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Was there compression of disability for older Americans from 1992 to 2003?
Abstract
Medical advances and the growth of the elderly population have focused interest on trends in the health of the elderly. Three theories have been advanced to describe these trends: compression of morbidity, expansion of morbidity, and dynamic equilibrium. We applied multistate life table methods to the Medicare Current Beneficiary Survey to estimate active and disabled life expectancy from 1992 to 2003, defining disability as having difficulty with instrumental activities of daily living or activities of daily living. We found increases in active life expectancy past age 65 and decreases in life expectancy with severe disability. These trends are consistent with elements of both the theory of compression of morbidity and the theory of dynamic equilibrium.
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Several studies have reported significant decreases after the 1980s in the onset of disability or reductions in the transition from less severe to more severe disability.
“Several studies have reported significant decreases after the 1980s in the onset of disability or reductions in the transition from less severe to more severe disability (Cai & Lubitz, 2007; Crimmins, Hayward, Hagedorn, Saito, & Brouard, 2009; Crimmins, Saito, & Reynolds, 1997; Manton, Corder, & Stallard, 1993; Wolf, Mendes de Leon, & Glass, 2007).”
From Mortality and Morbidity Trends: Is There Compression of Morbidity? (2011) · cites this paper as Cai & Lubitz, 2007
Evidence on trends in recovery rates from disability is conflicting, although both Cai and Lubitz (2007) and Crimmins and colleagues (2009) report increased recovery in recent years in national samples of older Americans.
“The evidence from the same studies on trends in recovery rates from disability is conflicting, although both Cai and Lubitz (2007) and Crimmins and colleagues (2009) report increased recovery in recent years in national samples of older Americans.”
From Mortality and Morbidity Trends: Is There Compression of Morbidity? (2011) · cites this paper as Cai & Lubitz, 2007
Other analyses of changes in healthy life for the United States have generally shown increases in disability-free life expectancy, at least in recent decades.
“These analyses have generally shown increases in disability-free life expectancy, at least in recent decades.”
From Mortality and Morbidity Trends: Is There Compression of Morbidity? (2011) · cites this paper as Cai and Lubitz (2007)
Cai and Lubitz (2007) found increases in the length of nondisabled or active life and decreases in the length of life with disability between 1992 and 2002.
“Cai and Lubitz (2007) using data from the Medicare Beneficiary Survey found increases in the length of nondisabled or active life and decreases in the length of life with disability between 1992 and 2002.”
From Mortality and Morbidity Trends: Is There Compression of Morbidity? (2011) · cites this paper as Cai and Lubitz (2007)
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Metadata
- Authors
- Cai, L., & Lubitz, J.
- Affiliations
- Office of Analysis and Epidemiology, National Center for Health Statistics, 3311 Toledo Road, Room 6330, Hyattsville, MD 20782
- Venue
- Demography
- Publisher
- Duke University Press
- Published
- 2007-08-01
- Volume
- 44
- Issue
- 3
- Pages
- 479-495
- ISSN
- 0070-3370
- 1533-7790
- Cited by
- 107
- References
- 4
- Language
- en
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