重庆市居民健康期望寿命测算研究

摘要

Objective:Based on the data from health service survey of Chongqing,residents health expectanucy and life expectancy on health status indicators measure for eupinical research.Methods:Research was conducted in sample province Chongqing and data were mainly collected from local current life table and 4th National Health Service Survey.The abridged life table and Sullivan's method was used to calculate health ex-pectancies.Results:In 2008, life expectancy in good perceived health at birth for residents in Chongqing was 71.22 years, and disability-free life expectancy was 71.45 years,life expectancy without chronic morbidity was 63.04 years.The proportion of health expectancy in the total life expectancy for the males was higher than that of the females in general.The change trend of life expectancy of the residents with severe activity limitation presented the characteristic of staircase distribution with age changes.The life expectancy without chronic morbidity revealed significant differences among the residents in Beijing and Chongqing.Conclusions:Health State Expectancy indicators are more deserved to research and be applied in China.Based on health service survey data, calculating health expectancy indicators on provincial population level is feasible.Forward consideration of establishing national health expectancy indicators monitoring system is necessary.%目的:基于卫生服务调查数据测算重庆市居民健康期望寿命,对健康状态期望寿命指标的测算进行实证研究.方法:利用重庆市常规人口统计数据和第四次国家卫生服务调查数据,采用沙利文法测算重庆市居民健康期望寿命指标.结果:2008年重庆市居民0岁自评健康期望寿命为71.22岁,无失能期望寿命为71.45岁,无慢性病患病期望寿命为63.04岁;健康期望寿命在期望寿命中的占比男性通常高于女性;重度失能期望寿命随年龄变化的波动呈阶梯样分布;京渝两地老年居民的无慢性病患病期望寿命分布差异显著.结论:健康状态期望寿命类指标适宜国内推广,基于卫生服务调查数据测算省级人群水平指标可行,远期应当考虑建立国家健康期望寿命指标监测体系.