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Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe
Open accessAbstract
Central and Eastern Europe (CEE) have experienced considerable instability in mortality since the 1960s. Long periods of stagnating life expectancy were followed by rapid increases in life expectancy and, in some cases, even more rapid declines, before more recent periods of improvement. These trends have been well documented, but to date, no study has comprehensively explored trends in lifespan variation. We improved such analyses by incorporating life disparity as a health indicator alongside life expectancy, examining trends since the 1960s for 12 countries from the region. Generally, life disparity was high and fluctuated strongly over the period. For nearly 30 of these years, life expectancy and life disparity varied independently of each other, largely because mortality trends ran in opposite directions over different ages. Furthermore, we quantified the impact of large classes of diseases on life disparity trends since 1994 using a newly harmonized cause-of-death time series for eight countries in the region. Mortality patterns in CEE countries were heterogeneous and ran counter to the common patterns observed in most developed countries. They contribute to the discussion about life expectancy disparity by showing that expansion/compression levels do not necessarily mean lower/higher life expectancy or mortality deterioration/improvements.
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“These patterns may reflect the continued impacts of the atypical mortality transitions and a delayed cardiovascular revolution in Eastern countries compared with Western Europe,12 whereby greater co-morbidities and vulnerabilities in population health are present at these ages.”
From Quantifying impacts of the COVID-19 pandemic through life-expectancy losses: a population-level study of 29 countries (2022) · cites this paper as [12]
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Metadata
- Authors
- Aburto, J. M., & van Raalte, A.
- Affiliations
- University of Southern Denmark (DK)
- Max Planck Institute for Demographic Research, Rostock, Germany
- Corresponding author
- Aburto, José Manuel
- ORCID
- Aburto, José Manuel
- Venue
- Demography
- Publisher
- Duke University Press
- Published
- 2018-11-12
- Volume
- 55
- Issue
- 6
- Pages
- 2071-2096
- ISSN
- 0070-3370 (ISSN-L)
- 1533-7790
- PMC
- PMC6290692
- OpenAlex
- W2786704998
- Cited by
- 133
- References
- 77
- Citations by year
- 2026: 17 · 2025: 10 · 2024: 27 · 2023: 8 · 2022: 31 · 2021: 14 · 2020: 13 · 2019: 9 · 2018: 3
- FWCI
- 20.09
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Demography (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- MPG.PuRe (Max Planck Society) (submittedVersion)
- Funders
- Max Planck Institute for Demographic Research
- Topics
- Social Sciences › Demography › Insurance, Mortality, Demography, Risk Management
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Global Health Care Issues
- Keywords
- life expectancy, mortality trends, age-specific mortality, health disparities, Central and Eastern Europe
- MeSH terms
- Aging, Europe, Eastern, Female, Humans, Life Expectancy, Longevity, Male, Mortality, Databases, Factual
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