Decomposing life expectancy changes in Spain in the COVID-19 pandemic and post-pandemic periods - BMC Public Health

Decomposing Life Expectancy Changes in Spain During and After the COVID-19 Pandemic

Background

The COVID-19 pandemic caused a significant decline in life expectancy at birth (LE) in Western Europe in 2020, with recovery only seen by 2023. Despite being heavily affected by the pandemic, Spain maintained the highest life expectancy in the European Union. This study aims to analyze the changes in Spain's life expectancy from 2019 to 2023 by age group and cause of death, and to compare these changes with those from 2010 to 2019, before the pandemic.

Methods

Life expectancy and mortality data by age and main cause of death were sourced from the Spanish National Institute for Statistics (INE) for the years 2010, 2019, 2020, 2021, 2022, and 2023. The Arriaga decomposition method was applied to measure age-specific contributions to life expectancy changes. These age-specific contributions were then assigned proportionally to each major cause of death.

Results

"Infectious diseases were the main contributor to the sharp drop in life expectancy in 2020, accounting for −1.33 years in the total population, with a more severe impact in men (−1.43 years) than in women (−1.16 years)."

Author's Summary

Life expectancy in Spain sharply dropped in 2020 due to infectious diseases but mostly recovered by 2023, with varying effects across age groups and genders.

more

BMC Public Health BMC Public Health — 2025-11-04