Ethnic differences in disability-free life expectancy and disabled life expectancy in older adults in Chile.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968548 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2318 (Electronic) Linking ISSN: 14712318 NLM ISO Abbreviation: BMC Geriatr Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001]-
    • Subject Terms:
      Disabled Persons* ; Healthy Life Expectancy* ; Indians, South American*; Aged ; Humans ; Chile/epidemiology ; Life Expectancy ; Middle Aged ; Aged, 80 and over
    • Abstract:
      Background: Although about 10% of the Latin American population is indigenous, ethnic differences in disability-free life expectancy (DFLE) and life expectancy with disability (DLE) are unknown.
      Objective: To estimate disability-free life expectancy and disabled life expectancy among Mapuche (the largest indigenous group) and non-indigenous older adults aged 60 years or more in Chile.
      Method: Disability was measured following a methodology that combines limitations of daily living, cognitive impairment and dependence previously validated in Chile. Finally, the DFLE was estimated using Sullivan's method combining life tables by ethnicity and disability proportions from the EDES survey designed for the study of ethnic differentials in health and longevity in Chile.
      Results: Non-Indigenous people have a higher total and Disability-free life expectancy compared to Mapuche people at all ages. While at age 60 a Mapuche expects to live 18.9 years, of which 9.4 are disability-free, a non-Indigenous expects to live 26.4 years, of which 14 are disability-free. In addition, although the length of life with disability increases with age for both populations, Mapuche who survive to age 80 or 90 expect to live 84% and 91% of their remaining life with disability, higher proportions compared to non-indigenous people (62.9% and 75%, respectively).
      Conclusions: This is the first study addressing inequities in DFLE between the Mapuche and non-Indigenous population, reflected in lower total life expectancy, lower DFLE and higher DLE in Mapuche compared to the non-Indigenous population. Our results underscore the need for increased capacity to monitor mortality risks among older people, considering ethnic differences.
      (© 2024. The Author(s).)
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    • Grant Information:
      PAI77190035 Agencia Nacional de Investigación y Desarrollo
    • Contributed Indexing:
      Keywords: Chile; Disability-free life expectancy; Ethnicity; Older adults
    • Publication Date:
      Date Created: 20240131 Date Completed: 20240202 Latest Revision: 20240203
    • Publication Date:
      20240205
    • Accession Number:
      PMC10829324
    • Accession Number:
      10.1186/s12877-024-04728-5
    • Accession Number:
      38297194