摘要
目的分析计算上海市静安区户籍居民健康期望寿命(HALE)。方法于2017年6—8月,以全区14个街道(镇)为研究现场,采用多阶段分层随机抽样,抽取4159名户籍居民为研究对象。通过自评健康量表收集居民健康状况资料,采用CHOPIT模型对自评健康状况调查数据进行校正后获得居民健康率,18岁以下人群健康率采用18岁组参数予以替代,使用Sullivan法计算上海市静安区居民健康期望寿命。结果4159名对象年龄为(56.46±15.19)岁,范围为(18~98)岁;其中男性1768名(42.5%);居民总体健康率为74.96%,其中男、女性健康率分别为76.87%、72.45%。随着年龄的增长,健康率随之下降(Z=265.51,P<0.001),男性健康率高于女性(χ^(²)=2154.54,P<0.001)。0岁组HALE为64.29岁,其中男、女性分别为66.25、63.57岁;18岁居民HALE为48.18岁,其中男、女性分别为49.07、47.46岁;男性各年龄组健康期望寿命均高于女性;随着年龄的增加,人群HALE逐渐减少。结论上海市静安区健康期望寿命存在明显的性别、年龄差异,女性及老年人群的健康问题值得关注。
Objective To estimate the healthy life expectancy(HALE)of registered residents in Jing′an District,Shanghai City.Methods From June to August in 2017,14 districts(towns)were selected as the research sites,and 4159 registered residents were selected as the subjects.The health status data of subjects were collected by using the self-rated health scale,and the health rate of subjects was obtained by using the CHOPIT model.The health rate of residents under 18 years old was replaced by the parameters of 18-year-old group,and Sullivan method was used to calculate the HALE of registered residents in Jing′an District,Shanghai City.Results The age of 4159 subjects was(56.46±15.19)years old,ranging from 18 to 98 years old.There were 1768 males(42.5%).The overall health rate of subjects was 74.96%,of which the health rates of male and female were 76.87%and 72.45%respectively.With the increase of age,the health rate decreased(Z=265.51,P<0.001),and the health rate of male was higher than that of female(χ^(²)=2154.54,P<0.001).The HALE of the 0-year-old group was 64.29 years old,in which the male and female were 66.25 and 63.57 years old respectively.Among the 18-year-old group,the HALE was 48.18 years old,with 49.07 years old for male and 47.46 years old for female.The HALE of male was higher than that of female in all age groups.With the increase of age,the HALE decreased gradually.Conclusion There are significant sex and age differences in HALE in Jing′an District,Shanghai City.The health issue of female and older people should be given more attention.
作者
褚晓婷
王春芳
方博
万秋萍
杨晓明
Chu Xiaoting;Wang Chunfang;Fang Bo;Wan Qiuping;Yang Xiaoming(Department of Vital Statistics,Tumour and Injury Prevention and Control,Jing′an District Center for Disease Control and Prevention,Shanghai 200072,China;Division of Public Health Informatics,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2021年第7期860-866,共7页
Chinese Journal of Preventive Medicine
基金
上海市卫生和计划生育委员会科研项目(201540255)。
关键词
预期寿命
健康调查
自评健康
Life expectancy
Health surveys
Self-rated health
