REVES 2005 1

Scientific Institute of Public Health

Unit of Epidemiology

HEALTH EXPECTANCIES IN BELGIUMHEALTH EXPECTANCIES IN BELGIUM

RESULTS FROM THE 2001 CENSUSRESULTS FROM THE 2001 CENSUS

H. Van Oyen (ISP)S. Demarest (ISP)PJ. Miersman (ISP)P. Deboosere (VUB)V. Lorant (UCL)

REVES 2005 2

OBJECTIVE

Describe the health status of Belgian

population by gender and region

self perceived health

longstanding morbidity

disability by severity

REVES 2005 3

DATA

Mortality: 2001Life table: last closed interval 100-105 yrs

Health:census 2001Postal

N = 9 333 428, aged 5 yrs+

Response rate : 98%

REVES 2005 4

Health questions

Subjective healthHow is your health in general?

very good/good

versus

fair/bad/very bad

REVES 2005 5

Health questions

Chronic morbidityDo you suffer from one or more

longstanding diseases, chronic conditions or handicaps?

yes

versus

no

REVES 2005 6

Health questionsDisability

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

continously severe disability

every now and then moderate disability

seldom or not

REVES 2005 7

Health expectancy indicators

Healthy life expectancy: HE

Morbidity Free life expectancy: MFLE

Disability Free life expectancy: DFLE

Life expectancy with

moderate disability: MDLE

Severe disability: SDLE

REVES 2005 8

Estimation method

Sullivan

Variance: part due to mortality and part due to survey

Prevalence 0-4 yrs = 5-9 yrs

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REVES 2005 9

Prevalence of different health indicators in selected age groups, Census 2001, Belgium

Good subjective

health No chronic morbidity No disability Moderate disability Severe disability

Males Females Males Females Males Females Males Females Males Females

5 – 9 0.97 0.98 0.94 0.96 0.96 0.97 0.02 0.02 0.02 0.01 25 – 29 0.91 0.91 0.89 0.91 0.93 0.93 0.05 0.05 0.02 0.02 45 – 49 0.76 0.73 0.78 0.78 0.83 0.81 0.10 0.11 0.07 0.08 65 – 69 0.52 0.49 0.60 0.61 0.67 0.67 0.17 0.18 0.15 0.15 85 – 89 0.26 0.22 0.42 0.38 0.48 0.42 0.18 0.16 0.35 0.42

REVES 2005 10

Healthy life expectancy, Census 2001, Belgium

Life expectancy

Healthy Life expectancy

% of remaining life in good subjective

health

At age 0

Males 75.42 (75.30 - 75.54) 58.00 (57.93 - 58.08) 76.91

Females 81.67 (81.56 - 81.78) 59.46 (59.40 - 59.52) 72.81

At age 5

Males 70.88 (70.77 - 70.99) 53.51 (53.45 - 53.57) 75.49

Females 77.08 (76.98 - 77.18) 54.88 (54.83 - 54.93) 71.2

At age 65

Males 16.24 (16.17 - 16.31) 6.57 (6.54 - 6.60) 40.45

Females 20.23 (20.16 - 20.30) 7.05 (7.02 - 7.07) 34.83

REVES 2005 11

Morbidity free life expectancy, Census 2001, Belgium

Life expectancy

Life expectancy without chronic morbidity

and 95% CI

% of remaining life without

chronic morbidity At age 0

Males 75.42 59.70 (59.61 - 59.78) 79.15 Females 81.67 63.38 (63.31 - 63.45) 77.61 At age 5 Males 70.88 55.34 (55.26 - 55.41) 78.07 Females 77.08 58.90 (58.84 - 58.97) 76.42 At age 65 Males 16.24 8.55 (8.51 - 8.59) 52.64 Females 20.23 10.12 (10.08 - 10.16) 50.02

REVES 2005 12

Disability free life expectancy (DFLE) and life expectancy with moderate (MDLE) and severe (SDLE) disability, Census 2001, Belgium

0

10

20

30

40

50

60

70

80

0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100

SDLE

MDLE

DFLE

0

10

20

30

40

50

60

70

80

0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100

SDLE

MDLE

DFLE

Males Females

REVES 2005 13

Gender differences in life expectancy (LE), healthy life expectancy (HE), morbidity free life expectancy (MFLE), disability free life expectancy (DFLE) and life expectancy with moderate (MDLE) and severe (SDLE) disability at ages 0 and 65 years, Census 2001, Belgium

0

1

2

3

4

5

6

7

LE HE MFLE DFLE MDLE SDLE

0

65

REVES 2005 14

Health expectancy indicators by gender and region, Census 2001, Belgium

0

10

20

30

40

50

60

70

80S

ubje

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Mor

bidi

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Dis

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Sub

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Mor

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Dis

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Mor

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Dis

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Sub

ject

ive

Mor

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Dis

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Mor

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Dis

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Sub

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Mor

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Dis

abili

ty

Males Females Males Females Males Females

Flemish region Brussels region Walloon region

Yea

rs

Severe

Bad

Good

REVES 2005 15

Difference in life expectancy and health expectancy indicators in women between the Flemish and Walloon Region, Census 2001, Belgium

-3

-2

-1

0

1

2

3

4

5

6

7

8

0 25 45 65 85

Age

Yea

r

LE HEX MFLE DFLE MDLE SDLE

REVES 2005 16

Disability free life expectancy (DFLE) and life expectancy with moderate (MDLE) and severe (SDLE) disability by provinces, Census 2001, Belgium

0 10 20 30 40 50 60 70 80

Vlaams BrabantAntwerpen

LimburgWest-Vlaanderen Brabant WalloonOost-Vlaanderen

BrusselsLiège

LuxembourgNamur

Hainaut

Vlaams BrabantWest-Vlaanderen

Limburg Brabant Walloon

AntwerpenOost-Vlaanderen

BrusselsLuxembourg

NamurLiège

Hainaut

Mal

esF

emal

es

DFLE

MDLE

SDLE

REVES 2005 17

CONCLUSIONRegional differences

Shorter life

Less years of life in good health

More years of life in ill health

Gender differencesShorter life

Less years of life in good health

Less years of life in ill health

REVES 2005 18

Evolution of Life expectancy (LE), Disability free life expectancy (DFLE) and life expectancy with disability (DLE) and moderate (MDLE) and severe (SDLE) disability 1997-2001, Belgium

-0.8

-0.6

-0.4

-0.2

0

0.2

0.4

0.6

0.8

1

1.2

Males

Females

LE DFLE

DLE MDLE

SDLE