Assessing population health on the basis of healthy life expectancy in 16 European countries: Educational inequalities and the impact of the population structure
Markus Sauerberg
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1
Vienna Institute of Demography, Austrian Academy of Sciences
Healthy life expectancy (HLE) is a prominent tool for evaluating
the level of population health across Europe. The
measure, however, varies strongly between educational
subpopulations and European countries differ substantial regarding
their educational population composition. For this reason, looking
at total HLE values, i.e., the average over all educational
subpopulations, might not be appropriate. We demonstrate this by
providing HLE estimates for 16 European countries by educational
attainment (women and men separately) in accordance with the
Sullivan method. While the prevalence for being limited in
daily activities is obtained from the European Union Statistics on Income and Living
Conditions (EU-SILC), mortality data comes from the Eurostat
database. We compare total HLE with education-specific HLE values
with respect to a country's health status. The results suggest that
total HLE can lead to misleading conclusions. We conclude that
education-specific HLE is more meaningful and should be preferred if
data allows.