上海市某区老年人健康期望寿命分析

Analysis on healthy life expectancy of elderly people in a district of Shanghai

目的:计算上海市静安区60岁以上老年人的健康期望寿命,分析10年间老年人健康期望寿命的损害。方法:采用随机整群抽样的方法在2011年选择3 049位老年人进行调查,采用Sullivan法计算健康期望寿命。结果:2011年该地区60岁组老年人的期望寿命和健康期望寿命分别为26.30岁和18.94岁,各年龄组的女性期望寿命均高于男性,但各年龄组的男性健康期望寿命均高于女性。疾病是影响老年人的生活质量的主要因素,其中脑血管病导致的健康期望寿命损失率最大为60.9%。结论:为了提高老年人的健康期望寿命,应加强防治慢性非传染性疾病和女性老年人的保健服务。

Objective： To calculate healthy life expectancy （ HLE ）for people aged 60 and above in Jing＇an District, and to analyze the change of HLE in 10 years. Methods： A total of 3 049 elderly people were chosen by multi-stage stratified random cluster sampling in 2011, Sullivan＇s method was used to calculate their HLE. Results： Life expectancy（ LE ）and HLE at 60~ years old in 2011 were 26.3 years and 18.94 years, LE for females was greater than that for males in all age groups, but HLE for males was greater than that for females. Diseases were the main factors affecting the quality of elderly people＇s lives. Disability prevalence for cerebrovascular disease was 60.9%. Conclusion： To extend HLE of elderly people, chronic non-communicable diseases should be prevented and controlled, and medical care services for females should be enhanced.