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[上海预期寿命与健康预期寿命差异分析]

[Analysis on the difference between life expectancy and healthy life expectancy in Shanghai].

作者信息

Yu H T, Xia T, Wang C F, Fang B, Cai R Z, Chen L, Jin S, Fu C

机构信息

Shanghai Institute of Preventive Medicine, Shanghai 200336, China.

Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Jun 10;42(6):1018-1023. doi: 10.3760/cma.j.cn112338-20200417-00591.

Abstract

To analyze the difference of life expectancy and healthy life expectancy among Shanghai residents of different gender and age groups. Compare the trends of life expectancy among Shanghai and other longevity countries/regions. With the disability weights of GBD, Sullivan method was applied to calculate the healthy life expectancy in Shanghai and analyze the loss of healthy life years among the population of different age groups and genders. In the past 40 years, life expectancy had increased by 10.86 years in Shanghai. In 2016, the life expectancy of Shanghai residents was 83.18 years old, and 80.83 years old for males and 85.61 years old for females. The healthy life expectancy of Shanghai residents was 69.46 years, and 68.68 years for males and 70.23 years old for females. The gap with life expectancy was 13.72 years old, 12.15 years old and 15.38 years old, respectively. They account for 16.49%, 15.02% and 17.97% of life expectancy, respectively. The healthy life expectancy of women in all age groups is higher than that of men with the average gap of 1.76 years. The difference between the two is as small as 1.36 years at 20-24 years old, and as large as 2.24 years at 70-74 years old. The loss rate of healthy life expectancy increases with age, with women higher than men before age 65 and vice versa after age 65 years old. The life expectancy in Shanghai has reached the world leading level, but the healthy life loss is still large. It is necessary to further improve the life quality with the reducing mortality rate, especially for women and men over 65 years old.

摘要

分析上海市不同性别和年龄组居民的预期寿命和健康预期寿命差异。比较上海与其他长寿国家/地区的预期寿命趋势。采用全球疾病负担(GBD)的残疾权重,运用沙利文方法计算上海的健康预期寿命,并分析不同年龄组和性别人口的健康生命年损失情况。在过去40年里,上海的预期寿命增加了10.86岁。2016年,上海居民的预期寿命为83.18岁,男性为80.83岁,女性为85.61岁。上海居民的健康预期寿命为69.46岁,男性为68.68岁,女性为70.23岁。与预期寿命的差距分别为13.72岁、12.15岁和15.38岁。它们分别占预期寿命的16.49%、15.02%和17.97%。各年龄组女性的健康预期寿命均高于男性,平均差距为1.76岁。两者差异在20 - 24岁时小至1.36岁,在70 - 74岁时大至2.24岁。健康预期寿命损失率随年龄增长而增加,65岁之前女性高于男性,65岁之后则相反。上海的预期寿命已达到世界领先水平,但健康生命损失仍然较大。有必要在降低死亡率的同时进一步提高生活质量,特别是对于65岁以上的女性和男性。

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