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2021•Journal of Human CapitalRequires access

American Health-Adjusted Life Expectancy at Midlife: An Analysis Based on the Health and Retirement Study

Jihye Kim, Kajal Lahiri

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Abstract

The role of education and race in explaining disparities in health-adjusted life expectancy (HALE) for Americans aged 45–64 is examined. We compute severity-weighted prevalence of diseases with comorbidity adjustments and map the information onto 21 disabling conditions from the Health and Retirement Study over 2000–2016. The approach allows us to evaluate the importance of major disease and risk factors that explain the dynamics of life expectancy and HALE in recent years, finding that Americans have been experiencing a higher prevalence of various diseases and risk factors long before the recent decline in life expectancy in 2014.

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The role of education and race in explaining disparities in health-adjusted life expectancy (HALE) for Americans aged 45–64 is examined. We compute severity-weighted prevalence of diseases with comorbidity adjustments and map the information onto 21 disabling conditions from the Health and Retirement Study over 2000–2016. The approach allows us to evaluate the importance of major disease and risk factors that explain the dynamics of life expectancy and HALE in recent years, finding that Americans have been experiencing a higher prevalence of various diseases and risk factors long before the recent decline in life expectancy in 2014.

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Available abstract

The role of education and race in explaining disparities in health-adjusted life expectancy (HALE) for Americans aged 45–64 is examined. We compute severity-weighted prevalence of diseases with comorbidity adjustments and map the information onto 21 disabling conditions from the Health and Retirement Study over 2000–2016. The approach allows us to evaluate the importance of major disease and risk factors that explain the dynamics of life expectancy and HALE in recent years, finding that Americans have been experiencing a higher prevalence of various diseases and risk factors long before the recent decline in life expectancy in 2014.

Key concepts: Life expectancy, Health and Retirement Study, Gerontology, Race (biology), Comorbidity, Expectancy theory, Demography, Disease

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