Determinants of Longevity and Ageing in Good Health (DELAG)

Website of Dr. Marc Luy and his Research Team


09.06.2021: New Publication
Gender disparities in health at older ages and their consequences for well being in Latin America and the Caribbean
Nepomuceno, Marília R.; di Lego, Vanessa; Turra, Cássio M.
Vienna Yearbook of Population Research. 2021 Jun 05; 10.1553/populationyearbook2021.res2.1
Abstract: Women live longer but can expect to spend more years in poorer health compared to men. In the context of population aging and declining gender ratios at older ages, there are increasing concerns about how this disadvantage in female health will aect well-being and sustainability, particularly in developing regions that are rapidly aging. Our study compares dierences in health expectancies at older ages for men and women in order to assess gender disparities in health. We use data from the Survey on Health, Well-Being, and Aging in Latin America and the Caribbean to decompose the gender gap into total and age-specific mortality and disability eects in seven cities in the region. Our results show that at older ages, higher disability rates among women reduced the gender gap in healthy life expectancy by osetting women’s mortality advantage. In addition, we find that women’s mortality advantage decreased almost systematically with age, which reduced the contribution of the mortality eect to the gender gap at older ages. Although the gender gap in health followed a similar pattern across the region, its decomposition into mortality and disability eects reveals that there was substantial variation among cities. Thus, across the region, the implications of the gender gap in health for well-being vary, and the policies aimed at reducing this gap should also dier.

30.05.2021: New Publication
Das Mortalitätsgeschehen während der COVID-19-Pandemie in Deutschland und anderen europäischen Ländern
Sauerberg, Markus
Post-Pandemic Populations: Die soziodemografischen Folgen der COVID-19-Pandemie in Deutschland. 2021 May 16, pp. 14-19
This paper gives a short overview about excess mortality due to COVID-19 in Germany and other European countries.

PhD to Markus Sauerberg
Markus Sauerberg successfully defended his PhD thesis at Vienna University of Economics and Business. CONGRATULATIONS from the whole DELAG team!!!

30.03.2021: New Publication
Testing and measuring the life expectancy of Roma and Travellers
Luy, Marc
Roma and Travellers in six countries. Technical Report. 2021 Mar 30; 10.2811/106484, pp. 114-139
Abstract: Several studies suggest that the population of Roma and Travellers is severely disadvantaged in health and mortality. According to the most widely cited and generally accepted data from the Council of Europe, life expectancy (LE) of this subgroup is between 10 and 15 years lower than that of the general population. However, all existing reports about levels and trends of Roma and Travellers' LE are substantially limited in the comprehensiveness and quality of the available data. As a consequence, it is not clear whether the disadvantage in the number of life years is actually that high. The aim of the present work is therefore to provide additional estimates derived by a different approach and for subpopulations of Roma and Travellers for which no such estimates exist so far. For this purpose, the European Union Agency for Fundamental Human Rights (FRA) included particular questions to the 2019 Roma and Travellers Survey (RTS 2019) which allow the application of a specific indirect approach to estimate LE on the basis of proportions of still living mothers and fathers, the so-called "Orphanhood Method" (OM). The data turned out to be a reliable basis for applying the OM. The results confirm previous estimates regarding the extent of differences in LE between Roma and Travellers and the total national populations. In line with previous reports, the estimated extent of Roma and Travellers' disadvantage varies between countries. For 2016, the estimated differences in LE at birth to the total national populations lies between 7.1 years for female Gypsies and Travellers in the United Kingdom and 14.2 years for male Roma and Caravan Dwellers in Belgium.

New Publication
An indirect method to monitor the fraction of people ever infected with COVID-19
Sánchez-Romero, Miguel; di Lego, Vanessa; Prskawetz, Alexia; Queiroz, Bernardo L.
PLOS ONE. 28 Jan 2021; 16: 1
Abstract: The number of COVID-19 infections is key for accurately monitoring the pandemics. However, due to differential testing policies, asymptomatic individuals and limited large-scale testing availability, it is challenging to detect all cases. Seroprevalence studies aim to address this gap by retrospectively assessing the number of infections, but they can be expensive and time-intensive, limiting their use to specific population subgroups. In this paper, we propose a complementary approach that combines estimated (1) infection fatality rates (IFR) using a Bayesian melding SEIR model with (2) reported case-fatality rates (CFR) in order to indirectly estimate the fraction of people ever infected (from the total population) and detected (from the ever infected). We apply the technique to the U.S. due to their remarkable regional diversity and because they count with almost a quarter of all global confirmed cases and deaths. We obtain that the IFR varies from 1.25% (0.39–2.16%, 90% CI) in Florida, the most aged population, to 0.69% in Utah (0.21–1.30%, 90% CI), the youngest population. By September 8, 2020, we estimate that at least five states have already a fraction of people ever infected between 10% and 20% (New Jersey, New York, Massachussets, Connecticut, and District of Columbia). The state with the highest estimated fraction of people ever infected is New Jersey with 17.3% (10.0, 55.8, 90% CI). Moreover, our results indicate that with a probability of 90 percent the fraction of detected people among the ever infected since the beginning of the epidemic has been less than 50% in 15 out of the 20 states analyzed in this paper. Our approach can be a valuable tool that complements seroprevalence studies and indicates how efficient have testing policies been since the beginning of the outbreak.

New Publication
The Role of Education for Assessing Population Health: An Analysis of Healthy Life Expectancy by Educational Attainment for 16 European Countries
Sauerberg, Markus
Vienna Institute of Demography Working Papers. 2020 Nov 12; VID-WP 05/2020
Abstract: Healthy life expectancy (HLE) is a prominent summary indicator for evaluating and comparing the levels of population health status across Europe. Variations in HLE, however, do not necessarily reflect underlying differences in health and mortality levels among countries and are particularly sensitive when broken down by population subgroups. For instance, despite European countries showing large HLE inequalities by educational level, these countries are also highly heterogenous regarding their educational population composition, which most likely affects their HLE levels. We demonstrate how this compositional effect shapes HLE levels by providing HLE estimates of educational attainment and gender for 16 European countries using the Sullivan method. We use prevalence data about activities of daily living (ADLs) limitations from the European Union Statistics on Income and Living Conditions (EU-SILC) and mortality data from the Eurostat database. We then quantify the magnitude of educational inequalities based on the composite inequality index (CII). Finally, we express total HLE as the sum of education-specific HLEs, weighted by the educational population structure. As expected, we find large educational inequalities in HLE, with men’s CII ranging from about 8.5 years in Portugal to approximately 3 years in Romania. For women, educational inequalities are slightly smaller. The decomposition reveals the population structure’s strong effects on HLE, which can elicit misleading conclusions about people’s health status and potentially turn HLE into an improper measure of educational differences as opposed to a measure of health gaps. For example, low-, medium-, and highly educated individuals in Portugal show more healthy life years than their counterparts in Poland. Still, Poland’s total HLE value slightly exceeds that of Portugal, indicating favorable health and mortality conditions in Poland. However, Poland’s greater relative number of highly educated individuals in its population is responsible for producing this higher total HLE value. We conclude that education is not only paramount for assessing health inequalities across European countries, but also the population composition by educational attainment, because it drives the differences in HLE levels.

01.09.2020: New DELAG team member
The Research Group "Health and Longevity" of the Vienna Institute of Demography welcomes our new team member Magdalena M. Muszynska-Spielauer (see DELAG Team). Magdalena is a demographer with an economic background. She holds a Ph.D. from the Warsaw School of Economics, studied and worked at the Max Planck Institute for Demographic Research and Duke University. She will work primary on the LETHE project (see Projects).

New Publication
The cross-sectional average length of healthy life (HCAL): a measure that summarizes the history of cohort health and mortality
Sauerberg, Markus; Guillot, Michel; Luy, Marc
Population Health Metrics. 31 Aug 2020; 18: 21
Abstract: Healthy life years have superseded life expectancy (LE) as the most important indicator for population health. The most common approach to separate the total number of life years into those spent in good and poor health is the Sullivan method which incorporates the health dimension to the classic period life table, thus transforming the LE indicator into the health expectancy (HE) indicator. However, life years derived from a period life table and health prevalence derived from survey data are based on different conceptual frameworks. Method: We modify the Sullivan method by combining the health prevalence data with the conceptually better fitting cross-sectional average length of life (CAL). We refer to this alternative HE indicator as the “cross-sectional average length of healthy life” (HCAL). We compare results from this alternative indicator with the conventional Sullivan approach for nine European countries. The analyses are based on EU-SILC data in three empirical applications, including the absolute and relative level of healthy life years, changes between 2008 and 2014, and the extent of the gender gap. Results: HCAL and conventional HE differ in each of these empirical applications. In general, HCAL provides larger gains in healthy life years in recent years, but at the same time greater declines in the proportion of healthy life years. Regarding the gender gap, HCAL provides a more favourable picture for women compared to conventional HE. Nonetheless, the extent of these differences between the indicators is only of minor extent. Conclusions: Albeit the differences between HE and HCAL are small, we found some empirical examples in which the two indicators led to different conclusions. It is important to note, however, that the measurement of health and the data quality are much more important for the healthy life years indicator than the choice of the variant of the Sullivan method. Nonetheless, we suggest to use HCAL in addition to HE whenever possible because it widens the spectrum of empirical analyses and serves for verification of results based on the highly sensitive HE indicator.

New Publication
Understanding the cross-sectional association between life expectancy and healthy life years: the CroHaM hypothesis
Luy, Marc
Vienna Institute of Demography Working Papers. 2020 Mar 26; VID-WP 03/2020
Abstract: A central question of interdisciplinary health research is whether the life years gained through increasing life expectancy are primarily spent in good or poor health. Two opposing models have been proposed: "expansion of morbidity" and "compression of morbidity". Existing research based on longitudinal data and time series has supported both approaches, depending on the particular dimension of health under consideration. In this paper we hypothesize that the longitudinal health dimension-specific expansion and compression effects exist equivalently in the cross-sectional association between health and mortality (CroHaM), affecting differences in the number of healthy life years between populations and subpopulations with different levels of life expectancy. The CroHaM hypothesis roots in the observation that most health differentials within and between populations are caused primarily by social factors and it builds on Link and Phelan's "theory of fundamental social causes". We present empirical support for the hypothesis by analyzing the relationship between life expectancy and healthy life years on the basis of different health dimensions for a sample of female and male Catholic order members and their counterparts in the general populations of Germany and Austria. Finally, we outline that the CroHaM hypothesis may also contribute to a better understanding of differences in life years spent in good or poor health and make suggestions for further testing of the CroHaM hypothesis.

New Publication
Gender differences in healthy and unhealthy life expectancy
Di Lego, Vanessa; Di Giulio, Paola; Luy, Marc
International Handbook of Health Expectancies. 2020 Mar 19; 10.1007/978-3-030-37668-0_11
Abstract: There is consistent evidence that women live longer than men at all ages, but spend a higher proportion of their total life expectancy in poorer health, a phenomenon described as the "male-female health-survival paradox" or the "gender paradox in health and mortality". However, it is difficult to explain the process because morbidity by sex differs considerably across domains of health, age groups, social contexts and severity level. In addition, women and men report differently their health in surveys, making it cumbersome to understand whether what drives the paradox is a higher female morbidity or male mortality, a different reporting behaviour, or all of those aspects together. The aim of this chapter is to demonstrate the magnitude of those differences in Europe using different health domain indicators (activity limitation, chronic morbidity and self-perceived health) from the EHEMU Information System and the reporting behaviour by sex from the SHARE survey vignettes.

New Publication
The gender health gap in Europe's ageing societies: universal findings across countries and age groups?
Schmitz, Alina; Lazarevič, Patrick
European Journal of Ageing. 2020 Feb 17; 10.1007/s10433-020-00559-6
Abstract: We provide a systematic country and age group comparison of the gender gap in several generic health indicators and more specific morbidity outcomes. Using data from the Survey of Health, Ageing and Retirement (SHARE), we examined the gender gap in the prevalence of poor self-rated health, chronic health conditions, activity limitations, multimorbidity, pain, heart attacks, diabetes, and depression in three age groups (50-64, 65-79, and 80+) based on linear probability models with and without adjustment for covariates. While women were typically disadvantaged regarding poor self-rated health, chronic health conditions, activity limitations, multimorbidity, pain, and depression, men had a higher prevalence of heart attacks and diabetes. However, the gender gap's magnitude and sometimes even its direction varied considerably with some age trends apparent. Regarding some health indicators, the gender gap tended to be higher in Southern and Eastern Europe than in Western and Northern Europe. All in all, the presence of a gender health gap cannot be regarded as a universal finding as the gap tended to widen, narrow or even reverse with age depending on the indicator and country.

04.12.2019: New Publication
Bedeutung des Gesundheitsindikators bei der Analyse der Gesundheitsfolgen informeller Pflege. Anderer Indikator, anderes Ergebnis?
[Importance of health indicators in the analysis of health effects on informal caregivers. Different indicator, different result?]
Kaschowitz, Judith; Lazarevič, Patrick
Zeitschrift für Gerontologie und Geriatrie. 2019 Dec 04; 53: 10–16;
Abstract: Background: Analysis of the health of informal caregivers is gaining in importance. Research has shown negative effects of caregiving on mental health but the results regarding physical health were ambiguous. It remains unclear whether this can be traced back to the use of different health indicators. Objective: Do the results on the relationship between informal caregiving and health vary depending on the care setting (domestic or external) and the outcome measure? Material and methods: The relationship between informal caregiving inside and outside the domestic setting and the health of the caregiver was modelled using data from the Survey of Health, Ageing and Retirement in Europe (SHARE, waves 1, 2, 4–6). The direction and strength of the relationship between informal caregiving and eight indicators of physical and mental health were compared both cross-sectionally and longitudinally. Results: For most health indicators and in the cross-sectional as well as longitudinal models, negative health effects could be observed. While caregivers in the domestic setting reported worse health than non-caregivers, the opposite was true for caregivers outside the household. The longitudinal model revealed that both negative and positive health changes during informal caregiving were evident depending on the health indicator used. Conclusion: The results confirmed health differences between caregivers inside and caregivers outside the domestic setting. For caregivers outside the household different health outcomes of caregiving were found depending on the chosen health indicator. This underlines that the chosen health indicator as well as the care population under study substantially affect the results of the analysis and the subsequent conclusions.

01.12.2019: New Publication
Stalling of mortality in the United Kingdom and Europe: an analytical review of the evidence
Murphy, Michael; Luy, Marc; Torrisi, Orsola
Social Policy Working Paper 11-19, LSE Department of Social Policy. 2019 Nov 07
Abstract: Improvement in UK mortality rates has declined substantially in this decade and the overall value is now close to zero, a finding which has become politically controversial. A similar but less severe change has been observed in some neighbouring European countries, and the US has exhibited a longer term deterioration in mortality improvement. We review the literature and associated commentary on this phenomenon. These UK trends are observed across sex and age groups, but appear to be more marked in more deprived areas. We assess the hypotheses that have been put forward to explain these trends within a framework that distinguishes between short-term fluctuations and longer-term underlying trends; in particular, the role of seasonal influenza, changes in cardio-vascular disease mortality, Government austerity measures and tempo effects. We conclude that that there is no clear evidence for any specific explanation or combination of causes and that additional studies, especially those including cross-national comparisons are needed.

17.10.2019: New Publication
The male-female health-mortality paradox
Di Lego, Vanessa; Lazarevič, Patrick; Luy, Marc
Encyclopedia of Gerontology and Population Aging. 2019 Oct 17; 10.1007/978-3-319-69892-2_798-2
Abstract: The differences in life expectancy between women and men remained more or less constant until the first half of the twentieth century, with a female advantage of around 2–3 years, and started to increase thereafter. This increase of the gap coincided with a rise among men in cardiovascular diseases, cancer, and accidents and a fall in maternal mortality and in causes of death related to pregnancy among women. Since the beginning of the 1980s, the gap between women and men in overall life expectancy has been slowly narrowing in the developed world. In light of this universal observable male excess mortality, it is surprising that studies on gender differences in morbidity report that women are in worse health than men and that women spend a higher proportion of their total life expectancy in poor health and with limitations. Researchers have most commonly addressed this paradox by focusing either on male excess mortality or on female excess morbidity. Another complementary approach has been to attribute at least a part of the paradox to methodological artifacts that arise due to the survey framework and the behavior dynamics between respondents and interviewers. This encyclopedia entry summarizes all these issues and provides corresponding empirical evidence.

New Publication
Was misst Self-Rated Health? Die Basis subjektiver Gesundheit und Unterschiede nach Geschlecht, Alter und Kohorte in Europa und Kanada
Lazarevič, Patrick
Springer VS. 2019 Nov 27; 10.1007/978-3-658-28026-0
Abstract: Die Definition und Messung von Gesundheit ist der analytische Dreh- und Angelpunkt vieler empirischer Studien. Aus pragmatischen Gründen ist es jedoch oft nicht möglich, umfassende Gesundheitsdaten zu erheben, weshalb häufig eine subjektive Bewertung der Befragten ("Self-Rated Health") verwendet wird. Doch inwieweit wird dabei aufgrund unterschiedlicher Erwartungen, Maßstäbe oder Erfahrungen derselbe Gesundheitsstatus unterschiedlich bewertet? Diese und andere Fragen stehen im Fokus dieser Arbeit. Dabei stellt sich z. B. heraus, dass es große Altersunterschiede darin gibt, welche Gesundheitsaspekte in welchem Ausmaß in die Bewertung eingehen.

08.08.2019: New Publication
Life expectancy: frequently used, but hardly understood
Luy, Marc; Di Giulio, Paola; Di Lego, Vanessa; Lazarevič, Patrick; Sauerberg, Markus
Gerontology. 2019 Aug 08; 10.1159/000500955
Abstract: Period life expectancy is one of the most used summary indicators for the overall health of a population. Its levels and trends direct health policies, and researchers try to identify the determining risk factors to assess and forecast future developments. The use of period life expectancy is often based on the assumption that it directly reflects the mortality conditions of a certain year. Accordingly, the explanation for changes in life expectancy are typically sought in factors that have an immediate impact on current mortality conditions. It is frequently overlooked, however, that this indicator can also be affected by at least three kinds of effects, in particular in the situation of short-term fluctuations: cohort effects, heterogeneity effects, and tempo effects. We demonstrate their possible impact with the example of the almost Europe-wide decrease in life expectancy in 2015, which caused a series of reports about an upsurge of a health crisis, and we show that the consideration of these effects can lead to different conclusions. Therefore, we want to raise an awareness concerning the sensitivity of life expectancy to sudden changes and the menaces a misled interpretation of this indicator can cause.

30.05.2019: REVES Poster Award for Patrick Lazarevič
Congratulations! Patrick Lazarevič received the REVES Poster Award for his poster "A New Short Generic Measure of Health: Is the Minimum European Health Module an Option?"

10.05.2019: PhD to Patrick Lazarevič
Patrick Lazarevic successfully defended his PhD thesis at TU Dortmund today. CONGRATULATIONS from the whole DELAG team!!!

08.03.2019: New Publication
The impact of increasing education levels on rising life expectancy: a decomposition analysis for Italy, Denmark, and the USA
Luy, Marc; Zannella, Marina; Wegner-Siegmundt, Christian; Minagawa, Yuka; Lutz, Wolfgang; Caselli, Graziella
Genus. 2019 Mar 07; 75: 11; 10.1186/s41118-019-0055-0
Abstract: Significant reductions in mortality are reflected in strong increases in life expectancy particularly in industrialized countries. Previous analyses relate these improvements primarily to medical innovations and advances in health-related behaviors. Mostly ignored, however, is the question to what extent the gains in life expectancy are related to structural changes in the populations due to increasing education levels. We decompose changes of the total populations’ life expectancy at age 30 in Italy, Denmark, and the United States, over the 20-year period between 1990 and 2010 into the effects of education-specific mortality changes ("M effect") and changes in the populations' educational structure ("P effect"). We use the "replacement decomposition technique" to further subdivide the M effect into the contributions by the individual education groups. While most of the increases in life expectancy are due to the effect of changing mortality, a large proportion of improvements in longevity can indeed be attributed to the changing structure of the population by level of education in all three countries. The estimated contribution of the P effect ranges from around 15 percent for men in the United States to approximately 40 percent for women in Denmark. This study demonstrates strong associations between education and overall population health, suggesting that education policies can also be seen as indirect health policies.

04.02.2019: New Publication
Socioeconomic disparity in adult mortality in India: estimations using the orphanhood method
Saikia, Nandita; Bora, Jayanta Kumar; Luy, Marc
Genus. 2019 Feb 04; 75: 7; 10.1186/s41118-019-0054-1
Abstract: Due to a lack of data, no study has yet documented differences in adult life expectancy in India by education, caste, and religion. Our objective was therefore to examine disparities in socioeconomic status (SES) in the adult mortality rate (40q30) and life expectancy at age 15 (e15) in India. We estimated adult mortality by SES with the orphanhood method to analyze information related to the survival of respondents’ parents. We used data from the India Human Development Survey 2011–2012. SES was measured by education, caste, religion, and income of the either deceased adults or their offspring. A consistency analysis between orphanhood estimates and official statistics confirmed the robustness of the estimates. Mortality is higher among adults who are illiterate, belong to deprived castes or tribes, have children with a low level of education, and have a low level of household income. The adult mortality rate varies marginally by religion in India. Life expectancy at 15 (e15) is about 3.50 and 5.7 years shorter for illiterate men and women, respectively, compared with literate men and women. The parameter e15 also varies significantly by educational attainment of offspring. On average, parents of children educated to higher secondary level (and above) gain an extra 3.8–4.6 years of adult life compared to parents of illiterate children. Disparity in e15 by caste and religion is smaller than disparity by education or income. These findings reveal that the adult mortality burden falls disproportionately on illiterate adults and adults with less educated offspring. Thus, educational disparity in adult mortality appears to be prominent in Indian context. In the absence of adult mortality statistics by SES in India, we recommend that large-scale surveys should continue collecting data to allow indirect techniques to be applied to estimate mortality and life expectancy in the country

05.12.2018: New Publication
Immediate versus delayed detection of Takotsubo syndrome after epileptic seizures
Stöllberger, Claudia; Sauerberg, Markus; Finsterer, Josef
Journal of the Neurological Sciences. 2019 Feb 15; 397: 42-47
Abstract: Takotsubo syndrome (TTS) is often preceded by emotional or physical stress. Epileptic seizures are described in >100 cases. It is unknown whether patients with immediate and delayed detection of seizure-induced TTS differ. We screened the literature and compared clinical and electrocardiographic (ECG) findings. In 48 cases with seizure-associated TTS, the time between seizure and TTS-detection was reported. Troponin levels were elevated in 37/40. ECG abnormalities were negative T-waves (40%), ST-elevations (33%) and ventricular fibrillation/flutter (10%). Immediate detection was reported in 23 patients, in the remaining 25 patients, TTS was detected 5–288 h postictally. Patients did not differ in gender, age or symptoms. Negative T-waves were more frequent in patients with delayed detection (64 vs. 13%, p = .0009), whereas ECG-abnormalities suggesting acute myocardial infarction tended to be more prevalent in patients with immediate detection. Due to lack of typical symptoms, seizure-induced TTS can be overlooked. Postictally, an ECG should be recorded and troponin levels measured. New T-wave inversions might indicate seizure-induced TTS.

29.11.2018: New Publication
Soziale Unterschiede in der Lebenserwartung [Social differences in life expectancy]
Lampert, Thomas; Hoebel, Jens; Kroll, Lars Eric; Luy, Marc
Public Health Forum. 2018 Nov 28; 26(4): 325-327
Abstract: Social differences in mortality can be understood as an extreme form of social and health inequalities. The studies available for Germany prove that the average life expectancy at birth in the socially disadvantaged population groups is about 5–10 years lower than in the socially better-placed population groups. Furthermore, if only the life-time spent in good health is taken into account, the social differences are even greater. Similar social differences in life expectancy are reported for other European countries and also for the USA.
Zusammenfassung: Soziale Unterschiede in der Mortalität können als extreme Ausprägungsform sozialer und gesundheitlicher Ungleichheiten verstanden werden. Die für Deutschland vorliegenden Studien sprechen dafür, dass die mittlere Lebenserwartung bei Geburt in den sozial benachteiligten Bevölkerungsgruppen etwa 5–10 Jahre niedriger liegt als in den sozial besser gestellten Bevölkerungsgruppen. Wird nur die bei guter Gesundheit verbrachte Lebenszeit berücksichtigt, fallen die sozialen Unterschiede sogar noch größer aus. Für andere europäische Länder und auch die USA werden ähnlich ausgeprägte soziale Unterschiede in der Lebenserwartung berichtet.

31.05.2018: REVES Poster Award for Patrick Lazarevič
Congratulations! Patrick Lazarevič received the third prize of the REVES Poster Award for his poster "Self-rated health as a generic health measurement? Identifying the health information used and the role of gender, age, and country"

27.04.2018: PAA Poster Award for Markus Sauerberg and Marc Luy
Markus Sauerberg and Marc Luy received the PAA Poster Award for their poster "Decreasing Life Expectancy in the United States Between 2014 and 2015: Severe Health Crisis or Just Tempo Effects?"

01.04.2018: New DELAG team member
The Research Group "Health and Longevity" of the Vienna Institute of Demography welcomes our new team member Patrick Lazarevič (see DELAG Team). Patrick is sociologist and he started his Ph.D. project on methodological difficulties in the examination of age(ing) at the TU Dortmund University. He will continue this work inside the LETHE project (see Projects).

10.03.2018: Award for Vanessa Di Lego
Vanessa Di Lego et al.'s article "Mortality selection among adults in Brazil: The survival advantage of Air Force officers" was chosen by editors of the journal Demographic Research as one of the very best papers in Volume 37 of Demographic Research. Congratulations!!! [Link to Article]

01.02.2018: New DELAG team member
The Research Group "Health and Longevity" of the Vienna Institute of Demography welcomes our new team member Vanessa Di Lego (see DELAG Team). Vanessa completed her Ph.D. in demography at the Center for Development and Regional Planning (Cedeplar) in Brazil. Vanessa will work primarily inside the LETHE project (see Projects).

20.10.2017: New publication
Acute coronary syndrome in immigrants and non-immigrants. Results of an Austrian prospective pilot study
Gündüz, Duygu; Lejak, Anita; Wiedemann, Angela; Avanzi, Marion; Winkler, Walther-Benedikt; Ucar-Altenberger, Hadice; Stöllberger, Caludia; Weidinger, Franz
Wiener klinische Wochenschrift. 2017 Oct 20; 129(23-24): 900-905.
Abstract: There are indications that immigrant patients with acute coronary syndrome (ACS) differ in demographic characteristics and clinical presentation from non-immigrant patients. The aim of this prospective pilot study was to gather clinical and sociodemographic data from patients with ACS and to compare immigrants with non-immigrants. Included were consecutive patients who underwent acute coronary angiography in one cardiological department for ACS from September 2011 to September 2013. Information was gathered about age, sex, results of the coronary angiography, classical risk factors, socioeconomic characteristics as well as ethnicity. Patients who had their place of birth outside Austria were specified as immigrants. A total of 100 patients (29% female) with a mean age of 60 years (range 34–91 years) were included. Of the patients 35 (35%) were immigrants, 12 came from Serbia, 4 from Bosnia, 3 from South America, 2 from Germany, 2 from Turkey, 2 from the Czech Republic, 2 from Croatia, 2 from Macedonia, and 1 each from Bangladesh, Poland, Romania, Libya, Bulgaria and Pakistan. Immigrants tended to be younger on average (56 vs. 62 years, p = 0.04) and had a two or multivessel disease more often than the non-immigrants but this difference was not significant (51% vs. 38%, p = 0.29). There were no differences between non-immigrants and immigrants concerning the classical risk factors for ACS (hypercholesterinemia 60% vs. 69%, nicotine abuse 51% vs. 60%, hypertension 69% vs. 79%) except diabetes mellitus (15% vs. 37%, p = 0.02). Sociodemographic data showed differences in education and socioeconomic status (SES). Non-immigrants had jobs with high skill level more often than immigrants (30% vs. 4%, p = 0.02), although there was no difference between immigrants and non-immigrants in the level of high education (9% each); however, immigrants more often had low education (31% vs. 11%, p = 0.01) and a monthly income below 1000 € than non-immigrants (41% vs. 14%, p = 0.03). These results reveal that immigrants with ACS suffered more often from coronary two or multivessel disease and diabetes mellitus and were slightly younger than non-immigrants, although they did not differ regarding classical risk factors. Results suggest that the lower SES of immigrants compared with non-immigrants might contribute to the severity of coronary heart disease.

01.09.2017: Start of the ERC project LETHE / Beginn des ERC-Projekts LETHE
Today started our new research ERC project LETHE for the duration of 5 years (until August 2022). It’s main aim will be to better understand the measurement and estimation sensitivity of the "Health Expectancy" indicator (see Projects).

01.08.2017: New DELAG team member
The Research Group "Health and Longevity" of the Vienna Institute of Demography welcomes our new PhD student Markus Sauerberg (see DELAG Team). Markus studied demography at the University of Rostock and completed successfully the program of the European Doctoral School of Demography. His main tasks will be inside the LETHE project (see Projects)