title: Differences in healthy life expectancy between older migrants and non-migrants in three European countries over time.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  Population, mortality and health data were derived from registers, census or surveys. HLE50and the share of remaining healthy life years were calculated for non-migrants, western and non-western migrants by sex. We applied decomposition techniques to answer whether differences in HLE50between origin groups and changes in HLE50over time were attributable to either differences in mortality or health.
  
  
  RESULTS
  In all three countries, older (non-western) migrants could expect to live less years in good health than older non-migrants. Differences in HLE50between migrants and non-migrants diminished over time in the Netherlands, but they increased in England and Wales. General health, rather than mortality, mainly explained (trends in) inequalities in healthy life expectancy between migrants and non-migrants.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Population Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, The Netherlands. m.reus.pons@rug.nl.|Interface Demography, Department of Sociology, Vrije Universiteit Brussel, Brussels, Belgium. m.reus.pons@rug.nl.
authors.forename: Matias
authors.identifier: http://orcid.org/0000-0002-1778-648X
authors.initials: M
authors.lastname: Reus-Pons
authors.affiliation: Population Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, The Netherlands.
authors.forename: Eva U B
authors.initials: EUB
authors.lastname: Kibele
authors.affiliation: Population Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, The Netherlands.|Netherlands Interdisciplinary Demographic Institute (NIDI), The Hague, The Netherlands.
authors.forename: Fanny
authors.initials: F
authors.lastname: Janssen
mesh_terms: D005060:Europe / Q000453:epidemiology; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D008017:Life Expectancy / Q000639:trends*; D008297:Male; D008875:Middle Aged; D009026:Mortality; D012737:Sex Factors; D014171:Transients and Migrants / Q000706:statistics & numerical data*
keywords: Ageing; Belgium; England and Wales; Health; Migration; Mortality; The Netherlands