Trend in Disability-Free Life Expectancies in France: Younger, Older, Men or Women, Who Benefitted Most?
Emmanuelle Cambois, INED
Amélie Carrère, Université Paris Dauphine
Jean-Marie Robine, EPHE
Trends in DFLE were assessed using six population surveys. Several dimensions of disability are measured based on the framework of the disablement process: (1) sensory (FL_S); physical (FL_P); and cognitive (FL_C) functional limitations, and (2) long-term global activity limitations (RA_GAL); restriction in elementary activities of daily living (RA_ADL); restriction in instrumental activities of daily living (RA_IADL). Disability-free life expectancies (DFLE) were computed for each category and each available years using Sullivan method. We presented the estimates at age 50 and 65 and partial DFLE in the 50-64 age range.
Trends in various DFLEs in France indicated less favourable trends in the first decade of 2000 than in the 1990’s regarding activity restrictions. After an unexpected expansion of the disability years in the early 2000’s, we observed a new increase in some DFLE in the most recent years, however not as important as the increase in LE. The expansion of disability was therefore prolonged in the early 2010’s, with the exception of cognitive limitations. The gender gap was still large for all disability dimensions especially physical functional limitations and IADL restrictions. We discuss these trends and patterns in the light of possible effect of generations.