Comparing actuarial and subjective healthy life expectancy estimates: A cross-sectional survey among the general population in Hungary

Zsombor Zrubka, Áron Kincses, Tamás Ferenci, Levente Kovács, László Gulácsi and Márta Péntek

PLOS ONE, 2022, vol. 17, issue 3, 1-21

Abstract: Background: Healthy life expectancy (HLE) is becoming an important indicator of population health. While actuarial estimates of HLE are frequently studied, there is scarcity of research on the subjective expectations of people about their HLE. The objective of this study is to compare actuarial and subjective HLE (sHLE) estimates in the ≥50-year-old Hungarian general population. Furthermore, we assessed subjective life expectancy (sLE) and explored determinants of the individual variance of sHLE and sLE. Methods: We conducted a cross-sectional online survey in 2019. Subjective health expectations were measured at 60, 70, 80 and 90 years of age via the Global Activity Limitation Indicator (GALI). Point-estimates of sLE and background variables were also recorded. sHLE was estimated from GALI and sLE responses. Actuarial estimates of life expectancy (LE) and HLE for 2019 were provided by the Central Statistical Office of Hungary. Results: Five hundred and four respondents (female 51.6%) were included. Mean (±SD) age was 63 (±7.5) years. Median LE (81.5 years, 95%CI 81.1–81.7) and sLE (82 years, 95%CI 80–85) were similar (p = 0.142), while median sHLE (66.8 years, 95%CI 65.5–68.3) was lower than HLE (72.7 years, 95%CI 82.4–82.9) by 5.9 years (p

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0264708

DOI: 10.1371/journal.pone.0264708

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