Evolution of educational inequalities in life and health expectancies at 25 years in Belgium between 2001 and 2011: a census-based study

Archives of public health = Archives belges de santé publique
Françoise RenardPatrick Deboosere

Abstract

Reducing socio-economic health inequalities is a public health priority, necessitating careful monitoring that should take into account changes in the population composition. We analyzed the evolution of educational inequalities in life expectancy and disability-free life expectancy at age 25 (LE25 and DFLE25) in Belgium between 2001 and 2011. The 2001 and 2011 census data were linked with the national register data for a five-year mortality follow up. Disability prevalence estimates from the health interview surveys (2001 to 2013) were used to compute DFLE according to Sullivan's method. LE25 and DFLE25 were computed by educational level (EL). Absolute differentials of LE25 and DFLE25 were calculated for each EL and for each period, as well as composite inequality indices (CII) of population-level impact of inequality. Changes over the 10-year period were then calculated for each inequality index. The LE25 increased in all ELs and both genders, except in the lowest EL for women. The increase was larger in the highest EL, leading in 2011 to 6.07 and 4.58 years for the low-versus-high LE25 gaps respectively in men and women, compared to 5.19 and 3.76 in 2001, namely 17 and 22% increases. The upwards shift of the EL distribution ...Continue Reading

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Citations

Sep 2, 2019·International Journal of Public Health·A RemundUNKNOWN Swiss National Cohort
Jan 29, 2020·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Sonja Spitzer
Dec 31, 2021·Scandinavian Journal of Public Health·Louise SundbergStefan Fors

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