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Tijdschrift voor Gerontologie en Geriatrie

, Volume 49, Issue 6, pp 232–243 | Cite as

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

  • Fanny Janssen
  • Eva Kibele
  • Matias Reus Pons
  • Hadewijch Vandenheede
  • Helga A. G. de Valk
Oorspronkelijk artikel
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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.

Trefwoorden

gezondheid sterfte migratie ouderen Europa 

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

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.

Keywords

Health Mortality Migrants Elderly Europe 

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Copyright information

© Vilans 2018

Authors and Affiliations

  • Fanny Janssen
    • 1
    • 2
  • Eva Kibele
    • 3
  • Matias Reus Pons
    • 1
  • Hadewijch Vandenheede
    • 4
  • Helga A. G. de Valk
    • 2
  1. 1.Population Research Centre, Faculteit Ruimtelijke WetenschappenRijksuniversiteit GroningenGroningenNederland
  2. 2.Interdisciplinair Demografisch Instituut/KNAW/Rijksuniversiteit GroningenDen HaagNederland
  3. 3.Statistisches Landesamt BremenBremenDuitsland
  4. 4.Vrije Universiteit BrusselBrusselBelgië

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