES tradition |
| Loại≠ | Demographic decomposition pipeline for a health-expectancy difference | Health-expectancy estimator partitioning life expectancy into healthy and unhealthy years |
| Công trình gốc≠ | Nusselder, W. J., & Looman, C. W. N. (2004). Decomposition of differences in health expectancy by cause. Demography, 41(2), 315-334. DOI ↗ | Sullivan, D. F. (1971). A single index of mortality and morbidity. HSMHA Health Reports, 86(4), 347–354. link ↗ |
| Tên gọi khác≠ | Health Expectancy Decomposition, Nusselder-Looman Decomposition, Decomposition of Disability-Free Life Expectancy, Mortality and Disability Decomposition of Health Expectancy | HALE, Health-Adjusted Life Expectancy, Disability-Free Life Expectancy |
| Liên quan | 4 | 4 |
| Tóm tắt≠ | 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. | Healthy life expectancy partitions ordinary life expectancy into the years a person can expect to live in good health and the years expected to be lived with disability or ill health. Building on the life table, the classic Sullivan method weights each age interval's person-years by the prevalence of good health, so the resulting expectancy answers not just 'how long will people live?' but 'how many of those years will be healthy?'. It has become a headline summary of population health, reported by the World Health Organization as HALE and tracked alongside life expectancy to judge whether longer lives are also healthier lives. |
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