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Changing educational gradient in long-term care-free life expectancy among German men, 1997-2012

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  • Olga Grigoriev
  • Gabriele Doblhammer

Abstract

Background: The inverse association between mortality and individual socioeconomic status is well-documented. Due to the lack of appropriate data, little is known about the nature of this association among individuals with long-term care (LTC) needs. Objectives: We aim to fill in this knowledge gap by estimating life expectancy (LE), life expectancy without (CFLE) and with (CLE) long-term care by education for older German men; and by assessing the trends in the education-LE/CFLE/CLE gradient over time. Data and methods: We apply survival analysis and Gompertz regression to German Socioeconomic Panel data (1997–2012) to estimate the mortality levels and to construct the life tables for three educational categories. Using the administrative data from the health insurance, we adjust mortality rates upward to account for the institutionalized population. We estimate age-specific LTC prevalence from the German Microcensus data (2004, 2012) and compute life expectancy with and without LTC by employing Sullivan’s method. Slope and Relative Indices of Inequality are computed to evaluate the magnitude of educational inequalities in CFLE. Results: There is a clear and growing educational gradient in LE and CFLE among older men in Germany. In 2004, LE at age 65 among men with low education was 14.2 years, or 3.3 years lower than among highly educated individuals. The CFLE of these two educational categories ranged from 13.6 to almost 17 years. The gradient increased over time and in 2012 the difference constituted 4.6 years. The gaps between educational groups were not pronounced for CLE. The declining health ratio of years without LTC to remaining LE suggests the expansion of LTC needs, irrespective of the educational level. Conclusions: Growing inequalities by educational status among older German men with care needs demand the attention of policy-makers. Prompt actions are needed to increase the survival chances of the most vulnerable groups.

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  • Olga Grigoriev & Gabriele Doblhammer, 2019. "Changing educational gradient in long-term care-free life expectancy among German men, 1997-2012," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-20, September.
    • Handle: RePEc:plo:pone00:0222842
    DOI: 10.1371/journal.pone.0222842
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    1. Liao, Y. & McGee, D.L. & Kaufman, J.S. & Cao, G. & Cooper, R.S., 1999. "Socioeconomic status and morbidity in the last years of life," American Journal of Public Health, American Public Health Association, vol. 89(4), pages 569-572.
    2. Mackenbach, Johan P. & Kunst, Anton E., 1997. "Measuring the magnitude of socio-economic inequalities in health: An overview of available measures illustrated with two examples from Europe," Social Science & Medicine, Elsevier, vol. 44(6), pages 757-771, March.
    3. Gabriele Doblhammer & Gerard J van den Berg & Thomas Fritze, 2013. "Economic Conditions at the Time of Birth and Cognitive Abilities Late in Life: Evidence from Ten European Countries," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-12, September.
    4. Sihvonen, Ari-Pekka & Kunst, Anton E. & Lahelma, Eero & Valkonen, Tapani & Mackenbach, Johan P., 1998. "Socioeconomic inequalities in health expectancy in Finland and Norway in the late 1980s," Social Science & Medicine, Elsevier, vol. 47(3), pages 303-315, August.
    5. David M. Cutler & Fabian Lange & Ellen Meara & Seth Richards & Christopher J. Ruhm, 2010. "Explaining the Rise in Educational Gradients in Mortality," NBER Working Papers 15678, National Bureau of Economic Research, Inc.
    6. Roland Rau & Gabriele Doblhammer & Vladimir Canudas-Romo & Zhang Zhen, 2008. "Cause-of-Death Contributions to Educational Inequalities in Mortality in Austria between 1981/1982 and 1991/1992," European Journal of Population, Springer;European Association for Population Studies, vol. 24(3), pages 265-286, September.
    7. David M. Cutler & Adriana Lleras-Muney, 2006. "Education and Health: Evaluating Theories and Evidence," NBER Working Papers 12352, National Bureau of Economic Research, Inc.
    8. van den Berg, Gerard J. & Doblhammer, Gabriele & Christensen, Kaare, 2009. "Exogenous determinants of early-life conditions, and mortality later in life," Social Science & Medicine, Elsevier, vol. 68(9), pages 1591-1598, May.
    9. Samir KC & Harold Lentzner, 2010. "The effect of education on adult mortality and disability: a global perspective," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 8(1), pages 201-235.
    10. Martin Kroh, 2012. "Documentation of Sample Sizes and Panel Attrition in the German Socio Economic Panel (SOEP) (1984 until 2011)," Data Documentation 66, DIW Berlin, German Institute for Economic Research.
    11. Koskinen, Seppo & Martelin, Tuija, 1994. "Why are socioeconomic mortality differences smaller among women than among men?," Social Science & Medicine, Elsevier, vol. 38(10), pages 1385-1396, May.
    12. Rianne Gelder & Gwenn Menvielle & Giuseppe Costa & Katalin Kovács & Pekka Martikainen & Bjørn Heine Strand & Johan P. Mackenbach, 2017. "Long-term trends of inequalities in mortality in 6 European countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 127-141, January.
    13. Irma T. Elo & Pekka Martikainen & Kirsten P. Smith, 2006. "Socioeconomic differentials in mortality in Finland and the United States: the role of education and income," European Journal of Population, Springer;European Association for Population Studies, vol. 22(2), pages 179-203, June.
    14. Patrick Deboosere & Sylvie Gadeyne & Herman Oyen, 2009. "The 1991–2004 Evolution in Life Expectancy by Educational Level in Belgium Based on Linked Census and Population Register Data," European Journal of Population, Springer;European Association for Population Studies, vol. 25(2), pages 175-196, May.
    15. Domantas Jasilionis & Giedre Smailyte & Ieva Vincerzevskiene & Vladimir Shkolnikov, 2015. "Educational differentials in cancer mortality and avoidable deaths in Lithuania, 2001–2009: a census-linked study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(8), pages 919-926, December.
    16. Arber, Sara & Ginn, Jay, 1993. "Gender and inequalities in health in later life," Social Science & Medicine, Elsevier, vol. 36(1), pages 33-46, January.
    17. Erika Schulz, 2010. "The Long-Term Care System in Germany," Discussion Papers of DIW Berlin 1039, DIW Berlin, German Institute for Economic Research.
    18. Gert G. Wagner & Joachim R. Frick & Jürgen Schupp, 2007. "The German Socio-Economic Panel Study (SOEP) – Scope, Evolution and Enhancements," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 127(1), pages 139-169.
    19. Hans-Martin von Gaudecker & Rembrandt D. Scholz, 2007. "Differential mortality by lifetime earnings in Germany," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 17(4), pages 83-108.
    20. Mäki, Netta & Martikainen, Pekka & Eikemo, Terje & Menvielle, Gwenn & Lundberg, Olle & Östergren, Olof & Jasilionis, Domantas & Mackenbach, Johan P., 2013. "Educational differences in disability-free life expectancy: a comparative study of long-standing activity limitation in eight European countries," Social Science & Medicine, Elsevier, vol. 94(C), pages 1-8.
    21. Valkonen, Tapani & Sihvonen, Ari-Pekka & Lahelma, Eero, 1997. "Health expectancy by level of education in Finland," Social Science & Medicine, Elsevier, vol. 44(6), pages 801-808, March.
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