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Pour qui la retraite sonnera ? Les inégalités d’espérance de vie en bonne santé avant et après 65 ans

Abstract : Context – Increasing life expectancy (LE) raises expectations for social participation of the seniors, in particular at work. However, social/work participation requires a good health status. Using health expectancies (HE), this paper aims to show how HEs can help assessing (un)equal chances for social/work participation after age 50 in the French context in 2003. Method – In the 2003 French health interview survey, we considered several health and disability dimensions likely to jeopardize work/social participation: functional limitations (LF); general activity limitations (GALI); personal-care activity restrictions (RADL); poor self-perceived health (SP). We computed HEs, at ages 50, 65 and between ages 50 and 65 to focus on late working ages, in 6 occupational classes. Findings – Male manual workers’ LE50 is 27 years and half is spent with FL vs a third of the 5-year-longer LE in highly-qualified occupations. The HE’s occupational gradient generally follows the LE’s one. Differentials remain after age 65, but already exist below this age, even for RADL. Despite longer LE, women have no more healthy years to live than men in manual/unskilled occupations. Conclusion – HEs illustrate large critical periods regarding health after age 50, especially in unskilled/manual occupations. There are large unequal chances of remaining healthy during retirement, but also of reaching retirement age in good health and without disability. These results question the possibility of an overall increasing social participation of the seniors in today’s social and health conditions. HEs are useful indicators to debate and monitor such issues.
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https://hal-cnrs.archives-ouvertes.fr/hal-03478628
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Submitted on : Tuesday, December 14, 2021 - 8:40:38 AM
Last modification on : Wednesday, February 16, 2022 - 11:36:03 AM

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  • HAL Id : hal-03478628, version 1

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E Cambois, Jean-Marie Robine. Pour qui la retraite sonnera ? Les inégalités d’espérance de vie en bonne santé avant et après 65 ans. Bulletin Epidémiologique Hebdomadaire - BEH, Saint-Maurice (Val de Marne) : Institut de veille sanitaire, 2011, pp.82-86. ⟨hal-03478628⟩

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