Trends in health expectancy indicators in the older adult population in Belgium between 1997 and 2004

Abstract

The objective is to assess if longer life in Belgium is associated with more healthy years through the evaluation of trends (1997–2004) in health expectancy indicators at ages 65 and 80 covering different health domains: self-perceived health, chronic morbidity, disease clusters, and disability. Information was obtained from Belgian Health Interview Surveys. Health expectancies were calculated using the Sullivan method. Among males at age 65, the increase in years expected to live without chronic morbidity, without a disease cluster or without disability exceeded the increase of the life expectancy (LE). The rise in LE in good self-perceived health was equal to the gain in LE. Among women at age 65 and among men and women at age 80, none of the changes in the expected years of life in good health in any health domain were statistically significant. At age 65 among women, the increase in LE was smaller than the increase in years without chronic disease or without disability. The increase in years without disease clusters was less that the LE increase. At age 80 among men, the years without disability increased as the LE, with a shift toward years with moderate limitations. In any other health domains for men (except co-morbidity) and in all domains for women the years in good health either decreased or increased less than the LE. The recent rise in life expectancy in Belgium is, among the youngest old and especially among males, accompanied by an improved health status. At age 80 and particularly among women expansion of unhealthy years prevails.

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Fig. 1

Notes

  1. 1.

    http://www.iph.fgov.be/epidemio/epien/index4.htm (see protocol).

  2. 2.

    http://ec.europa.eu/health/ph_projects/2003/action1/docs/2003_1_08_rep2_en.pdf.

References

  1. Bronnum-Hansen H (2005) Health expectancy in Denmark 1987–2000. Eur J Public Health 15:20–25

    Article  Google Scholar 

  2. Bronnum-Hansen H, Juel K (2001) Abstention from smoking extends life and compresses morbidity: a population based study of health expectancy among smokers and never smokers in Denmark. Tobacco Control 10:273–278

    Article  Google Scholar 

  3. Chiang CL (1984) Statistical inference regarding life table functions. In: Chiang CL (ed) The life table and its applications. Robert E Krieger Publishing Company, Malabar, pp 153–167

    Google Scholar 

  4. Crimmins EM (2004) Trends in the health of the elderly. Annu Rev Public Health 25:79–88

    Article  Google Scholar 

  5. de Bruin A, Picavet HS, Nosikov A (1996) Health interview surveys: towards international harmonization of methods and instruments. World Health Organisation, Copenhagen

    Google Scholar 

  6. DeSalvo KB, Bloser N, Reynold K, He J, Muntner P (2006) Mortality prediction with a single general self-rated health question A meta-analysis. J Gen Intern Med 21:267–275

    Article  Google Scholar 

  7. Doblhammer G, Kytir J (2001) Compression or expansion of morbidity? Trends in healthy-life expectancy in the elderly Austrian population between 1978 and 1998. Soc Sci Med 52:385–391

    Article  Google Scholar 

  8. Fries JF (1980) Aging natural death and the compression of morbidity. New Engl J Med 303:130–135

    Google Scholar 

  9. Fries JF (2003) Measuring and monitoring success in compression morbidity. Ann Intern Med 139:455–459

    Google Scholar 

  10. Gruenberg E (1977) The failure of success. Milbank Mem Fund Q Health Soc 45:3–24

    Article  Google Scholar 

  11. Jagger C (1997) Health expectancy calculation by the sullivan method: a practical guide. European Concerted Action on the Harmonization of Health Expectancy Calculations in Europe. Institut National d’ Etudes Démographiques, Paris, pp 1–25

    Google Scholar 

  12. Manton KG (1982) Changing concepts of morbidity and mortality in the elderly population. Milbank Mem Fund Q Health Soc 60:183–244

    Article  Google Scholar 

  13. Manton KG, Gu X, Lamb V (2006) Change in chronic disability from 1982 to 2004/5 as measured by long-term changes in function and health in the US elderly population. Proc Natl Acad Sci USA 103:18374–18379

    Article  Google Scholar 

  14. Mathers C (1991) Health expectancies in Australia 1981 and 1988. Australian Institute of Health, AGPS, Canberra

    Google Scholar 

  15. Mathers CD, Robine JM (1997) How good is Sullivan’s method for monitoring changes in population health expectancies. J Epidemiol Commun Health 51:80–86

    Article  Google Scholar 

  16. Mathers CD, Robine JM, Wilkins R (1994) Health expectancy indicators: recommendations for terminology. In: Mathers CD, McCallum J, Robine JM (eds) Advances in health expectancies: proceedings of the 7th meeting of the international network on health expectancy (REVES). Australian Institute of Health and Welfare, AGPS, Canberra, pp 34–41

  17. Myers G, Lamb V, Agree E (2003) Patterns of disability change associated with the epidemiologic transition. In: Robine jM, Jagger C, Mathers CD, Crimmins E, Suzman R (eds) Determining health expectancies. Wiley, Chichester, pp 59–74

    Google Scholar 

  18. Nagi S (1991) Disability concepts revisited: implications for prevention. In: Pope A, Tarlov A (eds) Disability in America: toward a national agenda for prevention. National Academy Press, Washington, pp 307–327

    Google Scholar 

  19. Nusselder WJ (1998) Compression or expansion of morbidity? A life table approach. Erasmus University, Rotterdam, pp 1–253

  20. Nusselder WJ (2003) Compression of morbidity. In: Robine JM, Jagger C, Mathers CD, Crimmins E, Suzman R (eds) Determining health expectancies. Wiley, Chichester, pp 35–58

    Google Scholar 

  21. Nusselder WJ, Looman CWN, Mackenbach JP (2006) The level and time course of disability: trajectories of disability in adults and young elderly. Disabil Rehabil 28:1015–1026

    Article  Google Scholar 

  22. Nusselder WJ, Peeters A (2006) Successful aging: measuring the years lived with functional loss. J Epidemiol Community Health 60:448–455

    Article  Google Scholar 

  23. Olshansky SJ, Ault AB (1986) The fourth stage of the epidemiologic transition: the age of delayed degenerative diseases. Milbank Q 64:355–391

    Article  Google Scholar 

  24. Perenboom R (2004) Health expectancies in the Netherlands. University of Amsterdam, Amsterdam, pp 1–183

    Google Scholar 

  25. Perenboom R, van Herten L, Boshuizen H, van den Bos GAM (2004) Trends in disability-free life expectancy. Disabil Rehabil 26:377–386

    Article  Google Scholar 

  26. Picavet HS, van den Bos GA (1997) The contribution of six chronic conditions to the total burden of mobility disability in the Dutch population. AJPH 87:1680–1682

    Google Scholar 

  27. Robine JM (2002) A new health expectancy classification system. In: Murray CJL, Salomon JA, Mathers CD, Lopez AD (eds) Summary measures of population health. Concepts, ethics measurement and applications. WHO, Geneva, pp 205–211

    Google Scholar 

  28. Robine JM, Brouard N, Colvez A (1987) Les indicateurs d’espérance de vie sans incapacité (EVSI). Des indicateurs globaux de l’état de santé des populations. Rev Epidémiol Santé Publique 35:206–224

    Google Scholar 

  29. Robine JM, Jagger C, Van Oyen H, Cambois E, Romieu I, Clavel A et al (2005) Are we living longer healthier lives in the EU? Disability-free life expectancy (DFLE) in EU countries from 1991 to 2003 based on the European Household Panel (ECHP). EHEMU Technical Report 2; EHEMU, Montpellier, pp 1–29

  30. Robine JM, Mathers CD (1993) Measuring the compression or expansion of morbidity through changes in health expectancy. In: Robine JM, Mathers CD, Bone MR, Romieu I (eds) Calculation of health expectancies; harmonization, consensus achieved and future perspectives. John Libbey Eurotext, Montrouge, pp 269–286

    Google Scholar 

  31. Robine JM, Michel JP (2004) Looking forward to a general theory on population aging. J Gerontol A Biol Sci Med Sci 59:M590–M597

    Google Scholar 

  32. Robine JM, Romieu I, Michel JP (2003) Trends in health expectancies. In: Robine JM, Jagger C, Mathers CD, Crimmins E, Suzman R (eds) Determining health expectancies. Wiley, Chichester, pp 75–101

    Google Scholar 

  33. Sullivan DF (1971) A single index of mortality and morbidity. HSMHA Health Reports 86:347–354

    Google Scholar 

  34. Van Oyen H, Bossuyt N, Bellamammer L, Deboosere P, Demarest S, Lorant V et al (2005) Composite health measures in Belgium based on the 2001 Census. Arch Public Health 63:107–126

    Google Scholar 

  35. Van Oyen H, Tafforeau J, Hermans H, Quataert P, Schiettecatte E, Lebrun L et al (1997) The Belgian health interview survey. Arch Public Health 55:1–13

    Google Scholar 

  36. Verbrugge LM, Jette AM (1994) The disablement process. Soc Sci Med 38:1–14

    Article  Google Scholar 

  37. WHO (2001) International classification of functioning disability and health: ICF WHO, Geneva

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Correspondence to Herman Van Oyen.

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Van Oyen, H., Cox, B., Demarest, S. et al. Trends in health expectancy indicators in the older adult population in Belgium between 1997 and 2004. Eur J Ageing 5, 137 (2008). https://doi.org/10.1007/s10433-008-0082-8

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Keywords

  • Life expectancy
  • Health expectancy
  • Disability free life expectancy
  • Belgium