Functional health and dependency

The increasing life expectancy raises the question of the quality of the additional years of life. This question has been extensivelly debated since the 1980’s and ecjoes the aging theories of "the compression of morbidity", "the expansion of chronic diseases and mental disorders" and the "dynamic equilibrium".  In this context it is crucial to monitor and analyse trends and patterns of chronic diseases, disabilities and limitations in daily activities that possibly results from a deterirated health. It is also crucial to identify the population exposed to situations of handicap and loss of autonomy. These works explore the health perception, activity limitations, medical factors, social and family factors, needs to maintain activity and social participation as well as future needs for health care and specialized institutions.

Diseases, disability, dependency: concepts and measures

The works aim at defining and measuring the disablement process, from diseases to the situations of handicap.

Selection of publications:

  • Cambois E, Sermet C. (In Press). Population health and its assessment in surveys. In: Shkolnikov V, al., eds. Demographic Studies on Survival and Health: Springer-Max Planck Series.
  • Montaut A, Cambois E. 2011, État de santé et participation sociale des adultes atteints de limitations fonctionnelles, in DREES (eds). L’état de santé de la population en France en 2010. Indicateurs associés à la loi relative à la santé publique. La documentation française.pp57-69
  • Cambois E, Robine JM, Mormiche P. 2007. Une forte baisse de l’incapacité en France dans les années 1990? Discussion autour des questions de l’enquête santé. Population, 62 (2), p. 363-386 ENGLISH: Did the prevalence of disability massively decreased in France over the 1990’s? A discussion of questions asked in the French health survey. Population-E, 62(2) :313-36
  • Cambois E, Robine JM. 2006. L’incapacité et le handicap dans l’enquête santé 2002-2003 : Diversité des approches et usage des indicateurs. Dossiers Solidarité Santé, 2, p. 23-31.
  • Robine JM, Ravaud Jean-François, Cambois E, 1997, General concepts of disablement, in Hamerman D. ( ed.), Osteoarthritis: public health implication for an aging population, Baltimore, John Hopkins University Press, p. 63-83.

Health expectancies

I am producing and analyzing health exectancies indicators pour France and within the European research programmes. I use multiple sources in order to document trends and patterns as well as disparities (social and gender).

Selection of publications:

  • Jagger, C., M. McKee, K. Christensen, K. Lagiewka, W. Nusselder, H. Van Oyen, E. Cambois, B. Jeune, and J.M. Robine. 2013. Mind the gap - reaching the European target of a 2-year increase in healthy life years in the next decade. Eur J Public Health:1-5 (doi:10.1093/eurpub/ckt030).
  • Robine, J.M., E. Cambois, W. Nusselder, B. Jeune, H.V. Oyen, and C. Jagger. 2013. The joint action on healthy life years (JA: EHLEIS). Arch Public Health 71: 2.
  • Cambois E, Blachier A, Robine J-M. 2012. Aging and health in France: an unexpected expansion of disability in mid-adulthood over recent years. European journal of public health.
  • Van Oyen H., Nusselder W., Jagger C., Kolip P., Cambois E., Robine J-M. 2012. Gender differences in Healthy Life Years within the EU: an exploration of the "health-survival" paradox. International Journal of Public Health (DOI: 10.1007/s00038-012-0361-1)
  • Cambois, E., Laborde, C., Romieu, I., Robine, JM. Occupational inequalities in health expectancies in France in the early 2000s: Unequal chances of reaching and living retirement in good health. Demographic Research. 25:407-436
  • Jagger C, Gillies C, Moscone F, Cambois E, Van Oyen H, Nusselder W, Robine JM, team. EHLEIS. 2008. Inequalities in Healthy life expectancies in EU25: a cross-national meta-regression analysis. Lancet, 9656 (372), p. 2124-2131.
  • Cambois E, C Laborde, JM Robine, La "double peine" des ouvriers : plus d’années d’incapacité au sein d’une vie plus courte. Population et sociétés, 2008(441): p. 1-4
  • Cambois E, Clavel A, Robine JM, Romieu I. 2008. Trends in Disability-Free Life Expectancy at Age 65 in France: Consistent and Diverging Patterns According to the Underlying Disability Measure. European Journal of Ageing, (5), p. 287-298.
  • Cambois E, JM Robine, M. Hayward, Social inequalities in disability-free life expectancy in the French male population (1980-1991). Demography, 2001. 38(4): p. 513-524

From diseases to dependency

My research explores the disablement process, from the chronic diseases to disability and the loss of autonomy. The disablement process models, first proposed in the 1970’s described a phases of deterioration of the functioning: impairments and functional limitations induce limittaions on activities which can turn into situation of dependancy on someone’s help in daily activities.

Selection of publications:

  • Montaut A, Cambois E. 2011, État de santé et participation sociale des adultes atteints de limitations fonctionnelles, in DREES (eds). L’état de santé de la population en France en 2010. Indicateurs associés à la loi relative à la santé publique. La documentation française.pp57-69
  • Sabia S, Singh-Manoux A, Hagger-Johnson G, Cambois E, Brunner E, and K. MJ. 2012. Influence of individual and combined healthy behaviours on successful aging. Canadian Medical Association Journal 184: 1985-92 (doi: 10.503/cmaj.121080).
  • Cambois E, JM. Robine, I. Romieu. 2005. The influence of functional limitations and various demographic factors on self-reported activity restriction at older ages. Disab Rehab, 27(15):871-883.
  • Cambois, E., and J.-M. Robine. 2004. Problèmes fonctionnels et incapacités chez les plus de 55 ans : des différences marquées selon les professions et le milieu social. Etudes et résultats 295: 1-8.
  • Cambois, E., and A. Lièvre. 2004. Risques de perte d’autonomie et chances de récupération chez les personnes âgées de 55 ans ou plus : une évaluation à partir de l’enquête Handicaps, incapacité, dépendance. Etudes et résultats 349: 1-11 .
  • Cambois, E. and J.-M. Robine, 2003. Vieillissement et restrictions d’activités : l’enjeu de la compensation des problèmes fonctionnels. Etudes et résultats;261: 1-10.

To the other research fields

Social factors, life course

Gender and health