期刊论文详细信息
Archives of Public Health
The joint action on healthy life years (JA: EHLEIS)
Jean-Marie Robine6  Emmanuelle Cambois1  Wilma Nusselder3  Bernard Jeune4  Herman Van Oyen2  Carol Jagger5 
[1] French National Institute for Demographic Studies, INED, Paris, France
[2] Scientific Institute of Public Health, Brussels, Belgium
[3] Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, Netherlands
[4] University of Southern Denmark, Odense, Denmark
[5] Newcastle University, Newcastle upon Tyne, United Kingdom
[6] French National Institute of Health and Medical Research, INSERM U988 & U710, Paris & Montpellier, France
关键词: EU;    Healthy life years;    Health expectancy;    Public health;    Socioeconomic status;    Gender;    Health status indicators;   
Others  :  790978
DOI  :  10.1186/0778-7367-71-2
 received in 2012-10-16, accepted in 2013-01-03,  发布年份 2013
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【 摘 要 】

Background

Life expectancy has been increasing during the last century within the European Union (EU). To measure progress in population health it is no longer sufficient to focus on the duration of life but quality of life should be considered. Healthy Life Years (HLY) allow estimating the quality of the remaining years that a person is expected to live, in terms of being free of long-standing activity limitation. The Joint Action on Healthy Life Years (JA: EHLEIS) is a joint action of European Member States (MS) and the European Union aiming at analysing trends, patterns and differences in HLY, as well as in other Summary Measures of Population Health (SMPH) indicators, across the European member states.

Methods

The JA: EHLEIS consolidates existing information on life and health expectancy by maximising the European comparability; by analysing trends in HLY within the EU; by analysing the evolution of the differences in HLY between Member States; and by identifying both macro-level as micro-level determinants of the inequalities in HLY. The JA: EHLEIS works in collaboration with the USA, Japan and OECD on the development of new SMPHs to be used globally. To strengthen the utility of the HLY for policy-making, annual meetings with policy-makers are planned.

Results

The information system allows the estimation of a set of health indicators (morbidity and disability prevalence, life and health expectancies) for Europe, Member States and shortly their regional levels. An annual country report on HLY in the national languages is available. The JA: EHLEIS is developing statistical attribution and decomposition tools which will be helpful to determine the impact of specific diseases, life styles or other determinants on differences in HLY. Through a set of international workshops the JA: EHLEIS aims to develop a blueprint for an international harmonized Summary Measure of Population Health.

Conclusion

The JA: EHLEIS objectives are to monitor progress towards the headline target of the Europe 2020 strategy of increasing HLY by 2 years by 2020 and to support policy development by identifying the main determinants of active and healthy ageing in Europe.

【 授权许可】

   
2013 Robine et al; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Advance research on European health expectancies 2012. http://www.eurohex.eu/ webcite
  • [2]Robine JM: Summarizing health status. In Oxford handbook of public health. 2nd edition. Edited by Pencheon D, Guest C, Melzer D, Jam G. Oxford: Oxford University Press; 2006:160-168.
  • [3]Stiefel MC, Perla RJ, Zell BL: A healthy bottom line: healthy life expectancy as an outcome measure for health improvement efforts. Milbank Q 2010, 88:30-53.
  • [4]Cox B, Van Oyen H, Cambois E, Jagger C, Le Roy S, Robine JM, et al.: The reliability of the minimum European health module. Int J Public Health 2009, 54:55-60.
  • [5]Jagger C, Gillies C, Cambois E, Van OH, Nusselder W, Robine JM: The Global Activity Limitation Index measured function and disability similarly across European countries. J clin Epidemiol 2010, 63:892-899.
  • [6]Commission of the European Communities: Communication from the commission on structural indicators. COM(2003) 585 final. Brussels: Commission of the European Communities; 2003:1-17.
  • [7]Reuser M, Bonneux L, Willekens F: Smoking kills, obesity disables: a multistate approach of the U.S. Health and retirement survey. Detroit: Population Association of America; 2009:1-20.
  • [8]Sullivan DF: A single index of mortality and morbidity. HSMHA Health Reports 1971, 86:347-354.
  • [9]Jagger C, Cox B, Le Roy S, Clavel A, Robine JM, Romieu I, et al.: Health expectancy calculation by the sullivan method: a practical guide. Third Edition edition. Montpellier, France: EHEMU Technical report 2006_3; 2007:1-44. http://www.eurohex.eu/pdf/Sullivan_guide_final_jun2007.pdf webcite
  • [10]About REVES 2010. http://reves.site.ined.fr/en/ webcite and http://www.reves-network.org webcite
  • [11]Commission of the European Communities: Commission communication on the framework for action in the field of public health. COM (93) 559 final. Brussels: Commission of the European Communities; 1993:1-59.
  • [12]Robine JM, Jagger C, Egidi V, Gispert M, Nusselder W, Perenboom R, et al.: Creating a coherent set of indicators to monitor health across Europe: the Euro-REVES 2 project. Eur J Publ Health 2003, 13:6-14.
  • [13]Nusselder W, Looman C, Van Oyen H, Robine J, Jagger C: Gender differences in health of EU10 and EU15 populations: the double burden of EU10 men. European Journal of Ageing 2010, 7:219-227.
  • [14]Van Oyen H, Nusselder W, Jagger C, Kolip P, Cambois E, Robine JM: Gender differences in healthy life years within the EU: an exploration of the “health-survival” paradox. Int J Public Health 2012. [Epub ahead of print]
  • [15]Jagger C, Gillies C, Moscone F, Cambois E, Van Oyen H, Nusselder W, et al.: Inequalities in healthy life years in the 25 countries of the European Union in 2005: a cross-national meta-regression analysis. Lancet 2008, 372:2124-2131.
  • [16]Van Oyen H, Cox B, Jagger C, Cambois E, Nusselder W, Gilles C, et al.: Gender gaps in life expectancy and expected years with activity limitations at age 50 in the European Union: associations with macro-level structural indicators. European Journal of Ageing 2010, 7:229-237.
  • [17]EHEMU and EHLEIS projects 2011. http://www.eurohex.eu/index.php?option=aboutehemu#projects webcite
  • [18]Commission E: Commission Decision of 18 December 2009 on the adoption of the Work Plan for 2010 for the implementation of the second programme of Community action in the field of health (2008–2013), on the selection, award and other criteria for financial contributions to the actions of this programme and Community payment to the WHO Framework Convention on tobacco control. Official J Eur Com 2009, L340:1-46.
  • [19]Task force on health expectancies 2011. http://www.tf-he.eu webcite
  • [20]Jagger C, Gillies C, Cambois E, Van Oyen H, Nusselder W, Robine JM, et al.: Trends in disability-free life expectancy at age 16 and age 65 in the European union 1995–2001: a comparison of 13 EU countries. Eur J Publ Healthin press
  • [21]Jagger C, Weston C, Cambois E, Van OH, Nusselder W, Doblhammer G, et al.: Inequalities in health expectancies at older ages in the European Union: findings from the Survey of Health and Retirement in Europe (SHARE). J Epidemiol Community Health 2011, 65:1030-1035.
  • [22]The healthy life years (HLY) indicator 2012. http://www.healthy-life-years.eu/ webcite
  • [23]Healthy life years http://en.wikipedia.org/wiki/Healthy_Life_Years webcite
  • [24]Montpellier RIO imaging 2012. http://www.mri.cnrs.fr/ webcite
  • [25]Nusselder WJ, Looman CW: Decomposition of differences in health expectancy by cause. Demography 2004, 41(2):315-334.
  • [26]European health forum Gastein 2012. http://www.ehfg.org/home.html webcite
  • [27]EUPHA conferences 2012. http://www.eupha.org/site/upcoming_conference.php webcite
  • [28]Lagiewka K: European innovation partnership on active and healthy ageing: what have been the policy drivers and determinants to set a headline target of 2 additional healthy life years at birth at EU average by 2020? Arch Public Health 2012, 70:23. BioMed Central Full Text
  • [29]European year for active ageing and solidarity between generation 2012 2012. http://europa.eu/ey2012/ webcite
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