Perceived health and life expectancy in EU countries: A machine learning approach for small samples

Health represents a fundamental dimension of individual well-being, but it is equally significant when examined at the societal level, where individual and collective health outcomes are intrinsically interrelated. This study aims to analyse health across the 27 European Union Member States by investigating the impact of various types of determinants and assessing the potential for generating reliable predictions of health indicators. In the first part of the analysis, we focus on the population's self-perceived health status, exploring how different data processing strategies can enhance the performance of machine learning algorithms, particularly in the context of small sample sizes. In the second part, we replicate the same methodological approach using an objective health indicator—life expectancy at birth—in order to compare and contrast the findings. This comparison offers insights into the effectiveness and robustness of the methodological framework applied, and allows for broader reflections on the interplay between subjective and objective measures of health.

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Publication Details

Journal
Statistical Journal of the IAOS
Published
2026-02-10
DOI
https://doi.org/10.1177/18747655251414388
Primary Topic
Health disparities and outcomes
Type
article
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article

Perceived health and life expectancy in EU countries: A machine learning approach for small samples

Francesco Petrucci, Simona Cafieri
Statistical Journal of the IAOS
Health disparities and outcomes
article

Perceived health and life expectancy in EU countries: A machine learning approach for small samples

Francesco Petrucci, Simona Cafieri
article en

Abstract

Health represents a fundamental dimension of individual well-being, but it is equally significant when examined at the societal level, where individual and collective health outcomes are intrinsically interrelated. This study aims to analyse health across the 27 European Union Member States by investigating the impact of various types of determinants and assessing the potential for generating reliable predictions of health indicators. In the first part of the analysis, we focus on the population's self-perceived health status, exploring how different data processing strategies can enhance the performance of machine learning algorithms, particularly in the context of small sample sizes. In the second part, we replicate the same methodological approach using an objective health indicator—life expectancy at birth—in order to compare and contrast the findings. This comparison offers insights into the effectiveness and robustness of the methodological framework applied, and allows for broader reflections on the interplay between subjective and objective measures of health.

Statistical Journal of the IAOSVol. 42(1)
Istituto Nazionale di Statistica (IT), Sapienza University of Rome (IT)
Openalex Percentile: Top 69%
Health disparities and outcomes
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