How bad are life expectancy trends across the UK, and what would it take to get back to previous trends?
Open Access
- 8 May 2020
- journal article
- research article
- Published by BMJ in Journal of Epidemiology and Community Health
- Vol. 74 (9), 741-746
- https://doi.org/10.1136/jech-2020-213870
Abstract
Background Within the UK, there has been debate on whether life expectancy is increasing or decreasing in particular single or 3-year periods, but there has been less thinking whether overall trends have changed. This paper considers the extent to which the trends in life expectancy for the UK and its nations have changed before and after 2011. Methods We used the Office for National Statistics period life expectancy data for the UK and its nations. We used Lee’s approach to project life expectancy based on repeated sampling of year-to-year change in the baseline periods (1990–2011 and 1980–2011) and applied that to 2012 onwards. Findings Improvements in period life expectancy were substantially and consistently lower between 2012 and 2018 than predicted from the trends from 1980 and, especially, from 1990. By 2018, life expectancy was lower than projected for females and males, respectively, by 1.22 and 1.52 years (England), 1.44 and 0.95 years (Northern Ireland), 1.30 and 1.44 years (Scotland), 1.53 and 1.63 years (Wales) and 1.24 and 1.49 years (UK overall), based on the 1990–2011 baseline period. Using a longer baseline period, which includes the slower rates of improvement during the 1980s, slightly reduces the gap between the current life expectancies and the projected medians. Interpretation Future academic and policy focus should be on the deviation of the life expectancy trends from the baseline projection rather than on year-to-year variation. Concerted policy focus to return life expectancy to the projected trends is now urgently required.Keywords
This publication has 10 references indexed in Scilit:
- Trends in life expectancy and age-specific mortality in England and Wales, 1970–2016, in comparison with a set of 22 high-income countries: an analysis of vital statistics dataThe Lancet Public Health, 2019
- Recent adverse mortality trends in Scotland: comparison with other high-income countriesBMJ Open, 2019
- Socioeconomic inequality in recent adverse all-cause mortality trends in ScotlandJournal of Epidemiology and Community Health, 2019
- How have changes in death by cause and age group contributed to the recent stalling of life expectancy gains in Scotland? Comparative decomposition analysis of mortality data, 2000-02 to 2015-17Published by Center for Open Science ,2019
- Trends in life expectancy in EU and other OECD countriesOECD Health Working Papers, 2019
- Convergence and divergence of life expectancy in Europe: a centennial viewEuropean Journal of Epidemiology, 2012
- Has Scotland always been the ‘sick man’ of Europe? An observational study from 1855 to 2006European Journal of Public Health, 2011
- Broken Limits to Life ExpectancyScience, 2002
- Longevity Advances in High‐Income Countries, 1955–96Population and Development Review, 2002
- Modeling and Forecasting U. S. MortalityJournal of the American Statistical Association, 1992