Resumo

DOMINGUEZ, Emma et al. Impact of diabetes on the duration and quality of life of the Cuban population: years 1990, 1995, 2000 and 2003. Rev Cubana Endocrinol [online]. 2006, vol.17, n.2. ISSN 1561-2953.

Healthy life expectancy is a type of summary measure of the health status of a population. These indicators combine mortality and morbidity to quantify the burden of illnesses. The objective of this paper is to identify differences in the integral burden (combining mortality and morbidity) of diabetes between sexes and age groups, as well as to describe variations of its behavior in time (years 1990, 1995, 2000 and 2003). The indicator known as healthy life expectancy was used. To calculate it, the usual life expectancy was obtained starting from the life table, and considering only mortality from diabetes. Once life expectancy was attained, it was adjusted taking into account the morbidity from this condition. This adjustment was made based on prevalence and severity. Assumming that life expectancy has a maximum value of 100, the healthy life expectancy at birth of the Cubans (mortality and morbidity only from diabetes) decreased between 1990 and 2003 from 99.6 to 99.3 and from 99.3 to 99.0 among men and women, respectively, evidencing an increase of the integral burden by this condition in this period. Men showed a healthy life expectancy higher than women during the 4 years under study (99.6 vs 99.3; 99.7 vs 99.2; 99.5 vs 99.2 and 99.3 vs 99.0). The impact of morbidity on life expectancy raised between 1990 and 2003 from 0.l9 to 0.46 % in men, and from 0.33 to 0.76 % in women. According to these results, we can conclude that the effect of diabetes on healthy life expectancy grew mainly at the expense of morbidity during this period.

Palavras-chave : Summary measures of the population health status; life expectancy; mortality; morbidity.

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