Publications (10)24.71 Total impact
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Article: Sharp upturn of life expectancy in the Netherlands: effect of more health care for the elderly?
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ABSTRACT: During the 1980s and 1990s life expectancy at birth has risen only slowly in the Netherlands. In 2002, however, the rise in life expectancy suddenly accelerated. We studied the possible causes of this remarkable development. Mortality data by age, gender and cause of death were analyzed using life table methods and age-period-cohort modeling. Trends in determinants of mortality (including health care delivery) were compared with trends in mortality. Two-thirds of the increase in life expectancy at birth since 2002 were due to declines in mortality among those aged 65 and over. Declines in mortality reflected a period rather than a cohort effect, and were seen for a wide range of causes of death. Favorable changes in mortality determinants coinciding with the acceleration of mortality decline were mainly seen within the health care system. Health care expenditure rose rapidly after 2001, and was accompanied by a sharp rise of specialist visits, drug prescriptions, hospital admissions and surgical procedures among the elderly. A decline of deaths following non-treatment decisions suggests a change towards more active treatment of elderly patients. Our findings are consistent with the idea that the sharp upturn of life expectancy in the Netherlands was at least partly due to a sharp increase in health care for the elderly, and has been facilitated by a relaxation of budgetary constraints in the health care system.European Journal of Epidemiology 11/2011; 26(12):903-14. · 4.71 Impact Factor -
Article: Familial risk of early suicide: variations by age and sex of children and parents.
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ABSTRACT: To determine familial risk of early suicide, data on cause of death of all Dutch residents aged 20-55 years who died between 1995 and 2001 were linked to data of their parents. Men whose father died by suicide had a higher odds of suicide themselves, relative to men whose father died of other causes (Odds Ratio (OR): 2.5; 95% confidence interval: 1.8-3.6). This effect was slightly stronger in the case of mother's suicide (OR: 3.4; 2.3-5.0). The same effect was observed for women, for suicide by father (OR: 2.2; 1.3-3.7) and mother (OR: 4.6; 2.6-8.0). The odds of suicide increased with decreasing age at death of parent. Parental suicide is predictive for offspring suicide. Our data suggest that the predictive value is higher in case the mother died by suicide, particularly if the mother died by suicide at a young age.Suicide and Life-Threatening Behavior 08/2011; 41(6):585-93. · 1.33 Impact Factor -
Article: [Life expectancy increasing, but gap between people of higher and lower educational level remains].
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ABSTRACT: To determine if since 1997 there has been a change in the gap in life expectancy between those of higher and lower educational level. Statistical analysis of register and survey data. Linkage of data from municipal population registers and the Labour Force Survey of Statistics Netherlands. Life expectancy of both men and women was positively correlated with level of education. The life expectancy of Dutch men increased by about two years in the period 1997-2005, irrespective of level of education. Women gained about one year, but life expectancy among those of both lower and higher levels of education stagnated. During the study period the gap in life expectancy between these educational extremes remained almost constant at about 5 to 6 years. Our findings point to both favourable and unfavourable trends. All population groups seemed to have profited from a recent relatively strong increase in life expectancy which is clearly a positive development. Less favourable was the fact that the gap between those of lower and higher educational level had not decreased.Nederlands tijdschrift voor geneeskunde 01/2009; 153:A689. -
Article: 150 Years of temperature-related excess mortality in the Netherlands
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ABSTRACT: Even in present-day high-income countries, there is a lot of evidence of a high degree of vulnerability of the population to both high and low outdoor temperatures. The magnitude of temperature-related mortality is strongly related to a wide variety of social, economic, and behavioural factors. To gain insight into the changing impact of cold and heat on mortality, we analyze Dutch individual death records in relation to daily temperature for the period 1855-2006 for one of the 11 Dutch provinces. Making use of negative binomial regression analysis, we study whether the effect of temperature varied by age, sex, and social class, and analyze the changes in the vulnerability to temperature fluctuations.Demographic Research 01/2009; 21(14):385-426. · 1.20 Impact Factor -
Article: Fertility of Turkish and Moroccan women in the Netherlands: Adjustment to native level within one generation
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ABSTRACT: The annual figures on the fertility of Turkish and Moroccan women show that the sharp decline that took place up to the mid nineties was reduced or stagnated. In this paper we use cohort data by generation for the main population groups of non-western origin to show that the first generation only adjusted their fertility slowly to that of the native Dutch women. The first generation of Turkish and Moroccan women even has higher fertility rates than the women in their countries of origin. The realised fertility rate of the second generation, on the other hand, is virtually the same as that of the native Dutch women. Turkish and Moroccan women in their early thirties even have fewer children than native Dutch women that age. Their position is no longer in between the first generation and the native Dutch women, but fertility-wise they are more like the native Dutch than like their mothers.Demographic Research 01/2008; 19(33):1249-1280. · 1.20 Impact Factor -
Article: Duration of residence was not consistently related to immigrant mortality.
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ABSTRACT: This paper aimed to examine immigrant mortality according to duration of residence in the Netherlands and to compare duration-specific mortality levels to levels of mortality in the native Dutch population. For the years 1995-2000, we linked the national cause of death register, that contains information on deaths of legal residents, to the municipal population register, that contains information on all legal residents. We studied mortality in relation to period of immigration by means of directly standardized mortality rates and Poisson regression. All cause mortality was not related to year of immigration among Turkish and Moroccan men and women, and among Surinamese women. Among Surinamese men and among Antilleans/Aruban men and women, mortality was higher in more recent immigrants. Part of their excess mortality was due to their relatively low socioeconomic status. For most specific causes of death, no consistent relation with duration of residence was observed. A consistent relation between duration of residence and immigrant mortality was only observed in some immigrant groups. The results suggest that the healthy migrant effect or adaptation of health-related behaviors were no predominant determinants of immigrant mortality in the Netherlands.Journal of Clinical Epidemiology 07/2007; 60(6):585-92. · 4.27 Impact Factor -
Article: Socioeconomic inequalities in mortality within ethnic groups in the Netherlands, 1995-2000.
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ABSTRACT: To analyse socioeconomic inequalities in mortality in Dutch, Turkish, Moroccans, Surinamese, and Antillean/Aruban men and women living in the Netherlands and to assess the contribution of specific causes of death to these inequalities. Open cohort design using data from the Municipal Population Registers and cause of death registry. the Netherlands from 1995 through 2000. All inhabitants of the Netherlands. This study calculated directly standardised mortality rates by mean neighbourhood income and estimated relative mortality ratios comparing the two lowest socioeconomic groups with the two highest socioeconomic groups for all and cause specific mortality by country of origin and sex. Socioeconomic differences in total mortality were comparatively large in Dutch, (RR = 1.49, CI = 1.46 to 1.52), Surinamese (1.32, 1.19 to 1.46), and Antillean/Aruban men (1.56, 1.29 to 1.89) and in Dutch (1.39, 135 to 1.42) and Surinamese women (1.27, 1.11 to 1.46). They were comparatively small among Turkish (1.10, 0.99 to 1.23) and Moroccan men (1.10, 0.97 to 1.26) and among Turkish (1.13, 0.97 to 1.33), Moroccan (1.12, 0.93 to 1.35) and Antillean/Aruban women (1.03, 0.80 to 1.33). The mortality differences among the Dutch were partly attributable to inequalities in mortality from cardiovascular diseases, whereas among Antillean/Aruban men external causes strongly contributed to the mortality differences. The small differences among Turkish and Moroccan men were due to a lack of inequalities for cardiovascular diseases and small inequalities for the other causes. The impact of socioeconomic status on mortality differed between ethnic groups living in the Netherlands. Maintaining small socioeconomic inequalities in mortality among Turkish and Moroccans men and women and among Antillean/Aruban women could prevent future increases in overall mortality in these groups.Journal of Epidemiology & Community Health 05/2005; 59(4):329-35. · 3.19 Impact Factor -
Article: Ethnic inequalities in age- and cause-specific mortality in The Netherlands.
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ABSTRACT: By describing ethnic differences in age- and cause-specific mortality in The Netherlands we aim to identify factors that determine whether ethnic minority groups have higher or lower mortality than the native population of the host country. We used data for 1995-2000 from the municipal population registers and cause of death registry. All inhabitants of The Netherlands were included in the study. The mortality of people who themselves or whose parent(s) were born in Turkey, Morocco, Surinam, or the Dutch Antilles/Aruba was compared with that of the native Dutch population. Mortality differences were estimated by Poisson regression analyses and by directly standardized mortality rates. Compared with native Dutch men, mortality was higher among Turkish (relative risk [RR] = 1.21, 95% CI: 1.16, 1.26), Surinamese (RR = 1.24, 95% CI: 1.19, 1.29), and Antillean/Aruban (RR = 1.25, 95% CI: 1.15, 1.36) males, and lower among Moroccan males (RR = 0.85, 95% CI: 0.81, 0.90). Among females, inequalities in mortality were small. In general, mortality differences were influenced by socio-economic and marital status. Most minority groups had a high mortality at young ages and low mortality at older ages, a high mortality from ill-defined conditions (which is related to mortality abroad) and external causes, and a low mortality from neoplasms. Cardiovascular disease mortality was low among Moroccan males (RR = 0.51, 95% CI: 0.44, 0.59) and high among Surinamese males (RR = 1.13, 95% CI: 1.05, 1.21) and females (RR = 1.14, 95% CI: 1.06, 1.23). Homicide mortality was elevated in all groups. Socio-economic factors and marital status were important determinants of ethnic inequalities in mortality in The Netherlands. Mortality from cardiovascular diseases, homicide, and mortality abroad were of particular importance for shifting the balance from high towards low all-cause mortality.International Journal of Epidemiology 11/2004; 33(5):1112-9. · 6.41 Impact Factor -
Article: Perinatal mortality in the Netherlands. Backgrounds of a worsening international ranking
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ABSTRACT: Perinatal mortality rates have dropped sharply in the past few decades, in the Netherlands as well as in all other European countries. However, as the decrease has generally slowed down since the 1980s, the Netherlands has lost its prominent position in the international ranking of countries with favourable perinatal mortality rates. This lower ranking is not only the result of the dialectics of progress, but also the consequence of a relatively restrained use of antenatal diagnostics. In addition, the Netherlands is among the European countries scoring highest on a number of important risk factors. This article examines the effect on perinatal mortality rates of known risk factors, in particular the presence of non-western foreigners, multiple births and older mothers. With respect to the latter factor, it is concluded that children of older mothers run a significantly higher risk of foetal mortality, whereas babies of young mothers (including women in their early twenties) run a higher risk of infant mortality. For babies of non-western mothers, infant mortality rates are higher, although there are substantial differences between ethnic backgrounds. First week mortality is most unfavourable for Surinamese and Antillean/Aruban children, and post-neonatal mortality is highest among Turkish and Moroccan babies. The fact that relatively many non-western foreigners from countries with relatively high risks of perinatal mortality have settled in the Netherlands, is one of the reasons for the fall in the international ranking. Lastly, the increase in the number of multiple births has been stronger in the Netherlands than in most other countries. The higher incidence of assisted reproduction explains most of this increase.Demographic Research 01/2004; 11(13):357-394. · 1.20 Impact Factor -
Article: The Netherlands:Paradigm or Exception in Western Europe’s Demography?
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ABSTRACT: This article reviews the position of the population of the Netherlands in the context of the demographic characteristics of the other seventeen major Western European countries. It attempts to show the ways in which the population of the Netherlands is part of the European mainstream and where it diverges in various interesting ways. Where possible, a (partial) explanation for this divergence will be given.Demographic Research 02/2002; 7(12):433-468. · 1.20 Impact Factor
Top co-authors
Top Journals
Institutions
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2004–2011
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Erasmus MC
- Research Group for Public Health
Rotterdam, South Holland, Netherlands
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2002–2011
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Centraal Bureau voor de Statistiek
Den Haag, South Holland, Netherlands
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