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Unit of EPIDEMIOLOGY SCIENTIFIC INSTITUTE OF PUBLIC HEALTH HEALTH EXPECTANCY INDICATORS IN BELGIUM 4th Meeting of the Task Force on Health Expectancies.

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Presentation on theme: "Unit of EPIDEMIOLOGY SCIENTIFIC INSTITUTE OF PUBLIC HEALTH HEALTH EXPECTANCY INDICATORS IN BELGIUM 4th Meeting of the Task Force on Health Expectancies."— Presentation transcript:

1 Unit of EPIDEMIOLOGY SCIENTIFIC INSTITUTE OF PUBLIC HEALTH HEALTH EXPECTANCY INDICATORS IN BELGIUM 4th Meeting of the Task Force on Health Expectancies Luxembourg, 4 th June 2007 Herman Van Oyen

2 TF Health Expectancies, 06/20062 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

3 TF Health Expectancies, 06/20063 Healthy life years, Eurobarometer, Van Oyen H. et al. Tijdschrift Geneeskunde, 49:1169, 1993

4 TF Health Expectancies, 06/20064 Dementia free life expectancy, 1991 Epidemiologic research on dementia, Antwerp, Belgium Roelands M. et al. Eur J Pub Hlth 4: 33, 1994 AGE FEMALESMALES

5 TF Health Expectancies, 06/20065 Healthy life years, Eurobarometer, Regional differences Van Oyen H. et al. Soc Sci Med 43:1673, 1996

6 TF Health Expectancies, 06/20066 CONCLUSION Monitoring system Cross-sectional data series: Health survey Census 2001 Longitudinal data: still no data

7 TF Health Expectancies, 06/20067 Mortality: 97, 01, 04 Life table: last interval years Health: Health Interview Survey 97, 01, 04 Face to Face N: 10,000 – 13,000 each survey Response rate: 60% DATA

8 TF Health Expectancies, 06/20068 Screening: chronic morbidity Do you suffer from one or more longstanding diseases, chronic conditions or handicaps? YES NO HEALTH QUESTIONS DISABILITY

9 TF Health Expectancies, 06/20069 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 HEALTH QUESTIONS DISABILITY

10 TF Health Expectancies, 06/ Total Life Expectancy, Disability Free Life Expectancy and Life Expectancy with Disability at age 65, Belgium,

11 TF Health Expectancies, 06/ Disability free life expectancy (DFLE) and life expectancy with moderate (MDLE) and severe (SDLE) disability as % of the total life expectancy at age 65, , Belgium

12 TF Health Expectancies, 06/ 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, , Belgium

13 TF Health Expectancies, 06/ SUMMARY-TREND HIS

14 TF Health Expectancies, 06/ SES-INEQUALITIES Follow-up census for mortality ( ) Health survey (1997) Partial LE and DFLE between ages by relative level of education, Belgim /1997 M_LE F_LE M_DFLE F_DFLE Bossuyt N. et al. Public Health 118:3, 2004

15 TF Health Expectancies, 06/ DIFFERENTIAL INEQUALITY IN DFLE BY REGION between ages VAN OYEN H. et al. Soz-Präventivmed 50:301, 2005

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

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

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

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

20 TF Health Expectancies, 06/200620


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