Gender gap in unhealthy life expectancy : the role of education among adults aged 45+
Solé-Auró, Aïda (Universitat Pompeu Fabra. Departament de Ciències Polítiques i Socials)
Zueras Castillo, Pilar (Centre d'Estudis Demogràfics)
Rentería, Elisenda (Centre d'Estudis Demogràfics)
Lozano, Mariona (Centre d'Estudis Demogràfics)

Date:	2022
Abstract:	Objectives: This paper examines the gender gap in unhealthy life expectancy across education levels and age in Spain to understand the extent to which the gender paradox exists over education and across ages. Methods: Death registrations and vital status were taken from the Spanish Statistical Office, while the three health measures (chronic conditions, bad-self rated health and cognitive impairment) from the 2019 European Health Interview Survey. We used Sullivan's method to compute unhealthy life expectancy by education level. We computed the gender and the education ratios of the proportion of unhealthy life years in each health measure by education and age. Results: At almost all ages and all education levels, women significantly lived longer but in poorer health than men. Marked gender differences are seen across most age-groups, particularly among the low educated. We detected greater health inequalities by education level for women (confirming the gender paradox) and a health gradient due to aging and across the health measures charting the disablement process. Conclusion: The new education distribution might improve the unhealthy life expectancy and might reduce the gender gap in the number of years spent in poor health.
Grants:	Ministerio de Ciencia e Innovación RTI2018-096730-B-I00 European Commission 86461 Ministerio de Ciencia e Innovación PID2019-111666RJ-I00
Note:	Altres ajuts: Economic and Social Research Council (ESRC) through the Research Centre on Micro-Social Change (MiSoC) at the University of Essex (ES/S012486/1); Generalitat de Catalunya, CERCA ; Ramon y Cajal (RYC-2017-22586) ; GLOBFAM (RTI2018-096730-B-I00) ; COMORHEALTHSES (PID2020-113934RB-I00)
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Population health ; Gender paradox ; Disablement process ; Education gradient ; Spain
Published in:	International Journal of Public Health, Vol. 67 (august 2022) , ISSN 1661-8564

DOI: 10.3389/ijph.2022.1604946
PMID: 36090830

8 p, 1.1 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Social and Legal Sciences > Centre for Demographic Studies (CED-CERCA)
Articles > Research articles
Articles > Published articles