There was a reduction in the proportion of years with disability for people over the age of 65. (Photo/Garry Knight)


Americans living longer with disability or health issues, study shows

Findings led by USC University Professor challenge assumptions that increased longevity is a sign of good health

April 15, 2016 Emily Gersema, Beth Newcomb

Americans are living longer but in poorer health, according to a new study.

The USC-led report examined life expectancy trends and disability rates over a 40-year span from 1970 to 2010. The analysis of U.S. vital statistics found that the average total life span increased for men and women in those 40 years, but so did the proportion of time spent living with a disability.

The study found increased longevity is not necessarily indicative of good health. Most age groups live longer with a disability or other health problem.

“We could be increasing the length of poor-quality life more than good-quality life,” said lead author Eileen Crimmins, USC University Professor and AARP Professor of Gerontology at the USC Davis School of Gerontology. “There are a number of indications that the baby boomer generation that is now reaching old age is not seeing improvements in health similar to the older groups that went before them.”

Only for people aged 65 and older was there a “compression of morbidity” — a reduction in the proportion of years spent with disability.

The findings have implications for policymaking, such as proposals to raise the retirement age for Social Security and Medicare eligibility.

The trends for the last 40 years do not support projections and policies that are based on assumptions of a reduced length of disabled life.

Eileen Crimmins

“Clearly, there is a need to maintain health and reduce disability at younger ages to have meaningful compression of morbidity across the age range,” Crimmins said. “The trends for the last 40 years do not support projections and policies that are based on assumptions of a reduced length of disabled life.”

Life-span findings

The average life span for men increased by 9.2 years to 76.2 years, the researchers found. The number of years they live with a disability increased by 4.7 years while the number of years spent disability-free increased by 4.5 years.

For women, the average life span increased by 6.4 years to 81 years. The number of years that women spend with a disability increased by 3.6 years, exceeding the increase in women’s disability-free life (2.7 years).

“The smaller increase in healthy life than in total life for women was surprising and another indication that American women have not done as well as American men in terms of improving health in recent decades,” Crimmins said.

Different factors may affect disability at different ages. For instance, younger populations may have had an increase in disability because of a greater emphasis on mental health, increased diagnoses of autism spectrum and attention-deficit hyperactivity disorders, as well as changes in drug use.

The study was published online April 13 in the American Journal of Public Health. Yuan Zhang of USC Davis and Yasuhiko Saito, a USC graduate and faculty member at Nihon University, were co-authors.

The study was supported by a grant from the U.S. National Institute on Aging (P30-AG17265) and a Special Research Grant by the Japan Ministry of Health, Labour and Welfare (H26-Tokubetsu-Shitei-029).