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Cited by 133Insurance, Mortality, Demography, Risk ManagementHealth disparities and outcomesGlobal Health Care Issues

The DOI matches its Crossref record; 73 of the 77 references it cites were found in a registry or an index.

Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe

Open access
Aburto, José Manuel, van Raalte, Alyson·2018·Demography
DOI 10.1007/s13524-018-0729-9PMC PMC6290692
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Abstract

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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Crossref · 10.1007/s13524-018-0729-9

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Figures

Fig. 1 Male mortality surface showing rates of mortality improvements. The regular white areas indicate no data available. Source: Own calculations based on Human Mortality Database (2016) data
Fig. 1 Male mortality surface showing rates of mortality improvements. The regular white areas indicate no data available. Source: Own calculations based on Human Mortality Database (2016) dataCC BY · PubMed Central
Fig. 2 Trends in male life expectancy (e0) and lifespan disparity (e†) for 12 Eastern European countries, 1960–2014. Source: Own calculations based on Human Mortality Database (2016) data
Fig. 2 Trends in male life expectancy (e0) and lifespan disparity (e†) for 12 Eastern European countries, 1960–2014. Source: Own calculations based on Human Mortality Database (2016) dataCC BY · PubMed Central
Fig. 3 Absolute and relative yearly changes in life expectancy and lifespan disparity, 1960–2010. Data for Slovenia begin in 1983. The black dots are related to changes experienced in Russia. The percentages correspond to the total changes occurred during each period. Source: Own calculations based on Human Mortality Database (2016) data
Fig. 3 Absolute and relative yearly changes in life expectancy and lifespan disparity, 1960–2010. Data for Slovenia begin in 1983. The black dots are related to changes experienced in Russia. The percentages correspond to the total changes occurred during each period. Source: Own calculations based on Human Mortality Database (2016) dataCC BY · PubMed Central
Fig. 4 Males’ age-specific contributions to the change in lifespan disparity e† by periods. Data for Slovenia begin in 1983. Source: Own calculations based on Human Mortality Database (2016) data
Fig. 4 Males’ age-specific contributions to the change in lifespan disparity e† by periods. Data for Slovenia begin in 1983. Source: Own calculations based on Human Mortality Database (2016) dataCC BY · PubMed Central
Fig. 5 Cause specific contributions to the change in male lifespan disparity e†, 1994–2000. Data for Poland end in 2009. Source: Own calculations based on Human Cause-of-Death Database (2016) data
Fig. 5 Cause specific contributions to the change in male lifespan disparity e†, 1994–2000. Data for Poland end in 2009. Source: Own calculations based on Human Cause-of-Death Database (2016) dataCC BY · PubMed Central
Fig. 6 Cause-specific contributions to the change in male lifespan disparity e†, 2000–2010. Data for Poland end in 2009. Source: Own calculations based on Human Cause-of-Death Database (2016) data
Fig. 6 Cause-specific contributions to the change in male lifespan disparity e†, 2000–2010. Data for Poland end in 2009. Source: Own calculations based on Human Cause-of-Death Database (2016) dataCC BY · PubMed Central

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Citations

Cites

Show all 77 references

Research works printed but not linked: 6

  1. Bellis, 2009, Off measure: How we underestimate the amount we drink
  2. Kingkade, 2001, Infant mortality in Eastern Europe and the former Soviet Union before and after the breakup
  3. Meslé, 2000, Reversal of mortality decline: The case of contemporary Russia, World Health Statistics Quarterly, 51, 191
  4. R Core Team, 2000, R language definition
  5. Rau, 2013, Rates of mortality improvement on the lexis surface
  6. UNICEF, 2003, Social monitor 2003

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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
DOI
10.1007/s13524-018-0729-9
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
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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