Estimating Spatial Differentials in Life
Expectancy in Greece at Local
Authority Level
Cleon Tsimbos
1
, Stamatis Kalogirou
2
and Georgia Verropoulou
1,3,
*
1
Department of Statistics and Insurance Science, University of Piraeus, Piraeus, Greece
2
Department of Geography, Harokopio University, Athens, Greece
3
Institute of Education, University of London, London, UK
ABSTRACT
The aims of this paper are to estimate, for the
first time for Greece, life expectancy at birth by
gender at local authority level and to explore
spatial patterns. The data used in the analysis
come from the vital registration system of
Greece and the 2001 population census. For
areas with male/female population 5,000 or
more, representing 97% of the total, abridged
life tables are constructed by employing the
Chiang methodology. For local areas of less
than 5,000, estimates of expectation of life at
birth are obtained by employing regression
models. Standard errors of life expectancy are
estimated using the Chiang approximation as
well as the Scherbov–Ediev reference tables.
The results are presented in thematic as well as
cluster maps; the latter are based on local
Moran’s I spatial autocorrelation statistics.
Local populations are ranked by level of
deprivation in three groups, low, medium, and
high, and differences in mean life expectancies
are assessed. The findings indicate that across
localities, life expectancy ranges from 70.7 to
79.6 for men (8.9-year difference) and from 76.1
to 82.5 for women (6.4-year difference). More
deprived areas exhibit lower life expectancy but
greater sex difference. Comparatively high life
expectancy is found in Crete, the Aegean and
Ionian Islands, the Peloponnese,
Central-Western Greece and in Athens and
Thessaloniki metropolitan areas; conditions are
unfavourable in North-Eastern Greece
(particularly Thrace). Life expectancy standard
errors, based on the two aforementioned
procedures, are close, but Chiang
approximation tends to underestimate to some
extend standard errors particularly for
populations 5,000–10,000. Copyright © 2013
John Wiley & Sons, Ltd.
Accepted 02 May 2013
Keywords: local life expectancy; estimation for
small area populations; Chiang method; Scherbov–
Ediev reference tables; spatial patterns; Greece
INTRODUCTION
S
mall area estimation of mortality and
evaluation of the causes of differentials at
local authority level are very important in
formulating appropriate public health policies
aiming at reducing inequalities in health and
increasing the length of life of the population.
Expectation of life at birth is an appropriate
summary measure of mortality extensively used
in the assessment of regional disparities. It is
preferable to directly or indirectly standardised
mortality indices as it is more intuitive, immedi-
ate, easily interpretable, and understood by non-
demographic or statistical lay people or competent
health authorities (Silcocks et al., 2001; Tobias
and Cheung, 2003).
Estimation of life expectancy at birth (e
0
) and
subsequent ages initially requires the construction
of a life table. The main problem in constructing
life tables at local level is the small size of the
populations exhibited in census counts. Small
population size means a small number of deaths
and, in several instances, zero or insufficient
number of vital events in some age groups for
*Correspondence to: Correspondence to: Georgia Verropoulou,
Department of Statistics and Insurance Science, University of
Piraeus, Piraeus, Greece.
E-mail: gverrop@unipi.gr
Copyright © 2013 John Wiley & Sons, Ltd.
POPULATION, SPACE AND PLACE
Popul. Space Place (2013)
Published online in Wiley Online Library
(wileyonlinelibrary.com) DOI: 10.1002/psp.1800