Saturday, August 29, 2015

Life expectancy climbs worldwide but people spend more years living with illness and disability

http://www.eurekalert.org/pub_releases/2015-08/tl-lec082615.php

Public Release: 26-Aug-2015
Life expectancy climbs worldwide but people spend more years living with illness and disability

The Lancet

Global life expectancy has risen by more than six years since 1990 as healthy life expectancy grows; ischemic heart disease, lower respiratory infections, and stroke cause the most health loss around the world.

People around the world are living longer, even in some of the poorest countries, but a complex mix of fatal and nonfatal ailments causes a tremendous amount of health loss, according to a new analysis of all major diseases and injuries in 188 countries.

Thanks to marked declines in death and illness caused by HIV/AIDS and malaria in the past decade and significant advances made in addressing communicable, maternal, neonatal, and nutritional disorders, health has improved significantly around the world. Global life expectancy at birth for both sexes rose by 6.2 years (from 65.3 in 1990 to 71.5 in 2013), while healthy life expectancy, or HALE, at birth rose by 5.4 years (from 56.9 in 1990 to 62.3 in 2013).

Healthy life expectancy takes into account not just mortality but also the impact of nonfatal conditions and summarizes years lived with disability and years lost due to premature mortality. The increase in healthy life expectancy has not been as dramatic as the growth of life expectancy, and as a result, people are living more years with illness and disability.

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For most countries, changes in healthy life expectancy for males and females between 1990 and 2013 were significant and positive, but in dozens of countries including Botswana, Belize, and Syria healthy life expectancy in 2013 was not significantly higher than in 1990. In some of those countries, including South Africa, Paraguay, and Belarus, healthy life expectancy has actually dropped since 1990. People born in Lesotho and Swaziland in 2013 could expect to live at least 10 fewer years in good health than people born in those countries two decades earlier. People in countries such as Nicaragua and Cambodia have experienced dramatic increases in healthy life expectancy since 1990, 14.7 years and 13.9 years, respectively. The reverse was true for people in Botswana and Belize, which saw declines of 2 years and 1.3 years, respectively.

The differences between countries with the highest and lowest healthy life expectancies is stark. In 2013, Lesotho had the lowest, at 42 years, and Japan had the highest globally, at 73.4 years. Even regionally, there is significant variation. Cambodians and Laotians born in 2013 would have healthy life expectancies of only 57.5 years and 58.1 years, respectively, but people born in nearby Thailand and Vietnam could live nearly 67 years in good health.

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