Differential inequity in health expectancy by region in Belgium.
OBJECTIVE
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.


CONCLUSIONS
The DFLE can be used to monitor the size of health inequities.
Van Oyen
Herman
H
Unit of Epidemiology, Scientific Institute of Public Health, Brussels, Belgium. h.vanoyen@iph.fgov.be
Bossuyt
Nathalie
N
Deboosere
Patrick
P
Gadeyne
Sylvie
S
Abatih
Emmanuel
E
Demarest
Stefaan S
SS
D000328:Adult; D000367:Age Factors; D000368:Aged; D001530:Belgium; D006233:Persons with Disabilities; D004522:Educational Status; D005260:Female; D006304:Health Status; D006801:Humans; D008017:Life Expectancy; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012737:Sex Factors