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HEALTH EXPECTANCY INDICATORS IN BELGIUM

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

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  1. HEALTH EXPECTANCY INDICATORS IN BELGIUM 4th Meeting of the Task Force on Health Expectancies Luxembourg, 4th June 2007 Herman Van Oyen

  2. 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

  3. Healthy life years, Eurobarometer, 1989-1990 TF Health Expectancies, 06/2006 Van Oyen H. et al. Tijdschrift Geneeskunde, 49:1169, 1993

  4. 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

  5. Healthy life years, Eurobarometer, 1989-1990Regional differences TF Health Expectancies, 06/2006 Van Oyen H. et al. Soc Sci Med 43:1673, 1996

  6. 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

  7. 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

  8. 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

  9. 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

  10. Total Life Expectancy, Disability Free Life Expectancy and Life Expectancy with Disability at age 65, Belgium, 1997-2004 TF Health Expectancies, 06/2006

  11. 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

  12. 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

  13. SUMMARY-TRENDHIS 1997-2004 TF Health Expectancies, 06/2006

  14. SES-INEQUALITIES 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

  15. 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

  16. DECOMPOSITION OF SES-DIFFERENCES IN DFLE TF Health Expectancies, 06/2006 NUSSELDER W. et al. AJPH:95, 2035, 2005

  17. HEALTH EXPECTANCIES BASED ON CENSUS DATA (among males) TF Health Expectancies, 06/2006

  18. PLANS FOR THE FUTURE Evolution in SES-differences over time Decomposition of regional differences Estimation of health expectancies by life style factors TF Health Expectancies, 06/2006

  19. USE OF THE INDICATOR WITHIN BELGIUM Ministry of Social Affairs Federal Planning Office Health Insurance Agency TF Health Expectancies, 06/2006

  20. TF Health Expectancies, 06/2006

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