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Life expectancy is a summary measure of mortality rates 2 World Population Prospects, the 2015 revision (WPP2015). New York (NY): United
at all ages, and all health and health-related programmes Nations DESA, Population Division; and WHO annual life tables for 1985–2015 based
on the WPP2015, on the data held in the WHO Mortality Database and on HIV mortality
estimates prepared by UNAIDS.
1 For reports of WHO technical meetings, see: http://www.who.int/healthinfo/sage/ 3 Oeppen J, Vaupel JW. Demography. Broken limits to life expectancy. Science
meeting_reports/en/ (accessed 9 April 2016). 2002;296(5570):1029–31.
Figure 3.2
Figure 3.2
Life expectancy at birth and healthy life expectancy at birth (years),a both sexes, 2015
a Values shown refer to life expectancy at birth. Light blue bars represent provisional estimates of healthy life expectancy at birth. Dark blue bars represent lost health expectancy, defined as the difference between life expectancy
and healthy life expectancy.
Global life expectancy in 2015 was 71.4 years. Life expectancy On average, women live longer than men in every country
estimates by country for 2015 (both sexes combined) are of the world and in every WHO region (Fig. 3.3). Overall,
shown in Fig. 3.2. Twenty-nine countries have an average life female life expectancy is 73.8 years and male life expectancy
expectancy of 80 years or higher. Life expectancy exceeds is 69.1 years. Globally, female life expectancy at birth passed
82 years in 12 countries: Switzerland, Spain, Italy, Iceland, male life expectancy at birth in the 1970s and the difference
Israel, France and Sweden in the WHO European Region; reached 4.6 years in 2015. Among high-income OECD
countries, the male-female gap peaked at 6.9 years in the
1 An overarching health indicator for the post-2015 development agenda. Brief summary 1990s and has been declining since to reach 5.2 years in
of some proposed candidate indicators. Background paper for expert consultation,
11–12 December 2014. Geneva: World Health Organization; 2014 (http://www.who. 2015. Countries with the highest and lowest life expectancy
int/healthinfo/indicators/hsi_indicators_SDG_TechnicalMeeting_December2015_
BackgroundPaper.pdf?ua=1, accessed 9 April 2016).
Figure 3.3
Life expectancy by sex, by WHO region, 2015a
85
81
80
78
76
75 75
75
72 72
71 71
70
Years
68
65
63
60 59
55
50
a Each circle represents a country value; numbers and horizontal lines indicate the median value (middle point) for each subgroup; light grey bands indicate the interquartile range (middle 50%) for each subgroup.
1 An overarching health indicator for the post-2015 development agenda. Brief summary
of some proposed candidate indicators. Background paper for expert consultation,
11–12 December 2014. Geneva: World Health Organization; 2014 (http://www.who.
int/healthinfo/indicators/hsi_indicators_SDG_TechnicalMeeting_December2015_
BackgroundPaper.pdf?ua=1, accessed 9 April 2016). 4 WHO methods and data sources for global burden of disease estimates 2000–2011.
2 World Health Statistics [2005–2015]. Geneva: World Health Organization (series Global Health Estimates Technical Paper WHO/HIS/HSI/GHE/2013.4. Geneva:
available at: http://www.who.int/gho/publications/world_health_statistics/en/, World Health Organization; 2013 (http://www.who.int/healthinfo/statistics/
accessed 9 April 2016). GlobalDALYmethods_2000_2011.pdf?ua=1, accessed 4 March 2016).
3 WHO methods for life expectancy and healthy life expectancy. Global Health Estimates 5 Global Burden of Disease Study 2013 Collaborators. Global, regional, and national
Technical Paper WHO/HIS/HSI/GHE/2014.5. Geneva: World Health Organization; 2014 incidence, prevalence, and years lived with disability for 301 acute and chronic
(http://www.who.int/healthinfo/statistics/LT_method.pdf?ua=1&ua=1, accessed 9 April diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the
2016). Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743–800.
75
72
70
68 68
67
65
65 64 63
63 63
61
Years
60
55 54
52
50
45
a Each circle represents a country value; numbers and horizontal lines indicate the median value (middle point) for each subgroup; light grey bands indicate the interquartile range (middle 50%) for each subgroup.
Globally, male and female HLEs are 61.5 and 64.6 years expectancy at birth in 2015, with considerable statistical
respectively with substantial differences between male uncertainty associated with the estimates, especially at
and female HLE in all WHO regions (Fig. 3.5). The largest country level.
difference is observed in the WHO European Region where
women can expect 5 more healthy life years than men. Other methods for measuring population health status,
The smallest difference is found in the WHO South-East such as monitoring of the European Union target of gaining
Asia Region, where women have only one extra year of 2 healthy life years by 2020, also present challenges
healthy life. in terms of the availability of data on population-level
functional status that are comparable over time and
In terms of SDG monitoring purposes, determining the across populations, and that are collected through regular
usefulness of HLE estimates is complex. The YLD-based surveys.1,2 To date there is no generally accepted standard
approach to calculating HLE relies on extensive modelling survey instrument and methodology that allows for the
of disease and injury sequelae prevalence and distribution, comparable measurement of health-state distributions in
and on aggregating these to population levels in order to populations.3,4,5
calculate the healthy proportion of years lived at each age.
Because the approach relies heavily on statistical modelling
and the use of predictive variables to produce estimates
of disease incidence and prevalence, it is less suitable for 1 Europe 2020 – for a healthier EU [website]. Brussels: European Commission (http://
detecting short-term changes and monitoring progress, ec.europa.eu/health/europe_2020_en.htm, accessed 16 September 2015).
2 Advanced research on European health expectancies [website]. EurOhex (http://www.
especially at the country level. Additionally, the YLD-based eurohex.eu/, accessed 16 September 2015). Includes the Joint Action: European Health
component is dominated by causes such as musculoskeletal & Life Expectancy Information System (JA:EHLEIS).
3 Romieu I, Robine JM. World atlas of health expectancy calculations. In: Mathers CD,
conditions, depression and neurological conditions for McCallum J, Robine JM, editors. Advances in health expectancies. Canberra: Australian
which country-specific data are sparse and infrequent. Such Institute of Health and Welfare; 1994.
4 King G, Murray CJL, Salomon JA, Tandon A. Enhancing the validity and cross-cultural
data are also often based on self-reporting, and there are comparability of measurement in survey research. American Political Science Review.
significant comparability problems across countries. There 2003;97(4):567–83.
5 An overarching health indicator for the post-2015 development agenda. Brief summary
are also substantial data gaps on severity distributions of some proposed candidate indicators. Background paper for expert consultation,
within populations. In addition, there was only limited 11–12 December 2014. Geneva: World Health Organization; 2014 (http://www.who.
int/healthinfo/indicators/hsi_indicators_SDG_TechnicalMeeting_December2015_
variation (<2 years) across the WHO regions in lost health BackgroundPaper.pdf?ua=1, accessed 9 April 2016).
Number Percentage
of WHO of global
Available recent data Member deaths in
(since 2005) Statesa 2015 b Methods
Complete death-registration
59 28 Observed death rates
datac
Incomplete death-
38 25 Adjusted death rates
registration data
Other population-
Estimated death rates and
representative data on 18 (3) 25
model life table systems
age-specific mortalityd
Data on child (under 5 years)
Estimated death rates and
and adult (15–59 years) 30 (18) 12
model life table systems
mortality onlyd
Data on child mortality onlyd 37 (22) 10 Model life table systems
Projected from data for
No recent data 1 <1
years before 2005
a Only includes 183 Member States with population above 90 000 in 2015.
b Percentage of global deaths that occur in the countries included in each category – not the percentage registered
or included in datasets.
c Completeness of 90% or greater for de facto resident population; as assessed by WHO and the United Nations
Population Division, 2016.
d Numbers in parenthesis show the number of high HIV prevalence countries for which multistate epidemiological
modelling for HIV mortality was also carried out.