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- A Review of the Types and Characteristics of Healthy Life Expectancy and Methodological Issues
- Young-Eun Kim, Yoon-Sun Jung, Minsu Ock, Seok-Jun Yoon
- J Prev Med Public Health. 2022;55(1):1-9. Published online January 16, 2022
- DOI: https://doi.org/10.3961/jpmph.21.580
- 5,421 View
- 361 Download
- 12 Web of Science
- 13 Crossref
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Abstract
Summary
PDF - An index that evaluates the health level of a population group considering both death and loss of function due to disease is called a summary measure of population health (SMPH). SMPHs are broadly divided into life year indices and life expectancy indices, the latter of which comprise healthy life expectancy (HLE). HLE is included as a policy target in various national and regional level healthcare plans, and the term “HLE” is commonly used in academia and by the public. However, the overall level of understanding of HLE—such as the precise definition of HLE and methods of calculating HLE—still seems to be low. As discussed in this study, the types of HLE are classified into disability-free life expectancy, disease-free life expectancy, quality-adjusted life expectancy, self-rated HLE, and disability-adjusted life expectancy. Their characteristics are examined to facilitate a correct understanding and appropriate utilization of HLE. In addition, the Sullivan method, as a representative method for calculating HLE, is presented in detail, and major issues in the process of calculating HLE, such as selection of the population group and age group, estimation of death probability, calculation of life years, and incorporation of health weights, are reviewed. This study will help researchers to select an appropriate HLE type and evaluate the validity of HLE research results, and it is expected to contribute to the vitalization of HLE research.
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SummaryKorean summary
건강수명의 유형은 무장애기대수명, 질병 없는 기대수명, 질보정기대수명, 자가평가보정 기대수명, 장애보정기대수명으로 분류된다. 건강수명의 올바른 이해와 적절한 활용을 돕기 위해 이들의 특성을 검토하였다. 이번 연구는 연구자들이 적절한 건강수명 유형을 선택하고 건강수명 연구 결과의 타당성을 평가하는 데 도움이 될 것이며, 건강수명 연구의 활성화에 기여할 것으로 기대된다. -
Citations
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- Changing trends in health orientation among older adults: A scoping review
Kana Kazawa, Wakako Maeda‐Sawada, Eri Shizukuishi, Shota Hamada, Mia Kobayashi, Jiro Okochi, Shinya Ishii
Geriatrics & Gerontology International.2024; 24(1): 5. CrossRef - Trends in Healthy Life Expectancy (HALE) and Disparities by Income and Region in Korea (2008–2020): Analysis of a Nationwide Claims Database
Yoon-Sun Jung, Young-Eun Kim, Minsu Ock, Seok-Jun Yoon
Journal of Korean Medical Science.2024;[Epub] CrossRef - Opioid Prescription and Long-term Survival Outcomes in Adults: A Nationwide Cohort Study in Korea
Tak Kyu Oh, In-Ae Song
Journal of Korean Medical Science.2024;[Epub] CrossRef - Estimating quality-adjusted life expectancy (QALE) for local authorities in Great Britain and its association with indicators of the inclusive economy: a cross-sectional study
Andreas Höhn, Nik Lomax, Hugh Rice, Colin Angus, Alan Brennan, Denise Brown, Anne Cunningham, Corinna Elsenbroich, Ceri Hughes, Srinivasa Vittal Katikireddi, Gerry McCartney, Rosie Seaman, Aki Tsuchia, Petra Meier
BMJ Open.2024; 14(3): e076704. CrossRef - Trends of Gaps Between Health-Adjusted Life Expectancy and Life Expectancy at the Regional Level in Korea Using a Group-Based Multi-Trajectory Modeling Approach (2008–2019)
Chung-Nyun Kim, Yoon-Sun Jung, Young-Eun Kim, Minsu Ock, Dal-Lae Jin, Seok-Jun Yoon
Journal of Korean Medical Science.2024;[Epub] CrossRef - Sex/gender-related differences in inflammaging
Fabiola Olivieri, Francesca Marchegiani, Giulia Matacchione, Angelica Giuliani, Deborah Ramini, Francesca Fazioli, Jacopo Sabbatinelli, Massimiliano Bonafè
Mechanisms of Ageing and Development.2023; 211: 111792. CrossRef - Relevance Index Regional Variation by Each Disease and Its Essential Medical Field: A Retrospective Data Analysis From 2016-2020 in Korea
Young-Eun Kim, Jeehee Pyo, Haneul Lee, HyeRan Jeong, Young-Kwon Park, Jeong-Wook Seo, Minsu Ock, Seok-Jun Yoon
Journal of Korean Medical Science.2023;[Epub] CrossRef - Trends of healthy and unhealthy working life expectancy in Germany between 2001 and 2020 at ages 50 and 60: a question of educational level?
Stefanie Sperlich, Johannes Beller, Jelena Epping, Siegfried Geyer, Juliane Tetzlaff
Journal of Epidemiology and Community Health.2023; 77(7): 430. CrossRef - Updating Korean Disability Weights for Causes of Disease: Adopting an Add-on Study Method
Dasom Im, Noor Afif Mahmudah, Seok-Jun Yoon, Young-Eun Kim, Don-Hyung Lee, Yeon-hee Kim, Yoon-Sun Jung, Minsu Ock
Journal of Preventive Medicine and Public Health.2023; 56(4): 291. CrossRef - The socioeconomic distribution of life expectancy and healthy life expectancy in Chile
Manuel Antonio Espinoza, Rodrigo Severino, Carlos Balmaceda, Tomas Abbott, Baltica Cabieses
International Journal for Equity in Health.2023;[Epub] CrossRef - Comprehensive Measurement of the Burden of Disease due to Adverse Events: A New Analysis of the Cross-Sectional Patient Safety Incident Inquiry
Eun Young Choi, Juyoung Kim, Won Lee, Seung Gyeong Jang, Jeehee Pyo, Minsu Ock
Journal of Korean Medical Science.2023;[Epub] CrossRef - A Scoping Review of Tools and Techniques on Evaluating Population Health and Healthy Life Expectancy
Rui Zhang, Siyuan Wu, Qing Guo, Lizhu Jin, Xuejie Du, Shaoqiong Li, Yujie Meng, Songwang Wang, Xuemei Su, Jing Wu
China CDC Weekly.2023; 5(44): 991. CrossRef - The Primary Process and Key Concepts of Economic Evaluation in Healthcare
Younhee Kim, Yunjung Kim, Hyeon-Jeong Lee, Seulki Lee, Sun-Young Park, Sung-Hee Oh, Suhyun Jang, Taejin Lee, Jeonghoon Ahn, Sangjin Shin
Journal of Preventive Medicine and Public Health.2022; 55(5): 415. CrossRef
- Changing trends in health orientation among older adults: A scoping review
Original Article
- Study of Disability-Adjusted Life Expectancy(DALE) Using National Health Interview Survey in Korea.
- Young Hoon Kwon, Jung Kyu Lee, Young Kyung Do, Seok Jun Yoon, Chang Yup Kim, Yong Ik Kim, Young Soo Shin
- Korean J Prev Med. 2002;35(4):331-339.
- 2,717 View
- 77 Download
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Abstract
PDF
- OBJECTIVES
To measure DALE (Disability-Adjusted Life Expectancy) in Korea to find out how long Koreans live in a state of full heath. METHODS: DALE was calculated using the life table of 1999 and the disability prevalence from the National Health Interview Survey (NHIS), which was conducted with a sample of 13,523 households in 1998. The disability prevalence was measured using the annual prevalence of the long-term limitation of activities, which were divided into classes 1, 2, 3, 4, 5 and 6 according to the severity of the limitation. The disability weights were measured for each 6 class by conducting a survey of 16 healthcare professionals. The severity-adjusted disability prevalence was calculated by multiplying the disability prevalence of each class by the disability weights respectively. Healthy life years lost due to disability was calculated by multiplying the life expectancy by the severity-adjusted disability prevalence. Finally DALE was measured as the life expectancy minus healthy life years lost due to disability. RESUJLTS: DALE for 1999, which refers to the expectation of equivalent years of good health, were 72.5, 69.5 and 75.3 years, for total, for males and for females, respectively. The percentages for DALE out of the life expectancy were 95.8, 96.6 and 94.4% for total, for males and for females, respectively. CONCLUSIONS: DALE is a newly developed indicator, which could effectively show the healthy life expectancy of populations. A greater notice and use of DALE would be expected as life expectancies increase and the quality of life changes in Korea. -
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