Maternal, newborn, child and adolescent health and ageing

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Healthy life expectancy (HALE) at 60 (years)

Index Name

Life expectancy, healthy life expectancy (HALE) at 60 (years)

Short name

Healthy life expectancy at age 60

Definition

The average number of years in full health a person (usually at age 60) can expect to live based on current rates of ill-health and mortality.

Rationale

Substantial resources are devoted to reducing the incidence, duration and severity of major diseases that cause morbidity but not mortality and to reducing their impact on people’s lives. It is important to capture both fatal and non-fatal health outcomes in a summary measure of average levels of population health. Healthy life expectancy (HALE) at birth adds up expectation of life for different health states, adjusted for severity distribution making it sensitive to changes over time or differences between countries in the severity distribution of health states.

Comments

Because these estimates draw on new data and on the results of the GBD 2021 study, and there have been substantial revisions to methods for many causes, these HALE estimates for the years 2000-2021 are not directly comparable with previously published WHO estimates of HALE for earlier years.

Existing Data

No

Numerator

N/A

Denominator

N/A

Unit of Measure

Years

Disaggregation

Sex, WHO Region and Income Group

Measurement Method

The equivalent lost healthy year fractions required for the HALE calculation are estimated as the all-cause years lost due to disability (YLD) rate per capita, adjusted for independent comorbidity, by age, sex and country. Sullivan's method uses the equivalent lost healthy year fraction (adjusted for comorbidity) at each age in the current population (for a given year) to divide the hypothetical years of life lived by a period life table cohort at different ages into years of equivalent full health and equivalent lost healthy years.

Method of estimation

The equivalent lost healthy year fractions required for the HALE calculation are estimated as the all-cause years lost due to disability (YLD) rate per capita, adjusted for independent comorbidity, by age, sex and country. Sullivan's method uses the equivalent lost healthy year fraction (adjusted for comorbidity) at each age in the current population (for a given year) to divide the hypothetical years of life lived by a period life table cohort at different ages into years of equivalent full health and equivalent lost healthy years.

Limitations

Because these estimates draw on new data and on the results of the GBD 2010 study, and there have been substantial revisions to methods for many causes, and to the methods for dealing with comorbidity, these HALE estimates for the years 2000-2012 are not directly comparable with previous WHO estimates of HALE for earlier years.

Method of estimation of global and regional aggregates

Population-weighted aggregation of HALE inputs for WHO Member States to regional and global level

Expected frequency of data collection

Biennial (Two years)

Preferred data source

Population surveys and civil registration with complete coverage

Other possible data sources

Household surveys, Population census

Last date of metadata update

2025-04-06

Contact person name

AMUTHAVALLI THIYAGARAJAN, Jotheeswaran

Contact person email

amuthavallithiya@who.int

Expected frequency of data dissemination

Biennial (Two years)

IMRID

3443