Inequality in quality-adjusted life expectancy by educational attainment in Norway: an observational study ...

• Main Authors: Gutacker, Nils, Kinge, Jonas Minet, Olsen, Jan Abel
• Format: Article in Journal/Newspaper
• Language: unknown
• Published: figshare 2023
• Subjects: Medicine; Biotechnology; Ecology; FOS Biological sciences; Sociology; FOS Sociology; 69999 Biological Sciences not elsewhere classified; Science Policy; Chiang; Norway; Sullivan; Tromsø
• Online Access: https://dx.doi.org/10.6084/m9.figshare.c.6629272.v1; https://springernature.figshare.com/collections/Inequality_in_quality-adjusted_life_expectancy_by_educational_attainment_in_Norway_an_observational_study/6629272/1

Abstract Background Health inequalities are often assessed in terms of life expectancy or health-related quality of life (HRQoL). Few studies combine both aspects into quality-adjusted life expectancy (QALE) to derive comprehensive estimates of lifetime health inequality. Furthermore, little is known about the sensitivity of estimated inequalities in QALE to different sources of HRQoL information. This study assesses inequalities in QALE by educational attainment in Norway using two different measures of HRQoL. Methods We combine full population life tables from Statistics Norway with survey data from the Tromsø study, a representative sample of the Norwegian population aged ≥ 40. HRQoL is measured using the EQ-5D-5L and EQ-VAS instruments. Life expectancy and QALE at 40 years of age are calculated using the Sullivan-Chiang method and are stratified by educational attainment. Inequality is measured as the absolute and relative gap between individuals with lowest (i.e. primary school) and highest (university ...