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Author (up) Storeng, S.H.; Krokstad, S.; Westin, S.; Sund, E.R. url  doi
  Title Decennial trends and inequalities in healthy life expectancy: The HUNT Study, Norway Type Journal Article
  Year 2018 Publication Scandinavian Journal of Public Health Abbreviated Journal Scand J Public Health  
  Volume 46 Issue 1 Pages 124-131  
  Keywords Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Female; *Health Status Disparities; Humans; Life Expectancy/*trends; Male; Middle Aged; Norway; Socioeconomic Factors; Norway; chronic illness; education; healthy life expectancy; life expectancy; pensioning age; self-rated health; social determinants of health  
  Abstract AIMS: Norway is experiencing a rising life expectancy combined with an increasing dependency ratio – the ratio of those outside over those within the working force. To provide data relevant for future health policy we wanted to study trends in total and healthy life expectancy in a Norwegian population over three decades (1980s, 1990s and 2000s), both overall and across gender and educational groups. METHODS: Data were obtained from the HUNT Study, and the Norwegian Educational Database. We calculated total life expectancy and used the Sullivan method to calculate healthy life expectancies based on self-rated health and self-reported longstanding limiting illness. The change in health expectancies was decomposed into mortality and disability effects. RESULTS: During three consecutive decades we found an increase in life expectancy for 30-year-olds (~7 years) and expected lifetime in self-rated good health (~6 years), but time without longstanding limiting illness increased less (1.5 years). Women could expect to live longer than men, but the extra life years for females were spent in poor self-rated health and with longstanding limiting illness. Differences in total life expectancy between educational groups decreased, whereas differences in expected lifetime in self-rated good health and lifetime without longstanding limiting illness increased. CONCLUSIONS: The increase in total life expectancy was accompanied by an increasing number of years spent in good self-rated health but more years with longstanding limiting illness. This suggests increasing health care needs for people with chronic diseases, given an increasing number of elderly. Socioeconomic health inequalities remain a challenge for increasing pensioning age.  
  Address 4 Faculty of Nursing and Health Sciences, Nord University, Levanger, Norway  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1403-4948 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:29191110 Approved no  
  Call Number HUNT @ maria.stuifbergen @ Serial 2162  
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