2019年苏州市成年人健康期望寿命测算研究  

Estimation on healthy life expectancy of adults in Suzhou,2019

作　　者：华钰洁 陆艳[1] 黄春妍[1] 王临池[1] HUA Yujie;LU Yan;HUANG Chunyan;WANG Linchi(Department of Non-communicable Disease Control and Prevention,Suzhou Center for Disease Control and Prevention,Suzhou 215004,China)

机构地区：[1]苏州市疾病预防控制中心慢病科,江苏苏州215004

出　　处：《南京医科大学学报（自然科学版）》2022年第5期729-733,共5页Journal of Nanjing Medical University(Natural Sciences)

基　　金：苏州市科技局民生科技项目(SS201807);苏州市卫生科技项目(Gwzx201802);苏州市科教兴卫项目(KJXW2018051)。

摘　　要：目的:测算苏州市18岁及以上居民健康期望寿命,为建立苏州市居民健康状况评价体系、开展精准防治提供科学依据。方法:健康状态资料来源于2019年苏州市健康期望寿命专项调查,2019年在苏州全市范围内采用多阶段分层整群随机抽样有效调查6208例18岁及以上成年人,结合苏州市2019年人口和死亡资料,基于沙利文(Sullivan)法和HOPIT(Hierarchical Ordered Probit)模型测算健康期望寿命。结果:苏州市18岁成年人的健康期望寿命为36.30岁,60岁组人群的健康期望寿命为7.80岁,寿命损失百分比分别占45.17%和69.56%。随着年龄的增加,寿命损失百分比逐渐增大。男性各年龄组因伤残损失的健康期望寿命及寿命损失百分比均低于女性,且年龄越大差距越大。结论:苏州市女性成年人的健康水平低于男性,老年人的健康问题对其剩余生命质量造成重大影响。Objective:To estimate the health life expectancy(HALE)of residents aged 18 years and over in Suzhou,and to provide scientific basis for the establishment of health assessment system and the development of accurate prevention and control in Suzhou.Methods:A total of 6208 adults aged 18 and above were chosen by multi-stage stratified random cluster sampling in 2019 to gather self-reported health data.Life expectancy table was based on annual official population and mortality data.Sullivan’s method and HOPIT model were used to calculate HALE(healthy life expectancy).Results:In 2019,the HALE of the 18-year-old adults in Suzhou is36.30 years,and that of the 60-year-old group is 7.80 years.The percentage of life lost is 45.17%and 69.56%respectively.With the increase of age,the percentage of life loss increases gradually.The loss of HALE and the percentage of life lost due to disability in all age groups of men were lower than those of women,and the difference increases with age.Conclusion:The health level of female adults in Suzhou is lower than that of men,and the health problems of the elderly have a major impact on the quality of the rest of their lives.

关 键 词：健康期望寿命 HPOIT模型 Sullivan方法 

分 类 号：R195.3[医药卫生—卫生统计学]