caa a22 4500 605450803 CHVBK 20210128105153.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s10433-014-0317-9 doi (NATIONALLICENCE)springer-10.1007/s10433-014-0317-9 Are we living longer but less healthy? Trends in mortality and morbidity in Catalonia (Spain), 1994-2011 [Elektronische Daten] [Aïda Solé-Auró, Manuela Alcañiz] Evidence on trends in prevalence of disease and disability can clarify whether countries are experiencing a compression or expansion of morbidity. An expansion of morbidity, as indicated by disease, has appeared in Europe and other developed regions. It is likely that better treatment, preventive measures, and increases in education levels have contributed to the declines in mortality and increments in life expectancy. This paper examines whether there has been an expansion of morbidity in Catalonia (Spain). It uses trends in mortality and morbidity and links these with survival to provide estimates of life expectancy with and without diseases and mobility limitations. We use a repeated cross-sectional health survey carried out in 1994 and 2011 for measures of morbidity, and information from the Spanish National Statistics Institute for mortality. Our findings show that at age 65 the percentage of life with disease increased from 52 to 70% for men, and from 56 to 72% for women; the expectation of life with mobility limitations increased from 24 to 30% for men and from 40to 47% for women between 1994 and 2011. These changes were attributable to increases in the prevalence of diseases and moderate mobility limitation. Overall, we find an expansion of morbidity along the period. Increasing survival among people with diseases can lead to a higher prevalence of diseases in the older population. Higher prevalence of health problems can lead to greater pressure on the health care system and a growing burden of disease for individuals. Springer-Verlag Berlin Heidelberg, 2014 Healthy life expectancy nationallicence Diseases nationallicence Mobility limitations nationallicence Spain nationallicence Solé-Auró Aïda Mortality, Health and Epidiemology Unit, Institut National d'Études Démographiques INED, 133 Boulevard Davout, 75020, Paris, France aut Alcañiz Manuela Riskcenter, Department of Econometrics, Statistics and Spanish Economy, University of Barcelona, Av. Diagonal 690, 08034, Barcelona, Spain aut European Journal of Ageing Springer Netherlands 12/1(2015-03-01), 61-70 1613-9372 12:1<61 2015 12 10433 https://doi.org/10.1007/s10433-014-0317-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10433-014-0317-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Solé-Auró Aïda Mortality, Health and Epidiemology Unit, Institut National d'Études Démographiques INED, 133 Boulevard Davout, 75020, Paris, France aut NATIONALLICENCE 700 1- Alcañiz Manuela Riskcenter, Department of Econometrics, Statistics and Spanish Economy, University of Barcelona, Av. Diagonal 690, 08034, Barcelona, Spain aut NATIONALLICENCE 773 0- European Journal of Ageing Springer Netherlands 12/1(2015-03-01), 61-70 1613-9372 12:1<61 2015 12 10433 SWISSBIB 343236834