摘要
目的分析广东省以及21个地市2005年和2015年健康期望寿命(HALE)及其变化趋势。方法收集和分析广东省2005年和2015年县级死因监测数据。利用GBD2015中广东省的早死寿命损失年(YLL)与伤残寿命损失年(YLD)间的比例关系,以及混合效应模型估算疾病的YLD率。采用Sullivan法在简略寿命表估计HALE。结果2015年广东省居民期望寿命(LE)和HALE分别为77.88和68.88岁,高于2005年。2015年广东省0岁组伤残损失寿命(LHE)为9.00岁,高于2005年的7.84岁。除个别年龄组外,总体上广东省女性LE、HALE、LHE、LHE/LE均高于男性。广东省各地市HALE差异较大。结论2005—2015年广东省居民HALE、LE和LHE均有所上升。全省分地市HALE和LE区域发展不平衡,表现为发达地区高于欠发达地区。
Objective To analyze the health-adjusted life expectancy(HALE)and its variation in Guangdong Province and its 21 cities between 2005 and 2015.Methods The death data based on county level in Guangdong between 2005 and 2015 were collected and analyzed.The proportional relationship between years of life lost(YLL)and years lived with disability(YLD)in Guangdong in global burden of disease(GBD)2015 and the mixed effect model were used to estimate the YLD rate of diseases.The HALE was calculated by Sullivan method based on the abridged multiple-decrement life tables.Results In 2015,the life expectancy(LE)and HALE of residents in Guangdong were 77.88 years and 68.88 years respectively,higher than that in 2005;the HALE loss due to disability(LHE)of the 0-year-old group in Guangdong was 9.00 years,higher than 7.84 years in 2005.Except for very few age groups,the LE,HALE,LHE and LHE/LE of women in Guangdong were higher than those of men.Variations of HALE could be observed among cities in Guangdong.Conclusions The HALE,LE and LHE in Guangdong increased between 2005 and 2015.The regional development of HALE and LE in cities across the province is unbalanced,which shows that the developed cities are higher than the underdeveloped cities.
作者
郑雪燕
许燕君
马书丽
曾新颖
许晓君
孟瑞琳
林立丰
ZHENG Xue-yan;XU Yan-jun;MA Shu-li;ZENG Xin-yin;XU Xiao-jun;MENG Rui-lin;LIN Li-feng(Guangdong Provincial Center for Disease Control and Prevention,Guangzhou 511430,China;Center for Chronic and Noncommunicable Diseases,Chinese Center for Disease Control and Prevention)
出处
《华南预防医学》
2023年第2期150-155,共6页
South China Journal of Preventive Medicine
基金
广东省医学科学技术研究基金项目(C2021083)
关键词
健康期望寿命
期望寿命
疾病负担
Health-adjusted life expectancy
Life expectancy
Burden of disease