农村女性生育胎次对期望寿命和健康期望寿命的影响  

Effect of birth parity on life expectancy and healthy life expectancy among rural women

作　　者：张换想 江凤 李卉[2] 王霄琼[3] 刘晓田 王亚丽 李子旭 李润鑫 杨文杰[4] 王重建 Zhang Huanxiang;Jiang Feng;Li Hui;Wang Xiaoqiong;Liu Xiaotian;Wang Yali;Li Zixu;Li Runxin;Yang Wenjie;Wang Chongjian(Department of Epidemiology and Health Statistics,College of Public Health,Zhengzhou University,Zhengzhou450001,China;Department of Social Medicine and Medical Law,College of Public Health,Jilin University,Changchun130021,China;Department of Economics,College of Business,Zhengzhou University,Zhengzhou450001,China;College of Public Health,Zhengzhou University,Zhengzhou450001,China)

机构地区：[1]郑州大学公共卫生学院流行病与卫生统计学系,郑州450001 [2]吉林大学公共卫生学院社会医学与医事法学系,长春130021 [3]郑州大学商学院经济学系,郑州450001 [4]郑州大学公共卫生学院,郑州450001

出　　处：《中华预防医学杂志》2024年第11期1684-1689,共6页Chinese Journal of Preventive Medicine

基　　金：河南省高校哲学社会科学研究重大项目(2025-YYZD-23);国家重点研发计划“精准医学研究”国家重点专项(2016YFC0900803)。

摘　　要：目的分析农村女性生育胎次对期望寿命(LE)和健康期望寿命(HLE)的影响。方法从河南农村队列中选取15304名40~79岁参与基线和随访调查的女性,采用多状态寿命表法计算不同生育胎次女性的LE和HLE。结果生育1、2、3和4胎次及以上女性分别为1195(7.8%)、7782(50.8%)、3867(25.3%)和2460名(16.1%),年龄的M(Q_(1),Q_(3))分别为50.3(47.3,53.4)、53.3(48.8,60.7)、62.6(55.4,66.9)和69.5(64.7,73.4)岁。其40岁时LE分别为44.5、44.8、45.1和45.4岁,HLE分别为17.7、18.3、18.8和19.3岁。与1胎次女性相比,2、3和4胎次及以上女性40岁时LE分别增加0.3、0.6和0.9岁,HLE分别增加0.5、1.1和1.6岁。较高和较低社会经济地位的生育4胎次及以上女性40岁时LE分别为47.1和43.9岁,较1胎次女性分别增加0.2和0.1岁;HLE分别为20.4和18.7岁,较1胎次女性分别增加1.4和1.3岁。结论农村女性LE和HLE随生育胎次增加呈上升趋势。ObjectiveTo analyze the effect of birth parity on life expectancy(LE)and healthy life expectancy(HLE)among rural women.MethodA total of 15304 women aged 40 to 79 years who participated in baseline and follow-up surveys were selected from a rural cohort in Henan province.The LE and HLE of women with different birth parity were calculated by using multi-state life table.ResultsThere were 1195(7.8%),7782(50.8%),3867(25.3%)and 2460(16.1%)women with 1,2,3 and 4 birth parities,respectively,and the M(Q_(1)and Q_(3))of age were 50.3(47.3,53.4)and 53.3(48.8,60.7),62.6(55.4,66.9)and 69.5(64.7,73.4)years old,respectively.LE at 40 years old was 44.5,44.8,45.1 and 45.4 years old,and HLE was 17.7,18.3,18.8 and 19.3 years old,respectively.LE at age 40 increased by 0.3,0.6,and 0.9 years in women with 2,3,and 4 birth parities or more and HLE increased by 0.5,1.1,and 1.6 years,respectively,compared with women with 1 birth parity.For women with higher and lower socioeconomic status who had 4 birth parities or more,the LE at age 40 was 47.1 and 43.9 years,respectively,an increase of 0.2 and 0.1 years over women with 1 birth parity,respectively;and the HLE was 20.4 and 18.7 years,respectively,an increase of 1.4 and 1.3 years over women with 1 birth parity,respectively.ConclusionLE and HLE show an upward trend with the increase of birth parity among rural women.

关 键 词：生育史 预期寿命 健康状况 农村卫生 计划生育政策 

分 类 号：R195.3[医药卫生—卫生统计学]