2018年河南省健康期望寿命测算研究

A study of calculation of healthy life expectancy for residents in Henan,2018

目的研究2018年河南省健康期望寿命,为评估河南省居民的健康水平提供依据。方法利用河南省死因监测数据,第六次卫生服务调查数据及全球疾病负担研究河南省年龄别伤残损失生命年率,分别测算2018年河南省的健康状态期望寿命(自评健康期望寿命和无失能期望寿命)和健康调整期望寿命。结果2018年河南省居民0~岁组的自评健康期望寿命为70.26岁,男性68.80岁,女性71.87岁;0~岁组无失能期望寿命为71.55岁,男性69.94岁,女性73.27岁;0~岁组健康调整期望寿命为68.47岁,男性67.32岁,女性69.85岁。随着年龄的增长,无论男性还是女性,健康状态期望寿命占期望寿命的比值均逐渐降低(P<0.001)。虽然女性在大部分年龄段的健康状态期望寿命和健康调整期望寿命均高于男性,但是女性的健康状态期望寿命占期望寿命比值和健康调整期望寿命占期望寿命的比值始终低于男性。结论女性的健康寿命长度高于男性,但女性在终身寿命内的生命质量低于男性。此外,应加强老年人群的健康支持及养老保健服务,努力提升老年人群在余寿中的生命质量。

Objective To calculate healthy life expectancy for residents in Henan province in 2018 and provide evidence for the evaluation of healthy status of the residents.Methods Using available data from the death information registration management system of Henan,the 6 th national health service survey and the age-specific years lived with disability rate of Henan from Global Burden of Disease Study 2019,the healthy life expectancy(self-perceived healthy life expectancy and disability-free life expectancy)and health-adjusted life expectancy for residents in Henan in 2018 were calculated.Results In2018,the healthy life expectancy based on self-perceived health status of 0-year old residents in Henan was 70.26 years,68.80 years for men and 71.87 years for women.In the 0-year group,the disability-free life expectancy was 71.55 years,69.94 years for men and 73.27 years for women.Healthy adjusted life expectancy was 68.47 years for the 0-year group,67.32 years for men and 69.85 years for women.The ratio of healthy life expectancy to life expectancy decreased with age in both men and women(all P value<0.001).Although women had higher healthy life expectancy and health-adjusted life expectancy than men in most age groups,the ratios of healthy life expectancy to life expectancy and health-adjusted life expectancy to life expectancy of women were always lower than that of men.Conclusion The healthy life expectancy of women was higher than that of men,but the quality of life of women was lower than that of men.In addition,health support and nursing care services for the elderly should be strengthened to improve the quality of life pf this population.