TY  - JOUR
PY  - 2013//
TI  - Gender differences in healthy life years within the EU: an exploration of the "health-survival" paradox
JO  - International journal of public health
A1  - Van Oyen, Herman
A1  - Nusselder, Wilma
A1  - Jagger, Carol
A1  - Kolip, Petra
A1  - Cambois, Emmanuelle
A1  - Robine, Jean-Marie
SP  - 143
EP  - 155
VL  - 58
IS  - 1
N2  - OBJECTIVES: To evaluated the female-male health-survival paradox by estimating the contribution of women's mortality advantage versus women's disability disadvantage. METHODS: Disability prevalence was measured from the 2006 Survey on Income and Living Conditions in 25 European countries. Disability prevalence was applied to life tables to estimate healthy life years (HLY) at age 15. Gender differences in HLY were split into two parts: that due to gender inequality in mortality and that due to gender inequality in disability. The relationship between women's mortality advantage or disability disadvantage and the level of population health between countries was analysed using random-effects meta-regression. RESULTS: Women's mortality advantage contributes to more HLY in women; women's higher prevalence of disability reduces the difference in HLY. In populations with high life expectancy women's advantage in HLY was small or even a men's advantage was found. In populations with lower life expectancy, the hardship among men is already evident at young ages. CONCLUSIONS: The results suggest that the health-survival paradox is a function of the level of population health, dependent on modifiable factors.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-8556
UR  - http://dx.doi.org/10.1007/s00038-012-0361-1
ID  - ref1
ER  -