不同社会经济地位老年人健康期望寿命研究

Studying the activity life expectancy of the elderly with different social-economic status

目的:研究苏州市社会经济地位(SES)对不同性别老年人健康期望寿命(ALE)占期望寿命(LE)比重的影响。方法:采用分层随机整群抽样的方法,抽取苏州市8个社区共4458名老年人进行日常生活活动能力(ADL)测量。选取SES三个最常用指标收入、教育、职业按两分法分组,探讨不同性别老年人ALE/LE的差异。结果:女性LE高于男性,但ALE随龄递减率快于男性,ALE/LE普遍低于男性;SES高的人群其ALE/LE占优势,但不同SES指标对不同性别人口ALE占余寿比重的影响不同;SES水平不同的人群其ALE/LE的差值随年龄发生变化且呈现性别差异。结论:应加强对SES低水平老年人健康状况的关注,尤其是高龄女性健康,在制定相关政策时考虑性别差异。

Objective To study the influence of socio-economic status（SES） on the proportion of activity life expectancy（ALE） in life expectancy（LE） among the elderly people with different genders in Suzhou.Methods 4458 cases of elderly people were chosen from 8 communities in Suzhou by multi-stage stratified random cluster sampling,and their activity of daily life（ADL） was measured.The population was grouped by indexes of income,education and vocation.Then,differences of ALE/LE of the elderly with different genders were studied.Results The elderly people＇s life expectancy was higher in females than that in males,but its decline rate with age was higher than that of males.The proportion of ALE/LE was lower in females than that in males.Different SES indexes had difference influences on proportion of ALE/LE of elderly people with different genders.Conclusion The elderly with lower SES,especially females of advanced age,should be further concerned.And policy-making should consider the factor of gender.