重庆市老年人自评失能状况及健康期望寿命测算研究  

Self-reported Health and Healthy life expectancy of the Elderly in Chongqing

作　　者：沈卓之[1] 丁贤彬[1] 王豫林[1] 毛德强[1] 曾艺[2] 康纪明 

机构地区：[1]重庆市疾病预防控制中心,重庆400042 [2]重庆市渝中区疾病预防控制中心,重庆400010 [3]重庆市江津区疾病预防控制中心,重庆402260

出　　处：《现代预防医学》2015年第8期1460-1464,共5页Modern Preventive Medicine

基　　金：重庆市医学科研计划项目(2013-2-149)

摘　　要：目的了解重庆市城乡老年人自评健康状况,测算重庆市各年龄组健康期望寿命(HALE)。方法采用多阶段分层整群抽样法,对重庆市两区县1 722名60岁以上常住老年人口用问卷调查的方法获得自评健康及相关因素资料,用Sullivan法计算健康期望寿命。结果自评失能困难程度农村大于城市。重庆市60岁组老年人的期望寿命为23.49岁,健康期望寿命为18.03岁,其中男性17.10岁,女性18.75岁。85岁组老年人的期望寿命为6.62岁,健康期望寿命为3.65年,其中男性为3.71年、女性为3.45年。结论老年女性虽然期望寿命长但健康寿命短,失能对女性期望寿命的影响要大于男性,高龄农村女性预期余寿(余寿期)内的生命质量大大低于男性。因此,女性尤其是农村高龄女性健康问题应得到广泛关注。本研究首次获得了重庆市城乡老年人的健康期望寿命,老年健康问题、女性健康问题、农村健康问题应引起全社会的关注。Objectives This study aimed to learn the self-reported health status and to evaluate the heathly life expectancy（HLE） of each age group among the elderly in Chongqing. Methods A multistage sampling method was used to select 1722 permanent residents aged ≥60 from two districts in Chongqing. A questionnaire was administered to gather the information of self-reported health and health related factors. Sullivan method was applied to calculate HLE. Results The life expectancy（LE） of 60-years-old group was 23.49 years and the HLE was 18.03 years old. For males and females the HLE was 17.10 years and 18.75 years,respectively. The LE of 85-years-old group was 6.62 years and the HLE was 3.65 years, with3.71 years for the male and 3.45 years for the female, respectively. The LE of the female was higher than that of the male in different age groups, but the female＇s HLE was lower and the ratio of DLE/LE was higher than that of the male. Conclusion The impact of disability on health status was severe in the female than in the male, and also in rural people than in urban district.

关 键 词：健康期望寿命 自评健康 失能状况 

分 类 号：R195.3[医药卫生—卫生统计学]