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Article
US Trends in Quality-Adjusted Life Expectancy From 1987 to 2008: Combining National Surveys to More Broadly Track the Health of the Nation
Quantitative Health Sciences Publications and Presentations
  • Susan T. Stewart, National Bureau of Economic Research
  • David M. Cutler, Harvard University
  • Allison B. Rosen, University of Massachusetts Medical School
UMMS Affiliation
Department of Quantitative Health Sciences; Meyers Primary Care Institute
Publication Date
9-12-2013
Document Type
Article
Abstract
Objectives. We used data from multiple national health surveys to systematically track the health of the US adult population. Methods. We estimated trends in quality-adjusted life expectancy (QALE) from 1987 to 2008 by using national mortality data combined with data on symptoms and impairments from the National Medical Expenditure Survey (1987), National Health Interview Survey (1987, 1994-1995, 1996), Medical Expenditure Panel Survey (1992, 1996, 2000-2008), National Nursing Home Survey (1985, 1995, and 1999), and Medicare Current Beneficiary Survey (1992, 1994-2008). We decomposed QALE into changes in life expectancy, impairments, symptoms, and smoking and body mass index. Results. Years of QALE increased overall and for all demographic groups-men, women, Whites, and Blacks-despite being slowed by increases in obesity and a rising prevalence of some symptoms and impairments. Overall QALE gains were large: 2.4 years at age 25 years and 1.7 years at age 65 years. Conclusions. Understanding and consistently tracking the drivers of QALE change is central to informed policymaking. Harmonizing data from multiple national surveys is an important step in building this infrastructure. (Am J Public Health. Published online ahead of print September 12, 2013: e1-e10. doi:10.2105/AJPH.2013.301250).
PubMed ID
24028235
Comments

Citation: Susan T. Stewart, David M. Cutler, and Allison B. Rosen. (2013). US Trends in Quality-Adjusted Life Expectancy From 1987 to 2008: Combining National Surveys to More Broadly Track the Health of the Nation. American Journal of Public Health. e-View Ahead of Print. doi: 10.2105/AJPH.2013.301250. Link to article on publisher's site

Related Resources
Link to article in PubMed
Citation Information
Susan T. Stewart, David M. Cutler and Allison B. Rosen. "US Trends in Quality-Adjusted Life Expectancy From 1987 to 2008: Combining National Surveys to More Broadly Track the Health of the Nation" (2013) ISSN: 1541-0048
Available at: http://works.bepress.com/allison_rosen/49/