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1.
Int J Public Health ; 67: 1605411, 2022.
Article in English | MEDLINE | ID: mdl-36339662

ABSTRACT

[This corrects the article DOI: 10.3389/ijph.2022.1604946.].

2.
Int J Public Health ; 67: 1604946, 2022.
Article in English | MEDLINE | ID: mdl-36090830

ABSTRACT

Objectives: This paper examines the gender gap in unhealthy life expectancy across education levels and age in Spain to understand the extent to which the gender paradox exists over education and across ages. Methods: Death registrations and vital status were taken from the Spanish Statistical Office, while the three health measures (chronic conditions, bad-self rated health and cognitive impairment) from the 2019 European Health Interview Survey. We used Sullivan's method to compute unhealthy life expectancy by education level. We computed the gender and the education ratios of the proportion of unhealthy life years in each health measure by education and age. Results: At almost all ages and all education levels, women significantly lived longer but in poorer health than men. Marked gender differences are seen across most age-groups, particularly among the low educated. We detected greater health inequalities by education level for women (confirming the gender paradox) and a health gradient due to aging and across the health measures charting the disablement process. Conclusion: The new education distribution might improve the unhealthy life expectancy and might reduce the gender gap in the number of years spent in poor health.


Subject(s)
Cognitive Dysfunction , Life Expectancy , Adult , Aging , Educational Status , Female , Humans , Male , Sex Factors
3.
Glob Health Action ; 14(1): 1976442, 2021 01 01.
Article in English | MEDLINE | ID: mdl-34542024

ABSTRACT

BACKGROUND: Intimate Partner Violence against women (IPV) is a major public health problem. However, mainstream indicators used in public health are not designed to fully capture the pervasive and enduring impact of IPV. OBJECTIVE: We propose a new indicator that considers the burden of IPV in women during their middle life years, estimating the number of years that women are expected to live under IPV, and provide estimates for 151 countries. METHODS: Prevalence rates of physical and sexual IPV for a given year are taken from the Global Database on the Prevalence of Violence Against Women. Annual period life tables are constructed using data from the World Population Prospects. We use Sullivan's method to estimate partial life expectancy between the ages of 15 and 49 lived suffering from physical and sexual IPV in each country. The final indicator measures the number of years 15 to 49-year-old women are expected to live with IPV (YLIPV) in a given year. RESULTS: Based on data from surveys representative of 92.0% of the global female population aged between 15 to 49, we find that ever-partnered women aged between 15 to 49 are expected to live 4.1 years (Low Bound: 2.3; Upper Bound: 7.1) suffering from violence during this age range. By regions, women are expected to suffer from IPV during 6.0 years (3.7-9.2) in Africa; 4.3 years (2.4-7.8) in Asia; 3.4 years (2.1-5.6) in Oceania; 2.6 years (1.5-4.2) in the Americas; and 1.7 years (0.9-3.1) in Europe. CONCLUSIONS: YLIPV is a useful indicator to display the burden of IPV. Similarly to the mainstream public health indicators rationale, YLIPV accounts for the time women are exposed to IPV during their lifespan and it is standardized by age exposure.


Subject(s)
Intimate Partner Violence , Public Health , Adolescent , Adult , Cross-Sectional Studies , Female , Humans , Middle Aged , Prevalence , Risk Factors , Sexual Partners , Young Adult
4.
SSM Popul Health ; 13: 100735, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33511266

ABSTRACT

Current concerns about aging populations are being translated into legislations to postpone the statutory age at retirement. However, if this is done without considering inequalities in longevity across occupational groups, some may face higher vulnerabilities than others. We examine differences in life expectancy and happiness by occupational position for the Spanish population aged 50 and over. We use happiness as a measure of subjective wellbeing, and compute life expectancy and happy life expectancy by sex and main occupation. Age-specific death rates are calculated using administrative data, and happiness prevalence comes from the European Social Survey. We show that both men and women in managerial positions were advantaged in terms of life expectancy, but only men record more years with happiness. In addition, women in routine jobs were the ones who could expect to live shorter and unhappier. Postponing the statutory age at retirement without considering these differences could be detrimental to women's wellbeing and health.

5.
Int J Health Serv ; 45(2): 306-19, 2015.
Article in English | MEDLINE | ID: mdl-25813503

ABSTRACT

Immigration as a solution to staff and skill shortages in the health system is increasingly on the agenda in the European Union. This article highlights the related social and policy dilemmas by comparing a new destination country with an old destination country: Spain and the United Kingdom. After describing the challenges met by the United Kingdom, we ask how well-prepared Spain is to face the same issues. In particular, attention is paid to the occupational mobility of health workers after entry and to how immigration as a staffing solution poses new political and social challenges. Through a review of background information regarding the immigration of health workers in the two countries and the preliminary analysis of 15 exploratory interviews, we aim to identify the primary trends and key concerns for future analysis. Although our interviews only allow us to draw tentative conclusions, they do highlight emerging issues to be explored in the near future. Our conclusions show that many of the problems traditionally encountered in the United Kingdom are now emerging in Spain, suggesting scope for further collaboration among government, employers, and other stakeholders across the European Union.


Subject(s)
Emigration and Immigration/trends , Health Workforce/trends , Nurses , Personnel Selection/trends , Physicians , Europe , Humans , Internationality , Policy , Spain , United Kingdom
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