Aging in the Americas: Disability-free Life Expectancy Among Adults Aged 65 and Older in the United States, Costa Rica, Mexico, and Puerto Rico
Aging in the Americas: Disability-free Life Expectancy Among Adults Aged 65 and Older in the United States, Costa Rica, Mexico, and Puerto Rico
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DOI：
10.1093/geronb/gbv076
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发表时间：
2018-03-01
影响因子：
6.2
通讯作者：
Payne, Collin F.
中科院分区：
文献类型：
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作者：
Payne, Collin F.
目的：估计和比较无残疾的预期寿命（DFLE）和当前的残疾发病和恢复残疾之间的美国和拉丁美洲和加勒比海地区的国家的年龄模式。数据来自对哥斯达黎加、墨西哥、波多黎各和美国老年人的纵向调查。年龄模式的过渡和出残疾的离散时间Logistic风险模型建模，和微观模拟的方法是用来估计DFLE.Results：总体预期寿命为65岁的妇女是20.11年在哥斯达黎加，19.2年在墨西哥，20.4年在波多黎各，20.5年在美国。男子的这些数字是：哥斯达黎加19.0岁，墨西哥18.4岁，波多黎各18.1岁，美国18.1岁。墨西哥、波多黎各和美国的65岁妇女在剩余寿命中没有残疾的比例相当，哥斯达黎加稍落后。男性估计的DFLE是类似的四population.Discussion：虽然拉丁美洲和加勒比地区的老年人口生活多年暴露在恶劣的流行病学和公共卫生条件下，他们的功能健康在以后的生活中与美国的老年人口。
Objectives: To estimate and compare disability-free life expectancy (DFLE) and current age patterns of disability onset and recovery from disability between the United States and countries in Latin America and the Caribbean.Method: Disability is measured using the activities of daily living scale. Data come from longitudinal surveys of older adult populations in Costa Rica, Mexico, Puerto Rico, and the United States. Age patterns of transitions in and out of disability are modeled with a discrete-time logistic hazard model, and a microsimulation approach is used to estimate DFLE.Results: Overall life expectancy for women aged 65 is 20.11 years in Costa Rica, 19.2 years in Mexico, 20.4 years in Puerto Rico, and 20.5 years in the United States. For men, these figures are 19.0 years in Costa Rica, 18.4 years in Mexico, 18.1 years in Puerto Rico, and 18.1 years in the United States. Proportion of remaining life spent free of disability for women at age 65 is comparable between Mexico, Puerto Rico, and the United States, with Costa Rica trailing slightly. Male estimates of DFLE are similar across the four populations.Discussion: Though the older adult population of Latin America and the Caribbean lived many years exposed to poor epidemiological and public health conditions, their functional health in later life is comparable with the older adult population of the United States.