浙江省2016年成年人健康期望寿命测算研究

摘要

目的 测算浙江省成年居民健康期望寿命(HALE),评价浙江省成年人健康水平.方法 收集2016年浙江省死因监测资料、死因漏报调查资料和居民自报健康调查数据,采用HOPIT模型对浙江省居民自报健康调查的数据进行校正,获得成年居民伤残测度,通过Sullivan方法测算浙江省成年人HALE.结果 成年居民自报健康数据经HOPIT模型校正后,伤残测度随年龄增长明显升高(x2=5 795.81,P＜0.001),女性伤残测度高于男性(x2=5 353.27,P＜0.001);浙江省≥20岁成年人期望寿命(LE)和HALE分别为59.08岁和48.68岁,因伤残损失的健康期望寿命(LHE)为10.40岁,LHE/LE为17.61％,随年龄增长,HALE损失占LE的百分比逐渐增大.各年龄组男性的HALE(49.21岁)高于女性(48.14岁),城市(49.92岁)大于农村(47.43岁).结论 浙江省居民LHE/LE的比例较高,男性高于女性,城市高于农村.加强女性、农村的健康保健服务应成为今后工作的重点.%Objective To estimate the health-adjusted life expectancy (HALE) of adults in Zhejiang province and evaluate the health status of the adults.Methods This study was based on the mortality data collected from Zhejiang Chronic Disease Surveillance Information and Management System,and mortality rates from the underreporting survey and self-reported health data in 2016.Hierarchical Ordered Probit (HOPIT) model was used to estimate the severity-weighted prevalence of disability.Sullivan's method was used to calculate the HALE.Results After adjustment by HOPIT model,the severity-weighted prevalence of disability increased significantly with age (x2=5 795.81,P＜0.001),and it was higher in females than in males (x2=5 353.27,P＜0.001).The life expectancy and self-evaluated HALE were 59.08 years and 48.68 years,respectively,in those aged ≥20 years,the difference was 10.40 years due to disability.The proportion of HALE loss due to disability in the total life expectancy was 17.61％,and it increased with age.HALE was higher in males than in females (49.21 years vs.48.14 years),and in urban residents than in rural residents (49.92 years vs.47.43 years).Conclusion The proportion of loss of HALE in the total life expectancy in adults was high in Zhejiang,and it higher in males than in females,in urban residents than rural residents.Programs on improving health care in women and rural residents should be promoted.