Transitions of disability, disability-free life expectancy and health insurance among adults aged 50 and older in Mexico: a multistate life table analysis
Por:
Cabrero Castro, Jose Eduardo, Garcia-Pena, Carmen, Ramirez Aldana, Ricardo
Publicada:
1 ene 2021
Categoría:
Medicine (miscellaneous)
Resumen:
Objectives To analyse the transitions of disability onset and recovery,
estimate life expectancy (LE) with and without disability and explore
the relation between insurance and disability patterns in the population
aged 50+ in Mexico. Design Multistate life table analysis of data from a
longitudinal cohort survey. Setting Data came from the Mexican Health
and Aging Study, a longitudinal and representative survey of older
adults in Mexico. Participants 10 651 individuals aged 50+ interviewed
in 2012 and 2015, including those who died between waves. Primary and
secondary outcome measures Disability is measured using the activities
of daily living (ADL) scale. Transition rates between disability free,
ADL disabled and death were employed to estimate total life expectancy
(TLE) and disability-free life expectancy (DFLE). Results 46% of the
individuals who reported an ADL limitation in 2012 recover from
disability by 2015. TLE at age 60 for people without ADL limitations is
30 years (95% CI 28.9 to 31), out of which 4.7 years (95% CI 4.1 to
5.4) are lived with ADL limitations, while TLE at age 60 in the
initially disabled is 18.7 years (95% CI 17.3 to 20), with 9.4 years
(95% CI 8.4 to 10.3) lived with disability. DFLE at age 60 in people
with social security is 24.2 years (95% CI 23.3 to 25.2), in people
with public insurance is 24.6 years (95% CI 23.7 to 25.4) and in
uninsured people is 26.9 years (95% CI 25.9 to 27.9). Conclusions In
Mexico, a substantial proportion of ADL disabled individuals recover
from disability. Nevertheless, initially disabled individuals have a
considerably lower DFLE regardless of age when compared with initially
active individuals. There appeared to be no differences in terms of
disability and LEs between the individuals with social security and
public insurance.
Filiaciones:
Cabrero Castro, Jose Eduardo:
Programa de Maestría y Doctorado en Ciencias Médicas, Odontológicas y de la Salud, Universidad Nacional Autónoma de México, Coyoacan, Mexico
Garcia-Pena, Carmen:
Research Department, Instituto Nacional de Geriatría, Mexico City, Mexico
Ramirez Aldana, Ricardo:
Research Department, Instituto Nacional de Geriatría, Mexico City, Mexico
Gold
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