Gezonde levensverwachting op oudere leeftijd: een vergelijking van migranten en niet-migranten in drie Europese landen over tijd

Healthy life expectancy of older migrants and non-migrants in three European countries over time

Samenvatting

In dit artikel bestuderen we ten eerste in hoeverre de gezonde levensverwachting op 50-jarige leeftijd (GLV50) verschilt tussen migranten en niet-migranten in België, Nederland en Engeland & Wales. Ten tweede bestuderen we voor de twee laatstgenoemde landen ook de verandering hierin tussen 2001 en 2011. Gegevens over bevolking, sterfte en zelf-gerapporteerde gezondheid komen uit de bevolkingsregisters, de census en gezondheidsenquêtes. De GLV50 is berekend voor niet-migranten, westerse en niet-westerse migranten naar geslacht. Decompositietechnieken zijn gebruikt om te bepalen of verschillen in GLV50 tussen de herkomstgroepen en veranderingen in GLV50 over tijd kunnen worden toegeschreven aan verschillen in sterfte of gezondheid. De resultaten laten zien dat, voor mannen en vrouwen in de drie landen, oudere – met name niet-westerse – migranten naar verwachting minder jaren in goede gezondheid leven dan oudere niet-migranten. Dit verschil kan voornamelijk worden toegeschreven aan gezondheidsverschillen. Waar in Nederland de verschillen in GLV50 tussen migranten en niet-migranten gedaald zijn over de tijd, zijn de verschillen in Engeland & Wales toegenomen. Verbeteringen in GLV50 kunnen voornamelijk toegeschreven worden aan afname in sterfte. Interventies gericht op het verkleinen van ongelijkheden in gezondheid en sterfte tussen ouderen met en zonder migratieachtergrond zouden zich moeten focussen op preventie, vooral onder niet-westerse migranten.

Abstract

We analysed differences in healthy life expectancy at age 50 (HLE50) between migrants and non-migrants in Belgium, the Netherlands, and England and Wales, and their trends over time between 2001 and 2011 in the latter two countries. Population, mortality and health data were derived from registers, census or surveys. HLE50 was calculated for non-migrants, western and non-western migrants by sex. We applied decomposition techniques to determine whether differences in HLE50 between origin groups and changes in HLE50 over time were attributable to either differences in mortality or health. The results show that in all three countries and among both sexes, older migrants, in particular those from non-western origin, could expect to live fewer years in good health than older non-migrants, mainly because of differences in self-rated health. Differences in HLE50 between migrants and non-migrants diminished over time in the Netherlands, but they increased in England and Wales. Improvements in HLE50 over time were mainly attributable to mortality decline. Interventions aimed at reducing the health and mortality inequalities between older migrants and non-migrants should focus on prevention, and target especially non-western migrants.

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Correspondence to Helga A. G. de Valk.

Additional information

Dit artikel is een Nederlandse bewerking van Reus-Pons M, Kibele EUB, Janssen F (2017). Differences in healthy life expectancy between older migrants and non-migrants in three European countries over time. International Journal of Public Health 62:531–540.

Bijlage

Bijlage

Tabel 6 Tijdelijke levensverwachting (TLV50–79) en gezonde levensverwachting (TGLV50–79) tussen de leeftijd van 50 en 79 naar geslacht en herkomst, in België (2001), Nederland (2001, 2011) en Engeland & Wales (2001, 2011)
Tabel 7 Gezonde levensverwachting (GLV50) op 50-jarige leeftijd, en aandeel jaren doorgebracht in goede gezondheid na de leeftijd van 50 jaar (GLV50/LV50) naar geslacht en herkomst in Engeland & Wales (2001, 2011)a

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Janssen, F., Kibele, E., Reus Pons, M. et al. Gezonde levensverwachting op oudere leeftijd: een vergelijking van migranten en niet-migranten in drie Europese landen over tijd. Tijdschr Gerontol Geriatr 49, 232–243 (2018). https://doi.org/10.1007/s12439-018-0267-3

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Trefwoorden

  • gezondheid
  • sterfte
  • migratie
  • ouderen
  • Europa

Keywords

  • Health
  • Mortality
  • Migrants
  • Elderly
  • Europe