Differential inequity in health expectancy by region in Belgium |
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Authors: | Van Oyen Herman Bossuyt Nathalie Deboosere Patrick Gadeyne Sylvie Abatih Emmanuel Demarest Stefaan S |
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Institution: | (1) Unit of Epidemiology Scientific Institute of Public Health, J. Wytsmanstraat 14, B-1050 Brussels, Belgium;(2) Interface Demography, Department of Social Research, Faculty of Economic, Social and Political Sciences, Vrije Universiteit Brussels, Brussels, Belgium |
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Abstract: | Summary.
Objectives: To evaluate the size of social inequities in health between regions in Belgium using a composite health measure, the disability
free life expectancy (DFLE).
Methods: Mortality data (5-years follow-up of the 1991 census) are combined with the 1997 Health Interview Survey to estimate the
DFLE by education. Differences in partial life expectancy25–74 (LE25–74) and in DFLE25–74 between those at the bottom and those at the top of a relative social scale are used to compare the regional inequities.
Results: The higher educated person has a longer LE, with more years free of disability and less years with disability (in years:
Flemish males: LE = 46.48; DFLE = 42.08; Walloon males: LE = 44.92; DFLE = 39.80; Flemish females: LE = 47.90; DFLE =41.93;
Walloon females: LE = 46.90; DFLE = 39.84) compared to the population at the bottom of the education hierarchy (in years:
Flemish males: LE = 44.86; DFLE = 30.16; Walloon males: LE = 42.77; DFLE = 27.00; Flemish females: LE = 46.86; DFLE =28.30;
Walloon females: LE = 45.44; DFLE = 25.30). The inequity in LE and in DFLE is larger in the Walloon Region than in the Flemish
Region. Only the regional difference in inequity in LE is statistically significant.
Conclusion: The DFLE can be used to monitor the size of health inequities.
An erratum to this article is available at . |
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Keywords: | Equity in health Health expectancy Life expectancy Disability free life expectancy Education |
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