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HEALTH EXPECTANCY INDICATORS IN BELGIUM. 4th Meeting of the Task Force on Health Expectancies Luxembourg, 4 th June 2007 Herman Van Oyen. FIRST ESTIMATIONS. Belgian Science Policy Office (Dec 1991)

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Health expectancy indicators in belgium

HEALTH EXPECTANCY INDICATORS IN BELGIUM

4th Meeting of the Task Force on Health Expectancies

Luxembourg, 4th June 2007

Herman Van Oyen


First estimations
FIRST ESTIMATIONS

Belgian Science Policy Office (Dec 1991)

Project:Disability-free life expectancy in the elderly. A method for well-being planning and decision-making

  • Data availability? Only small/local studies

    • Eurobarometer

  • Indicators: Healthy life expectancy

    • Disability free Life expectancy

    • Dementia free life expectancy

TF Health Expectancies, 06/2006


Healthy life years eurobarometer 1989 1990
Healthy life years, Eurobarometer, 1989-1990

TF Health Expectancies, 06/2006

Van Oyen H. et al. Tijdschrift Geneeskunde, 49:1169, 1993


Dementia free life expectancy 1991 epidemiologic research on dementia antwerp belgium
Dementia free life expectancy, 1991Epidemiologic research on dementia, Antwerp, Belgium

MALES

FEMALES

AGE

TF Health Expectancies, 06/2006

Roelands M. et al. Eur J Pub Hlth 4: 33, 1994


Healthy life years eurobarometer 1989 1990 regional differences
Healthy life years, Eurobarometer, 1989-1990Regional differences

TF Health Expectancies, 06/2006

Van Oyen H. et al. Soc Sci Med 43:1673, 1996


Conclusion
CONCLUSION

Monitoring system

  • Cross-sectional data series: Health survey 97-01-04-08

    • Census 2001

  • Longitudinal data : still no data

TF Health Expectancies, 06/2006


Health expectancy indicators in belgium

DATA

  • Mortality: 97, 01, 04

    Life table: last interval 100-105 years

  • Health: Health Interview Survey 97, 01, 04

    • Face to Face

    • N: 10,000 – 13,000 each survey

    • Response rate: 60%

TF Health Expectancies, 06/2006


Health expectancy indicators in belgium

HEALTH QUESTIONS DISABILITY

Screening: chronic morbidityDo you suffer from one or more longstanding diseases, chronic conditions or handicaps?

YES — NO

TF Health Expectancies, 06/2006


Health expectancy indicators in belgium

HEALTH QUESTIONS DISABILITY

Are you restricted in your daily activities due to this (these) illness(es), chronic condition(s) or handicap(s)?

  • continuously  severe disability

  • every now and then  moderate disability

  • seldom or not /  no disability no chronic disease

TF Health Expectancies, 06/2006


Health expectancy indicators in belgium
Total Life Expectancy, Disability Free Life Expectancy and Life Expectancy with Disability at age 65, Belgium, 1997-2004

TF Health Expectancies, 06/2006


Health expectancy indicators in belgium

Disability free life expectancy (DFLE) and life expectancy with moderate (MDLE) and severe (SDLE) disability as % of the total life expectancy at age 65, 1997-2004, Belgium

TF Health Expectancies, 06/2006


Health expectancy indicators in belgium

Change in total life expectancy (LE), disability free LE (DFLE) and LE with moderate (MDLE) and severe (SDLE) disability at ages 65 and 80 by gender, 1997-2004, Belgium

TF Health Expectancies, 06/2006


Health expectancy indicators in belgium

SUMMARY-TREND (DFLE) and LE with moderate (MDLE) and severe (SDLE) disability at ages 65 and 80 by gender, 1997-2004, BelgiumHIS 1997-2004

TF Health Expectancies, 06/2006


Ses inequalities
SES-INEQUALITIES (DFLE) and LE with moderate (MDLE) and severe (SDLE) disability at ages 65 and 80 by gender, 1997-2004, Belgium

Follow-up census for mortality (1991-1996)

Health survey (1997)

Partial LE and DFLE between ages 25-74 by relative level of education, Belgim 1991-1996/1997

M_LE

F_LE

M_DFLE

F_DFLE

TF Health Expectancies, 06/2006

Bossuyt N. et al. Public Health 118:3, 2004


Differential inequality in dfle by region between ages 25 74
DIFFERENTIAL INEQUALITY IN DFLE BY REGION between ages 25-74

TF Health Expectancies, 06/2006

VAN OYEN H. et al. Soz-Präventivmed 50:301, 2005


Decomposition of ses differences in dfle
DECOMPOSITION OF 25-74 SES-DIFFERENCES IN DFLE

TF Health Expectancies, 06/2006

NUSSELDER W. et al. AJPH:95, 2035, 2005


Health expectancies based on census data among males
HEALTH EXPECTANCIES BASED ON CENSUS DATA (among males) 25-74

TF Health Expectancies, 06/2006


Plans for the future
PLANS FOR THE FUTURE 25-74

Evolution in SES-differences over time

Decomposition of regional differences

Estimation of health expectancies by life style factors

TF Health Expectancies, 06/2006


Use of the indicator within belgium
USE OF THE INDICATOR WITHIN BELGIUM 25-74

Ministry of Social Affairs

Federal Planning Office

Health Insurance Agency

TF Health Expectancies, 06/2006