北京市居民健康期望寿命评价:三种测算方法的比较研究

目的 应用三种方法测算北京市≥15岁居民健康期望寿命(healthy-adjusted life ex-pectancy,HALE),评价北京市人群健康状况.方法 收集北京市居民死因监测数据、北京市居民死因漏报调查数据、北京市居民自报健康调查数据和全球疾病负担研究(Global Burden of Disease St...

Evaluation of healthy-adjusted life expectancy in Beijing City,China:A comparative study of three calculating methods

Objective To calculate the level of healthy-adjusted life expectancy(HALE)using three calculating methods,and assess the health status of residents aged≥15 years in Beijing City.Methods This research collected the surveillance data of death causes,missing reports of death causes,data of self-reported health status survey and data of years lived with disability(YLD)from the Global Burden of Disease Study(GBD).These data were used to calculate self-reported disability weight,Hierarchical ordered probit model(HOPIT)-adjusted disability weight and GBD disability weight.And then Sullivan method was used to calculate healthy life years(HLY),HOPIT healthy-adjusted life expectancy(HALEHOPIT),and GBD healthy-adjusted life expectancy(HALEGBD)among residents aged≥15 years in Beijing City.Results The life expectancy(LE)of residents aged 15-<20 years was 67.7 years,and HLY,HALEHOPIT,and HALEGBD were 51.9 years,44.1 years,and 57.8 years,respectively.The study observed HALE_GBD>HLY>HALE_HOPIT in any gender or age group.HLY,HALE_HOPIT,and HALE_GBD decreased with age.HLY and HALE_GBD in female residents were higher than male residents in all age groups.HALE_HOPIT in females was higher than in males among residents under 80 years of age,and HALE_HOPIT in females was slightly lower than in males among residents aged≥80 years.Conclusions The calculating values of HALE using three methods were significantly different,but the trends were consistent across other gender and age groups.The results revealed that there were many years of healthy life lost due to disability among residents aged≥15 years in Beijing City.The different effects across the three methods are related to the differences in health measurement.Thus,we should continuously carry out further investigations and researches.