Abstract
Health is a dynamic process and individuals differ in their pathways, experiencing deterioration, but also recovery. Subgroups of the population may have fundamentally different, often non-linear developments of their health, which, in aggregate form, follow the well-known deteriorating trend with age. Changes in health status over time may not only affect the level of health and disability, but may also alter individual pathways. Possible changes in individual pathways are overlooked in the typical studies of compression or expansion of disability based on the prevalence of disability in the context of the Sullivan Method (Sullivan 1971) or the incidence of health transitions in combination with multi-state life tables (e.g., for one of the most recent studies see Cai/Lubitz (2007).
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