Mortality and life expectancy trends in Spain by pension income level for male pensioners in the general regime retiring at the statutory age, 2005–2018

• Published in: International journal for equity in health Vol. 21; no. 1; pp. 1 - 96
• Main Authors: Pérez-Salamero González, Juan M, Regúlez-Castillo, Marta, Ventura-Marco, Manuel, Vidal-Meliá, Carlos
• Format: Journal Article
• Language: English
• Published: London BioMed Central Ltd 14.07.2022; BioMed Central; BMC
• Subjects: Age; Beneficiaries; Demographic aspects; Economic aspects; Education; Forecasts and trends; Health aspects; Income; Indicators; Inequalities; Inequality; Life expectancy; Life span; Literature reviews; Mortality; Retirees; Retirement; Self employment; Social security; Socioeconomic; Spain; Statistical analysis; Trends; Spain; United States > US
• ISSN: 1475-9276; 1475-9276
• DOI: 10.1186/s12939-022-01697-2

The mortality gradient by income is quantified in two ways: via an indicator referred to as "relative mortality", and by estimating changes in total life expectancy (LE) by PI level at ages 65 and 75 over time. We show that, should the information provided by the relative mortality ratio not be completely clear, a second indicator needs to be introduced to give a broad picture of the true extent of inequality in mortality. The first indicator reveals that, for the period covered and for all age groups, the differences in death rates across PI levels widens over time. At older age groups, these differences across PI levels diminish. The second indicator shows that disparities in LE at ages 65 and 75 between pensioners in the lowest and highest income groups are relatively small, although slightly higher than previously reported for Spain. This gap in LE widens over time, from 1.49 to 2.54 years and from 0.71 to 1.40 years respectively for pensioners aged 65 and 75. These differences are statistically significant. Along with other behavioral and structural aspects, a combination of factors such as the design of the pension system, the universality and quality of the health system, and high levels of family support could explain why LE inequalities for retired Spanish men are relatively small. To establish the reasons for this increased inequality in LE, more research needs to be carried out. An analysis of all Spanish social security records instead of just a sample would provide us with more information.