Determining Health Expectancies

Health expectancies were developed to address the important question of whether or not we are exchanging longer life for poorer health - replacing quality by quantity.
Health expectancies extend the concept of life expectancy to morbidity and disability by providing a means of dividing life expectancy into life spent in various states of good and bad health. Being independent of the size of populations and of their age structure, health expectancies thus allow direct comparison of the different groups that constitute populations: sexes, socio-professional categories, regions.

This book brings together for the first time, the major works of REVES* over the past ten years. As well as providing comparisons of the health of many of the world's countries, the book includes sections on the concepts behind health expectancies and the demographic transition, the relevance of health expectancies to health policy and the different methods of calculating health expectancies.

*REVES is an international organisation of researchers, clinicians and health planners addressing these issues as well as developing and recommending methods of calculation and furthering the use of health expectancy as a tool for health planning.
* State-of-the-art coverage of this important health indicator
* Heavily cross referenced to give the book structure and coherence
* Editors are pioneers in the field of health expectancy List of Contributors.

List of Abbreviations.

Introduction (J. Robine, et al.).

PART I: THE MAIN TRENDS IN THE EVOLUTION OF THE POPULATION'S HEALTH STATUS.

Introduction (J. Robine).

Increase in Life Expectancy and Concentration of Ages at Death (F. Meslé and J. Vallin).

Compression of Morbidity (W. Nusselder).

Patterns of Disability Change Associated with the Epidemiologic Transition (G. Myers, et al.).

Trends in Health Expectancies (J. Robine, et al.).

PART II: THE RELEVANCE OF HEALTH EXPECTANCIES.

Introduction (E. Crimmins).

Social Inequalities in Health Expectancy (E. Crimmins and E. Cabois).

Sub-national Variations in Health Expectancy (A. Bebbington and M. Bajekal).

Cause-deleted Health Expectancies (C. Mathers).

Mental Health Expectancy (K. Ritchie and C. Polge).

PART III: MEASUREMENT, COLLECTION AND CALCULATION PROBLEMS.

Introduction (C. Jagger).

Data Collection Methods and Comparability Issues (V. Buratta and V. Egidi).

Disability Measurement (D. Deeg, et al.).

The Evolution of Demographic Methods to Calculate Health Expectancies (S. Laditka and M. Hayward).

Health-adjusted Life Expectancy (HALE) (J. Berthelot).

Disability-Adjusted Life Years (DALYs) and Disability-adjusted Life Expectancy (DALE) (J. Barendregt).

Classification and Harmonisation (H. Boshuizen and R. Perenboom).

PART IV: HEALTH EXPECTANCIES IN THE DIFFERENT REGIONS OF THE WORLD.

Introduction (C. Mathers).

Health Expectancy in Asian Countries (Y. Saito, et al.).

Ageing and Health Expectancies in Urban Latin America (R. Ham-Chande).

Global Patterns of Health Expectancy in the Year 2000 (C. Mathers, et al.).

Health Expectancies in European Countries (R. Perenboom, et al.).

Health Expectancy Research in North American Countries (V. Lamb).

Health Expectancy in Australia and New Zealand (P. Davis, et al.).

Index.

"…a truly international endeavour…" (Journal of the Royal Society for the Promotion of Health, March 2003)

Jean-Marie Robine is a French demographer, gerontologist, author and journalist, who is best known as being the co-validator of the longevity of Jeanne Calment, the oldest verified supercentenarian of all time, with whom he collaborated. Carol Jagger is the editor of Determining Health Expectancies, published by Wiley. As an indicator of population health, helath expectancy allows us to address the important question of whether or not we are exchanging longer life for poorer health - extending the quantity of life at the expense of quality. This book explains how to define and measure health and morbidity and how to combine these measurements with mortality to produce comparable health expectancies in order to address this key question. Sections include:

• the concepts behind health expectancy and how they have evolved,
• methods of calculating health expectancies,
• comparisons of the health of the world's countries at different stages of demographic transition and
• the relevance of health expectancies to health policy.

Determining Health Expectancies is built on ten years of work of REVES (Reseau Esperance de Vie en Sante/ Network on Health Expectancy). Researchers, clinicians, demographers and health planners will find it a well referenced coherent text for developing and evaluating methods of calculation and furthering the use of health expectancy as a tool of health planning.