2019年浙江省成年人健康期望寿命测算方法研究  

Estimation method of health-adjusted life expectancy of adults in Zhejiang province,2019

作　　者：戴品远 李娜[1] 刘韫宁[2] 潘劲[1] 周晓燕 胡如英[1] 王浩[1] 龚巍巍[1] 关云琦 俞敏[1] Dai Pinyuan;Li Na;Liu Yunning;Pan Jin;Zhou Xiaoyan;Hu Ruying;Wang Hao;Gong Weiwei;Guan Yunqi;Yu Min(Department of Chronic Noncommunicable Disease Prevention and Control,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,Zhejiang,China;National Center for Chronic Non-communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]浙江省疾病预防控制中心慢性非传染性疾病预防与控制所,浙江杭州310051 [2]中国疾病预防控制中心慢性病与非传染性疾病控制中心,北京100050

出　　处：《疾病监测》2023年第8期966-971,共6页Disease Surveillance

基　　金：浙江省软科学研究计划项目(No.2023C35007);浙江省社科联资助项目(No.2022B64);浙江省疾控科技英才孵育项目。

摘　　要：目的比较不同健康界定方法(世界卫生组织量表、欧洲五维健康调查量表和全球疾病负担研究)健康期望寿命测算结果,分析不同方法下差异。方法收集2019年浙江省成年居民自报健康状况调查数据、死因监测数据,基于复合层次有序概率(Compound Hierarchical Ordered Probit,CHOPIT)模型调整后的世界卫生组织(World Health Organization,WHO)量表、欧洲五维健康调查(EuroQol Five Dimensions Questionnaire,EQ-5D)量表、2019年全球疾病负担(Global burden of disease,GBD 2019)研究浙江省数据,测算健康期望寿命,并对测算结果进行比较。结果WHO量表调查对象每个维度自报健康状况“没有困难”比例基本都在70.00%以上,自理能力方面比例达到了90.00%以上;EQ-5D量表调查对象每个维度回答“健康”比例都在85.00%以上。经过校正后,WHO量表自报健康水平往更健康方向偏移现象(顶效应)得到较大改善,浙江省成年人期望寿命为64.44岁,WHO量表测算得到健康期望寿命为46.59岁,EQ-5D量表测算得到为53.27岁,GBD数据测算得到55.55岁。结论不同方法测算结果不一致,量表测算方法存在明显顶效应。通过情景模拟法校正后能够较大地降低WHO健康量表顶效应,是测算更准确的健康期望寿命一个较好方法。Objective Compare the calculation results of health-adjusted life expectancy(HALE)of different health definitions(WHO questionnaire,EQ-5D scale and global burden of disease study).Methods In this study,the self-reported health data and mortality data of adult residents in Zhejiang province in 2019 were collected.Based on the before and after CHOPIT adjustment WHO questionnaire,EQ-5D questionnaire and the Zhejiang data of the 2019 global disease burden study(GBD 2019),the HALE was calculated and compared.Results The proportion of“no difficulty”in each dimension of WHO questionnaire respondents was basically more than 70.00%,and the dimension of self-care ability has reached more than 90.00%;The proportion of respondents who answered“healthy”in each dimension of the EQ-5D scale was more than 85.00%.After correction,the top effect of WHO's self-reported health level has been greatly improved,the life expectancy of adults in Zhejiang province was 64.44 years,the HALE after correction was 46.59 years.The HALE calculated by EQ-5D was 53.27 years,and the HALE calculated by GBD data was 55.55 years.Conclusion The results calculated by different methods are inconsistent,and there is an obvious top effect in the measurement method of the questionnaire.After correction by scenario simulation method,it can greatly reduce the top effect of WHO questionnaire,which is a better method to calculate more accurate health life expectancy.

关 键 词：健康期望寿命 情景模拟法 世界卫生组织自评健康量表 全球疾病负担数据 

分 类 号：R211[医药卫生—中医学] R195.3