Life expectancy, healthy life expectancy, and burden of disease in older people in the Americas, 1990–2019: a population-based study
Objective. To describe the life expectancy, healthy life expectancy, disease burden, and leading causes of mortality and disability in adults aged 65 years and older in the Region of the Americas from 1990 to 2019. Methods. We used estimates from the Global Burden of Disease Study 2019 to examine th...
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ftdoajarticles:oai:doaj.org/article:e359e4267eec4a59b65eda18db611509 2023-05-15T15:13:43+02:00 Life expectancy, healthy life expectancy, and burden of disease in older people in the Americas, 1990–2019: a population-based study Ramon Martinez Patricia Morsch Patricia Soliz Carolina Hommes Pedro Ordunez Enrique Vega 2021-09-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.114 https://doaj.org/article/e359e4267eec4a59b65eda18db611509 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/54914 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.114 https://doaj.org/article/e359e4267eec4a59b65eda18db611509 Revista Panamericana de Salud Pública, Vol 45, Iss 114, Pp 1-14 (2021) health of the elderly mortality morbidity americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.114 2022-12-31T11:15:19Z Objective. To describe the life expectancy, healthy life expectancy, disease burden, and leading causes of mortality and disability in adults aged 65 years and older in the Region of the Americas from 1990 to 2019. Methods. We used estimates from the Global Burden of Disease Study 2019 to examine the level and trends of life expectancy, healthy life expectancy, years of life lost, years lived with disability, and disability-adjusted life years (DALYs). Results. Across the Region, life expectancy at 65 years increased from 17.1 years (95% uncertainty intervals (UI): 17.0–17.1) in 1990 to 19.2 years (95% UI: 18.9–19.4) in 2019 while healthy life expectancy increased from 12.2 years (95% UI: 10.9–12.4) to 13.6 years (95% UI: 12.2–14.9). All-cause DALY rates decreased in each older persons’ age group; however, absolute proportional DALYs increased from 22% to 32%. Ischemic heart disease, stroke, and chronic obstructive pulmonary disease were the leading causes of premature mortality. Diabetes mellitus, age-related and other hearing loss, and lower back pain were the leading causes of disability. Conclusion. The increase in life expectancy and decrease of DALYs indicate the positive effect of improvements in social conditions and health policies. However, the smaller increase in healthy life expectancy suggests that, despite living longer, people spend a substantial amount of time in their old age with disability and illness. Preventable and controllable diseases account for most of the disease burden in older adults in the Americas. Society-wide and life-course approaches, and adequate health services are needed to respond to the health needs of older people in the Region. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Daly ENVELOPE(63.761,63.761,-67.513,-67.513) Revista Panamericana de Salud Pública 45 1 14 |
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Directory of Open Access Journals: DOAJ Articles |
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English Spanish Portuguese |
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health of the elderly mortality morbidity americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
health of the elderly mortality morbidity americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Ramon Martinez Patricia Morsch Patricia Soliz Carolina Hommes Pedro Ordunez Enrique Vega Life expectancy, healthy life expectancy, and burden of disease in older people in the Americas, 1990–2019: a population-based study |
topic_facet |
health of the elderly mortality morbidity americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To describe the life expectancy, healthy life expectancy, disease burden, and leading causes of mortality and disability in adults aged 65 years and older in the Region of the Americas from 1990 to 2019. Methods. We used estimates from the Global Burden of Disease Study 2019 to examine the level and trends of life expectancy, healthy life expectancy, years of life lost, years lived with disability, and disability-adjusted life years (DALYs). Results. Across the Region, life expectancy at 65 years increased from 17.1 years (95% uncertainty intervals (UI): 17.0–17.1) in 1990 to 19.2 years (95% UI: 18.9–19.4) in 2019 while healthy life expectancy increased from 12.2 years (95% UI: 10.9–12.4) to 13.6 years (95% UI: 12.2–14.9). All-cause DALY rates decreased in each older persons’ age group; however, absolute proportional DALYs increased from 22% to 32%. Ischemic heart disease, stroke, and chronic obstructive pulmonary disease were the leading causes of premature mortality. Diabetes mellitus, age-related and other hearing loss, and lower back pain were the leading causes of disability. Conclusion. The increase in life expectancy and decrease of DALYs indicate the positive effect of improvements in social conditions and health policies. However, the smaller increase in healthy life expectancy suggests that, despite living longer, people spend a substantial amount of time in their old age with disability and illness. Preventable and controllable diseases account for most of the disease burden in older adults in the Americas. Society-wide and life-course approaches, and adequate health services are needed to respond to the health needs of older people in the Region. |
format |
Article in Journal/Newspaper |
author |
Ramon Martinez Patricia Morsch Patricia Soliz Carolina Hommes Pedro Ordunez Enrique Vega |
author_facet |
Ramon Martinez Patricia Morsch Patricia Soliz Carolina Hommes Pedro Ordunez Enrique Vega |
author_sort |
Ramon Martinez |
title |
Life expectancy, healthy life expectancy, and burden of disease in older people in the Americas, 1990–2019: a population-based study |
title_short |
Life expectancy, healthy life expectancy, and burden of disease in older people in the Americas, 1990–2019: a population-based study |
title_full |
Life expectancy, healthy life expectancy, and burden of disease in older people in the Americas, 1990–2019: a population-based study |
title_fullStr |
Life expectancy, healthy life expectancy, and burden of disease in older people in the Americas, 1990–2019: a population-based study |
title_full_unstemmed |
Life expectancy, healthy life expectancy, and burden of disease in older people in the Americas, 1990–2019: a population-based study |
title_sort |
life expectancy, healthy life expectancy, and burden of disease in older people in the americas, 1990–2019: a population-based study |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.114 https://doaj.org/article/e359e4267eec4a59b65eda18db611509 |
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ENVELOPE(63.761,63.761,-67.513,-67.513) |
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Arctic Daly |
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Arctic Daly |
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Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 45, Iss 114, Pp 1-14 (2021) |
op_relation |
https://iris.paho.org/handle/10665.2/54914 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.114 https://doaj.org/article/e359e4267eec4a59b65eda18db611509 |
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https://doi.org/10.26633/RPSP.2021.114 |
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Revista Panamericana de Salud Pública |
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45 |
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