Background Information on non-fatal health outcomes of disease and injury has been largely neglected in health planning because of the conceptual and definitional complexity of measuring morbidity and disability in populations.
One of our major objectives was to quantify disability for inclusion in health policy debates.
We analysed these health outcomes in terms of disability-free life expectancy (DFLE) and disability-adjusted life expectancy (DALE).
Methods Published and unpublished data were systematically reviewed to estimate the incidence, prevalence, and duration of 483 disabling sequelae of 107 diseases and injuries.
To ensure internal consistency of these estimates, a software programme (DIsMOD) was applied many times until consistent parameters were identified.
The severity of disability, on a scale of 0 (perfect health) to 1 (death), was measured in a deliberate manner by the person-tradeoff method.
Spearman's and Pearson's correlation coefficients were used to measure disability weights among groups.
Prevalence of seven classes of disability was back-calculated from the distribution of each disabling sequela across disabilities.
Prevalence for each class of disability for different age-sex groups was used to calculate seven forms of DFLE and DALE based on Sullivan's method.
Findings Prevalence of most disability classes is highest in sub-Saharan Africa and lowest in established market economies. (...)
Mots-clés Pascal : Handicap physique, Longévité, Prévalence, OMS, Etude statistique, Homme
Mots-clés Pascal anglais : Physical handicap, Longevity, Prevalence, WHO, Statistical study, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0299585
Code Inist : 002B30A01A2. Création : 15/07/1997.