Mortality and life expectancy trends for male pensioners by pension income level

  1. Juan Manuel Pérez-Salamero González 1
  2. Marta Regúlez Castillo 2
  3. Carlos Vidal-Meliá 3
  1. 1 Department of Financial Economics and Actuarial Science, University of Valencia
  2. 2 Department of Quantitative Methods. University of the Basque Country UPV/EHU)
  3. 3 Department of Financial Economics and Actuarial Science, University of Valencia. Instituto Complutense de Análisis Económico, (ICAE), University of Madrid, Spain and Centre of Excellence in Population Ageing Research (CEPAR), UNSW, Sydney, Australia
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Revista:
Documentos de Trabajo (ICAE)

ISSN: 2341-2356

Año de publicación: 2021

Número: 2

Páginas: 1-20

Tipo: Documento de Trabajo

DIALNET GOOGLE SCHOLAR lock_openDocta Complutense editor

Otras publicaciones en: Documentos de Trabajo (ICAE)

Resumen

We draw on the Continuous Sample of Working Lives (CSWL) to investigate the differences in socioeconomic mortality among retired men aged 65 and above over the longest possible period covered by this data source: 2005–2018. This paper deals with the case of Spain, since very little evidence concerning retirement pensioners is available for this country. The only indicator of socioeconomic status we use is the amount of the initial pension of the retired population. For 2005-2010 we find a gap in life expectancy of 1.49 years between pensioners in the highest and lowest income groups. This gap widens over time and reaches 2.58 years for the period 2015–2018. The increase in life expectancy inequality cannot be attributed to the pension system reforms carried out over the period 2011-2013, given that the system has become more redistributive and there has been a clear increase in real terms in the amounts of minimum pensions over recent years. The causes might be traced back to the decrease in public spending on health over the period 2009- 2018 and the increased spending on private health, which would presumably be of more benefit to those retirees with bigger pensions.

Referencias bibliográficas

  • Adam, L. 2012. The Canadian pensioners mortality table: Information on mortality for the triennial period ending December 31, 2007, with data as at December 31, 2008 Quebec City, QC, Canada: Universite Laval. https://www.cia-ica.ca/docs/defaultsource/2013/213003e.pdf
  • Bambra C. 2011. “Health inequalities and welfare state regimes: theoretical insights on a public health ‘puzzle’ ”. Journal of Epidemiology and Community Health 65: 740–745. doi: 10.1136/jech.2011.136333
  • Belloni, M., R. Alessie, A. Kalwij, and C. Marinacci. 2013. “Lifetime income and old age mortality risk in Italy over two decades”. Demographic Research 29: 1261–1298. doi: 10.4054/DemRes.2013.29.45
  • Bosley, T., M. Morris, and K. Glenn. 2018. Mortality by Career-Average Earnings Level. Actuarial study, 124. Social Security Administration, Office of the Chief Actuary. https://www.ssa.gov/OACT/NOTES/pdf_studies/study124.pdf
  • Camarda, C. G. 2012. “MortalitySmooth: An R Package for Smoothing Poisson Counts with P-Splines”. Journal of Statistical Software 50: 1-24. http://www.jstatsoft.org/v50/i01/. doi: 10.18637/jss.v050.i01
  • Chiang, C. L. 1984. The Life Table and its Applications, Malabar, FL: Robert E. Krieger Publishers.
  • Duggan, J., R. Gillingham, R., and J. Greenlees. 2008. “Mortality and Lifetime Income: Evidence from U.S. Social Security Records”. IMF Economic Review 55: 566–594 doi: 10.1057/imfsp.2008.21
  • Duran, X., C. Vanroelend, P. Deboosere, and F. G. Benavides. 2016. “Social security status and mortality in Belgian and Spanish male workers”. Gaceta Sanitaria 30(4): 293–295. doi: 10.1016/j.gaceta.2016.03.016
  • EU. 2018. The 2018 Pension Adequacy Report: current and future income adequacy in old age in the EU. https://op.europa.eu/en/publication-detail/-/publication/62f83ed2-7821- 11e8-ac6a-01aa75ed71a1/language-en/format-PDF/source-search
  • Fullman, N., j. Yearwood, S. M. Abay, C. Abbafati, F. Abd-Allah, J. Abdela, et al. . 2018. “Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016”. The Lancet 391: 2236–2271. doi: 10.1016/S0140- 6736(18)30994-2
  • Gjesdal, S., P. Svedberg, J. Hagberg, and K. Alexanderson. 2009. “Mortality among disability pensioners in Norway and Sweden 1990—96: Comparative prospective cohort study”. Scandinavian Journal of Public Health 37(2): 168–175. doi: 10.1177/1403494808100937
  • Huisman, M., A. E. Kunst, O. Andersen, M. Bopp, J. K. Borgan, C. Borrell, G. Costa, P. Deboosere, G. Desplanques, A. Donkin, S. Gadeyne, C. Minder, E. Regidor, T. Spadea, T. Valkonen, and J. P. Mackenbach. 2004. “Socioeconomic inequalities in mortality among elderly people in 11 European populations”. Journal of Epidemiology and Community Health 58: 468–475. doi: 10.1136/jech.2003.010496
  • Kalwij, A., R. Alessie, and M. Knoef. 2013. “The association between individual income and remaining life expectancy at the age of 65 in the Netherlands”. Demography 50(1): 181– 206. doi: 10.1007/s13524-012-0139-3.
  • Kibele, E. U. B., D. Jasilionis, and V. M. Shkolnikov. 2013. “Widening socioeconomic differences in mortality among men aged 65 years and older in Germany”. Journal of Epidemiology and Community Health 67(5): 453–457. doi: 10.1136/jech-2012-201761
  • Kulhánová, I., A. Bacigalupe, T. A. Eikemo, C. Borrell, E. Regidor, S. Esnaola, J. P. Mackenbach, and Eurothine consortium. 2014. “Why does Spain have smaller inequalities in mortality? An exploration of potential explanations”. European journal of public health 24(3): 370–377. doi: 10.1093/eurpub/cku006
  • Lallo, C., and M. Raitano. 2018. “Life expectancy inequalities in the elderly by socioeconomic status: evidence from Italy”. Population health metrics 16(1): 7. doi: 10.1186/s12963-018-0163-7
  • Li, N. 2015. “The probabilistic life table and its applications to Canada”. Canadian Studies in Population 42(1-2): 117-129. doi: 10.25336/P65W28
  • Longevity Science Panel. 2018. “Life expectancy: Is the socio-economic gap narrowing?” Accessed April 16, 2020. http://www.longevitypanel.co.uk/viewpoint/life-expectancy-isthe-socio-economic-gap-narrowing/.
  • Longevity Science Panel. 2020. “An analysis of mortality trends in developed countries, focusing on the recent slowdown in mortality improvements”. Accessed April 16, 2020. https://www.longevitypanel.co.uk/_files/LSP2020_Report.pdf
  • Lorenzo-Carrascosa, L. 2015. “Ageing Population and Family Support in Spain”. Journal of Comparative Family Studies 46 (4): 499-516. doi: 10.3138/jcfs.46.4.499
  • Mackenbach, J. P. 2017. “Persistence of social inequalities in modern welfare states: Explanation of a paradox”. Scandinavian Journal of Public Health 45: 113–120.
  • Mackenbach J. P., I. Stirbu, and A. J. Roskam, M. M. Schaap, G. Menvielle, M. Leinsalu, and A. E. Kunst. 2008. “Socioeconomic inequalities in health in 22 European countries”. New England Journal of Medicine 358: 2468–2481.
  • Mackenbach, J. P., M. Bopp, P. Deboosere, K. Kovacs, M. Leinsalue, P. Martikainen, G. Menvielle, E. Regidor, and R. de Gelder. 2017. “Determinants of the magnitude of socioeconomic inequalities in mortality: A study of 17 European countries”. Health & Place 2017; 47: 44-53. doi: 10.1016/j.healthplace.2017.07.005
  • Mackenbach, J.P., I. Kulhánová, B. Artnik, M. Bopp, C. Borrell, T. Clemens, G. Costa, C. Dibben, R. Kalediene, O. Lundberg, P. Martikainen, G. Menvielle, O. Östergren, R. Prochorskas, M. Rodríguez-Sanz, B. H. Strand, C. W. N. Looman, and R. de Gelder. 2016. “Changes in Mortality Inequalities over Two Decades: Register Based Study of European Countries”. British Medical Journal 352(5): 1732. doi: 10.1136/bmj.i1732
  • OECD. 2019a. Health at a Glance 2019: OECD Indicators, OECD Publishing, Paris. doi:10.1787/4dd50c09-en
  • OECD. 2019b. Pensions at a Glance 2019: OECD and G20 Indicators, OECD Publishing, Paris, doi: 10.1787/b6d3dcfc-en.
  • Park, J.-M., O. Ukchan, R. Beop-Rae, and M. Yeongmin. 2017. “Disparities in mortality by disability: an 11-year follow-up study of 1 million individuals”. International Journal of Public Health 62: 969-996. doi: 10.1007/s00038-017-0966-5
  • Pérez-Salamero Gonzalez, J. M., M. Regúlez-Castillo, and C. Vidal-Meliá. 2017. “The continuous sample of working lives: improving its representativeness”. SERIEs. Journal of the Spanish Economic Association 8: 43–95. doi: 10.1007/s13209-017-0154-0
  • Pilat, A., A. Galas, M. Wilga, M. Cabello, S. Koskinen, J. M. Haro, M. Leonardi, and B. Tobiasz–Adamczyk. 2020. “Gender perspective in the analysis of the relationship between health and work cessation, and how to deal with it”. International Journal of Occupational Medicine and Environmental Health 33(3): 365-384. doi: 10.13075/ijomeh.1896.01351
  • Regidor, E. A. E. Kunst, F. Rodríguez-Artalejo, and J.P. Mackenbach (2012). “Small socioeconomic differences in mortality in Spanish older people”. European Journal of Public Health 22: 80-85. doi: 10.1093/eurpub/ckr051
  • Scherbov, S., and D. Ediev. 2011. “Significance of life table estimates for small populations: Simulation based study of standard errors”. Demographic Research 24: 527–550. doi: 10.4054/DemRes.2011.24.22
  • Solé-Auró, A.; U. Martín, and A. Domínguez Rodríguez. 2020. “Educational Inequalities in Life and Healthy Life Expectancies among the 50-Plus in Spain”. International Journal of Environmental Research and Public Health 17: 3558. doi: 10.3390/ijerph17103558
  • Tetzlaff, F., J. Epping, S. Sperlich, and J. Tetzlaff. 2020. “Widening income inequalities in life expectancy? Analysing time trends based on German health insurance data”. Journal of Epidemiology and Community Health Apr 10. pii: jech-2019-212966. doi: 10.1136/jech-2019- 212966
  • Urbanaviciute, I., H. De Witte, and J. Rossier. 2019. “Perceived job insecurity and selfrated health: testing reciprocal relationships in a five-wave study”. Social Science Medicine 233: 201-207. doi: 10.1016/j.socscimed.2019.05.039
  • Waldron, H. 2007. “Trends in Mortality Differentials and Life Expectancy for Male Social Security-Covered Workers, by Socioeconomic Status”. Social Security Bulletin 67(3): 1– 28. https://www.ssa.gov/policy/docs/ssb/v67n3/v67n3p1.html
  • Wen, J., T. Kleinow, and A. J. G. Cairns. 2020. “Trends in Canadian Mortality by Pension Level: Evidence from the CPP and QPP”. North American Actuarial Journal. doi: 10.1080/10920277.2019.1679190
  • Wenau, G., P. Grigoriev, and V. Shkolnikov. (2019). “Socioeconomic Disparities in Life Expectancy Gains among Retired German Men, 1997-2016”. Journal of Epidemiology and Community Health 73: 605-611. doi: 10.1136/jech-2018-211742
  • Wu, C., M. C. Odden, M. C., G. Fisher, and R. S. Stawski. 2016. “Association of retirement age with mortality: a population-based longitudinal study among older adults in the USA”. Journal of Epidemiology and Community Health 70(9): 917–923. doi: 10.1136/jech-2015-207097
Fuente de los datos: Dialnet