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urn:hdl:20.500.12328/5252 Between curing and caring: years of life expectancy with care needs (YLCN) in Ibero-American countries Calderón Jaramillo, Mariana Spijker, Jeroen Rentería, Elisenda Correia Alves, Luciana Social care needs Multimorbidity Healthy life expectancy Ibero-America Ageing Necessitats d'atenció social Multimorbidesa Esperança de vida saludable Ibèroamèrica Envelliment Necesidades de asistencia social Multimorbilidad Esperanza de vida con buena salud Iberoamérica Envejecimiento This study is funded by the Spanish Ministry of Science and Innovation through the projects COMORHEALTHSES (PID2020-113934RB-I00) and WELLHEALTHFAM [PID2023-152779OB-I00], led by JS and ER. MCJ also received the FPI CED/ UAB (PRE2021-097797) and ER from the Ramón y Cajal Program (RYC-2017-22586) from the same ministry. Unprecedented gains in life expectancy call for a nuanced understanding of morbidity and its consequences on social care needs. Despite the observed worldwide gender gap in life expectancy and healthy life expectancy, we still do not know how these longer years women are living are affected by social care needs, nor whether there are cross-country differences in this regard. This study measures the Years of Life Expectancy with Care Needs that individuals are expected to live at age 60, combining (multi)morbidity and social care needs states. By decomposing the gender gap in life expectancy without care needs across five Ibero-American countries (Brazil, Colombia, Mexico, Portugal, and Spain), it also explains the differences between men and women in this regard. Results reinforce the healthsurvival paradox, with women living longer lives and more years in states of multimorbidity and social care needs than men. They also show that in all countries but Spain, the gender gap in years without care needs implies that men are living, on average, longer years than women without healthcare and social care needs. By using an indicator that combines measures of healthcare and social care needs, this study aims to contribute to the evidence required to prepare healthcare systems and social care policies according to ageing populations’ specific dynamics and needs. 2026-01-13 info:eu-repo/semantics/article Calderón-Jaramillo, Mariana; Spijker, Jeroen; Rentería, Elisenda [et al.]. Between curing and caring: years of life expectancy with care needs (YLCN) in IberoAmerican countries. Genus, 2026, 82(1). Disponible en <https://link.springer.com/article/10.1186/s41118-025-00279-8>. Fecha de acceso: 20 mar. 2026. DOI: 10.1186/s41118-025-00279-8 0016-6987 http://hdl.handle.net/20.500.12328/5252 https://doi.org/10.1186/s41118-025-00279-8 eng Genus 82;1 https://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess © The Author(s) 2026. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licens es/by-nc-nd/4.0/. Springer Nature