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, 1989-1990 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, 1989-1990 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 97-01-04-08 Census 2001 Longitudinal data: still no data

7. TF Health Expectancies, 06/20067 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% 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, 06/200610 Total Life Expectancy, Disability Free Life Expectancy and Life Expectancy with Disability at age 65, Belgium, 1997- 2004

11. TF Health Expectancies, 06/200611 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

12. TF Health Expectancies, 06/200612 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

13. TF Health Expectancies, 06/200613 SUMMARY-TREND HIS 1997-2004

14. TF Health Expectancies, 06/200614 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 Bossuyt N. et al. Public Health 118:3, 2004

15. TF Health Expectancies, 06/200615 DIFFERENTIAL INEQUALITY IN DFLE BY REGION between ages 25-74 VAN OYEN H. et al. Soz-Präventivmed 50:301, 2005

16. TF Health Expectancies, 06/200616 DECOMPOSITION OF SES-DIFFERENCES IN DFLE NUSSELDER W. et al. AJPH:95, 2035, 2005

17. TF Health Expectancies, 06/200617 HEALTH EXPECTANCIES BASED ON CENSUS DATA (among males)

18. TF Health Expectancies, 06/200618 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, 06/200619 USE OF THE INDICATOR WITHIN BELGIUM Ministry of Social Affairs Federal Planning Office Health Insurance Agency

20. TF Health Expectancies, 06/200620