Healthy life gains in South Australia 1999-2008: analysis of a local Burden of Disease series

Banham, David; Woollacott, Tony; Lynch, John

doi:10.1186/1478-7954-9-13

Cited by 14 publications

(22 citation statements)

References 7 publications

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“…Second, it has been increasing number of countries which measure HALE at their national level (9101112131415). HALE can be used in a variety of policy applications such as measuring the quality of life and monitoring disparity (20).…”

Section: Discussionmentioning

confidence: 99%

“…Also, they are focusing and monitoring on the main influence factors on HALE such as chronic conditions, health behaviors, and socio-economic and environmental factors (23). In case of Australia, they analyzed the annual trends in the levels and social distribution of LE and HALE (12). One Canadian research indicated that body mass index can affect on LE and HALE (24).…”

Section: Discussionmentioning

confidence: 99%

“…Accordingly, the World Health Organization (WHO) has used it as an official measurement method for annual reports to provide information regarding the average level of health for the population of member states (78). In many countries, HALE has been estimated at the national or regional levels (9101112131415). The main reason that HALE is widely used is that it represents an integrative measure that reflects mortality and morbidity and could provide relevant information to both the public and policy makers.…”

Section: Introductionmentioning

confidence: 99%

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Health-Adjusted Life Expectancy (HALE) in Korea: 2005–2011

et al. 2016

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Health-Adjusted Life Expectancy (HALE) is a summary measurement that estimates the average number of years that a person at a given age can expect to live an equivalent of full health. HALE has not been previously reported at national or regional levels in Korea. This study aimed to measure HALE from 2005 to 2011 in Korea at both the national and regional levels as part of the Korean National Burden Study of 2012. To measure life expectancy (LE) and HALE, we used the life table method and an approach proposed by Sullivan. We used three main data sets to estimate HALE: probability of death, prevalence of disease, and disability weights. Overall, LE and HALE have increased from 2005 to 2011. For example, in 2011, LE and HALE at birth in males were 77.6 and 65.8 years, respectively, and 84.4 and 68.9 in females. It might be assumed that the overall health status of Korean population has been increasing. However, we confirmed that a gap between LE and HALE still exists. Additionally, we found out that there was a significant difference between LE and HALE among various sub-regions. This study is the first to measure HALE using our own database, including disability weight that reflected Korean preferences. Finally, the Korean government and society should make an effort to reduce the gap between LE and HALE and to reduce regional differences.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health-Adjusted Life Expectancy (HALE) in Korea: 2005–2011

et al. 2016

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“…Considering the advantages of HALE discussed above, decomposition of changes in HALE over time into the contributions of diseases and injuries has the potential to help researchers and policy makers to better understand the changes in population health, to identify health policy priorities, and to provide more evidence on epidemiological transition theory. However, only two studies in Australia have been conducted on the subject, and they used analyses at disease group level or for selected diseases 1415. Therefore, this study aimed to decompose the changes in HALE at birth (HALE 0 ) from 1990 to 2013 into the contribution of 306 diseases and injuries for the globe, 21 regions, and 187 countries.…”

Section: Introductionmentioning

confidence: 99%

Contribution of specific diseases and injuries to changes in health adjusted life expectancy in 187 countries from 1990 to 2013: retrospective observational study

Chen

Zheng

et al. 2019

BMJ

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Objective To quantify and compare the contribution of 306 diseases and injuries to the changes in health adjusted life expectancy at birth (HALE 0 ) between 1990 and 2013. Design Retrospective demographic analysis based on aggregated data and using life table technique, Sullivan method, and decomposition method for differences in health expectancy. Setting The globe, 21 regions, and 187 countries, covered in the Global Burden of Disease Study (GBD) 2013. Main outcome measures Cause specific contribution to changes in HALE 0 between 1990 and 2013 in terms of mortality effect, disability effect, and total effect. Results Between 1990 and 2013, global HALE 0 increased by 5.31 years for males and 5.73 years for females. The cross national Gini coefficient of HALE 0 for both sexes combined decreased by 15.22% from 0.0736 to 0.0624. HALE 0 declined in 11 countries during the period, predominantly owing to HIV/AIDS except in Belize, Belarus, and Paraguay. Controlling communicable, maternal, neonatal, and nutritional diseases accounted for 56.47% (3.10 years) of changes in HALE 0 for both sexes combined, followed by non-communicable diseases (30.05%; 1.65 years) and injuries (13.67%; 0.75 years). Globally, HIV/AIDS caused the biggest reduction in HALE 0 (–0.28 years) and mainly afflicted residents in southern (–7.86 years), western (–1.53 years), and eastern (–1.38 years) sub-Saharan Africa. Diabetes had the second biggest negative total effect on changes in HALE 0 (–0.12 years), which was quite widespread across regions. Despite their positive total effect in high income regions, such non-communicable diseases as ischaemic heart disease, cerebrovascular disease, and hypertensive heart disease had a negative total effect in many low and middle income regions. Mortality reduction was the predominant driver (93.62%; 5.14 years) for improvement in HALE 0 , accompanied by an increase of 0.80 years in life expectancy lived with disability at birth. Only 44 (27%) of 163 causes at level 3 in the GBD cause hierarchy influenced changes in HALE 0 , mainly or only through disability. Conclusions Between 1990 and 2013, the globe made achievements in not only promoting population health as a whole but reducing health inequality between countries. This study pinpoints the priority diseases and injuries for altering the declining health trend in 11 countries, for curbing the epidemic of non-communicable diseases in low and middle income countries, and for promoting compression of morbidity worldwide. The detailed country specific decomposition results of effects of diseases and injuries on change in population health will further facilitate the development of national health policies.

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“…1 Disability-free life expectancy gained from elimination of diseases and injuries was proposed as an indicator of disease burden and has been investigated in several countries. 1 – 6 …”

Section: Introductionmentioning

confidence: 99%

Gains in Disability-Free Life Expectancy From Elimination of Diseases and Injuries in Japan

Hashimoto

Kawado

Yamada

et al. 2012

Journal of Epidemiology

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BackgroundAlthough disability-free life expectancy has been investigated in Japan, gains from elimination of diseases and injuries have not been examined.MethodsWe used data from the 2007 Japanese national health statistics to calculate the number of years with and without activity limitation that could be expected from eliminating 6 selected diseases and injuries.ResultsAt birth, the number of expected years of life without and with activity limitation was 70.8 and 8.4, respectively, in males and 74.2 and 11.8 in females. More than 1.0 expected years without activity limitation were gained from eliminating malignant neoplasms and cerebrovascular diseases; smaller gains were observed after eliminating other diseases and injuries. Elimination of cerebrovascular diseases, dementia, and fracture decreased expected years with activities of daily living (ADL) limitation, and elimination of shoulder lesions/low back pain decreased expected years with non-ADL limitation.ConclusionsElimination of diseases and injuries increased expected years with and without activity limitation among Japanese, which suggests that improved prevention of those diseases and injuries—including cerebrovascular diseases and dementia—would result in longer disability-free life expectancy and fewer years of severe disability.

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Healthy life gains in South Australia 1999-2008: analysis of a local Burden of Disease series

Cited by 14 publications

References 7 publications

Health-Adjusted Life Expectancy (HALE) in Korea: 2005–2011

Health-Adjusted Life Expectancy (HALE) in Korea: 2005–2011

Contribution of specific diseases and injuries to changes in health adjusted life expectancy in 187 countries from 1990 to 2013: retrospective observational study

Gains in Disability-Free Life Expectancy From Elimination of Diseases and Injuries in Japan

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