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Life expectancy in Spain is among the highest in the world. Nevertheless, we do not know if improvements in health conditions at older ages have followed postponements of death. Previous studies in Spain show a stable trend in years lived in ill health in the past. In this paper we investigate changes between 2006, 2012 and 2017 in life expectancy with and without disease at age 65 in Spain and, for the first time, in Spanish regions, which have autonomous powers of health planning, public health and healthcare. Results show that, at the country level, disease-free life expectancy reduced between 2006 and 2017 in Spain. This was explained by an expansion of most diseases except for some cardiovascular and respiratory chronic conditions. However, at the regional level the evolution was different, especially regarding each disease and sex. First, regional differences reduced between 2006 and 2012 but largely widened in 2017, suggesting that not all regions had the same ability to recover after the 2008 financial crisis that caused government cuts to health services. Second, regional analysis also highlighted diverging trends by sex. While men experienced expansion of morbidity in most regions, women experienced a compression in about half of them, ending up with women showing higher disease-free life expectancies than men in 9 out of the 17 regions considered. This study, then, calls attention to the importance of focusing the analysis of health surveillance to more disaggregated levels, more in accordance with the level of health management, as regional trends showed heterogeneity in the prevalence of diseases and different progresses in the relationship between sexes. [ABSTRACT FROM AUTHOR]

This study investigates the triple form of gender discrimination that exists in the transition between the labour market and the state retirement pension. Two data sources were used: the specific modules of the Spanish Labour Force Survey from 2006 and 2012 and the Spanish Continuous Working Life Sample from between 2004 and 2016. A Cox analysis was used to build tables related to the continued participation in the labour market by age and number of years contributed to the Social Security system, by sex and educational level. It was found that women had a high rate of non-employment, a short working life, with late access to their pension (to be able to have enough years of contribution to the state pension scheme) and were strongly differentiated according to education level, unlike men. It was concluded that discrimination has decreased but has not disappeared. [ABSTRACT FROM AUTHOR]

Assessing the impact of caregiving for older parents on caregivers' health is increasingly important in the context of population changes and curtailment of state provided services. This has been extensively studied but results are inconsistent, possibly reflecting a lack of attention to health-related selection into the caregiver role. We use data from a nationally representative UK longitudinal study to analyse differences in the health of people aged 40–69 at baseline by whether they were 'eligible' to provide parent care (with a living parent/parent-in-law) and by whether they subsequently assumed a caregiver role. We measured initial health status using a latent variable derived from three observer-recorded indicators as well as self-reported health. We analysed trajectories of physical and mental health over a seven-year follow-up for those providing intensive care (20+ hours per week) to a parent or parent-in-law, providers of lesser amounts of care, and non-caregivers. Outcomes were measured using the SF-12 indicators of mental and physical health. showed that those with a living parent or parent-in-law had better health than those lacking these relatives. However, among potential caregivers for a parent or parent-in-law, those assuming intensive caregiving had poorer initial health than non-caregivers or those who became providers of less intensive care. Fixed effects analyses of follow-up data showed that the mental health of intensive caregivers deteriorated. However, the physical health of intensive caregivers with low levels of education improved. show the importance of taking account of whether people are at risk of providing parental care and initial health status when assessing impacts of caregiving on health. They also indicate differential effects of caregiving on health depending on socio-demographic characteristics and reaffirm the need for greater supports for those providing substantial amounts of care to older parents. • There is a double and divergent health-related selection into caregiving for a parent • Healthier potential caregivers; worse health in those assuming intensive care roles • Initial health predicts subsequent physical and mental health trajectories. • Providing intensive care is detrimental for mental health. • The physical health of light caregivers with poor health or low education improved [ABSTRACT FROM AUTHOR]

Graph Table 1 Disease-free life expectancy (HLE) with 95% confidence intervals and annual percentage change (APC) in the percentage of HLE at age 65, by sex and region in Spain 2006, 2012 and 2017. (PDF) Reference 1 Zueras P, Rentería E (2020) Trends in disease-free life expectancy at age 65 in Spain: Diverging patterns by sex, region and disease. [Extracted from the article]

This paper analyzes two possible determinants of disability, birth cohort and socioeconomic status, among Spanish elderly aged 65-89 living independently. We use microdata from the Spanish Health Interview Survey, particularly the self-reported ability to perform daily activities, to construct a continuous measure of disability. Multivariate linear regression models are applied separately for men and women controlling for the following variables: age, birth cohort, educational attainment and self-reported height. Results indicate stability in disability levels across successive generations as well as the existence of a socioeconomic dimension of disability especially among women and within ages 70-79. [ABSTRACT FROM AUTHOR]

This paper analyzes two possible determinants of disability, birth cohort and socioeconomic status, among Spanish elderly aged 65-89 living independently. We use microdata from the Spanish Health Interview Survey, particularly the self-reported ability to perform daily activities, to construct a continuous measure of disability. Multivariate linear regression models are applied separately for men and women controlling for the following variables: age, birth cohort, educational attainment and self-reported height. Results indicate stability in disability levels across successive generations as well as the existence of a socioeconomic dimension of disability especially among women and within ages 70-79. [ABSTRACT FROM AUTHOR]

This article analyses the development of single-person living arrangements amongst unmarried people aged between 65 and 84 years old who did not live with a partner between 1991 and 2001 in seven European countries (Spain, France, Greece, Hungary, Portugal, Romania and Switzerland). To do so, census micro data provided by IPUMS (Integrated Public Use Microdata Series) were used. The role of fi ve variables with regard to the probability of living alone versus living with others was examined. It was investigated whether the observed development was due to changes in the population composition. Logistic regression was used as a standardisation technique with the census data. Results showed that, after controlling for all the variables, the observed regional patterns remain the same, and that the proportion of elderly living alone increased in 2001 in all countries but Romania where, if the population composition had not changed, this proportion would have diminished. The demographic structure (by gender, age and marital status) did not significantly modify the observed proportions either over time or at a regional level. In contrast, the variations of the structure regarding the socio-economic variables (educational level and employment status) were key to explain part of the observed change. [ABSTRACT FROM AUTHOR]

Changes in population and family structures are altering the provision of care for dependent older people. In Southern European countries like Spain, such care is still largely provided by family, typically spouses and adult daughters. However, an increasing proportion of women have entered the labour force, thereby affecting their availability. To study the demand and supply balance of informal care and to quantify the need for formal care when there is a deficit, we have developed a mixed microsimulation–agent-based model (ABM). Based on nuptiality, fertility and mortality levels of cohorts born at ten-year intervals between 1908 and 1968, the model starts with a microsimulation of the lifecycle of individuals and their close relatives until death. The ABM then determines the amount of time available or needed to care for family members, starting from age 50. Estimates are derived from Spanish survey data on employment, disability and time of care received. Surprisingly, results show that the family care deficit was greater in the older cohorts due to higher mortality and thus a greater impact of widowhood. However, for future elderly persons, we foresee that persistent below-replacement fertility and, paradoxically, the prolongation of the lifespan of couples will increase the demand for formal care as there will be more couples with both members incapacitated but without children to take care of them. [ABSTRACT FROM AUTHOR]

The increasing proportion of persons living alone has come to be emblematic in many ways of modern Western societies because it represents the importance conceded to the individual and to individual goals at the expense, basically, of the family. Solo living has been interpreted within the context of changing values and preferences, changing personal and conjugal realities, and the changing work contexts so often associated with the Second Demographic Transition. We know little about patterns and trends in living alone over the life course in much of the world because most research to date has concentrated on regional and national portrayals or on living arrangements in later life. This study provides a systematic look at the differences in living alone by age and sex in 113 countries. Our aim is to understand the extent to which behavior differs around the world and the implications this has for society. We also examine the relationship between trends in living alone and levels of human development. Results are taken from three massive datasets: census and survey microdata from IPUMS‐international, Demographic Health Surveys, and EU‐Labor Force Surveys. [ABSTRACT FROM AUTHOR]