Regional and Gender Differences in Years with and without Mobility Limitation in the Older Population of Thailand.
Regional and Gender Differences in Years with and without Mobility Limitation in the Older Population of Thailand.
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DOI：
10.1371/journal.pone.0153763
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Aekplakorn W
中科院分区：
文献类型：
--
作者：
Apinonkul B;Soonthorndhada K;Vapattanawong P;Jagger C;Aekplakorn W
根据流动性指标检查健康预期的性别和地区差异。根据第四次泰国国家健康检查调查（2009年），采用Sullivan方法计算了按性别和地区分列的健康预期。共纳入9 210名60岁及以上的老年人。活动受限定义为自我报告仅在辅助/辅助下进行以下至少一项活动的能力：行走至少400米;或上下10层楼梯。严重限制被定义为完全不能做这两个功能中的至少一个，即使有辅助或帮助。在60岁时，与男性相比，女性在无行动能力限制的情况下生活的年数明显更少（男性-女性= 3.2年），而在有任何限制的情况下生活的年数（女性-男性= 6.7年）和在严重限制的情况下生活的年数（女性-男性= 3.2年）则更多。对于两种性别，严重限制的生活年数在不同年龄段都非常恒定。在无限制和有限制的生活年数方面，各地区存在明显的不平等，在无行动限制的生活年数方面，各性别的模式一致（中部排名最好，东北部排名最差）。最后，南方的男性和女性的预期寿命最长，在行动能力受到严重限制的情况下寿命最长。这项研究确定了在没有和有流动限制的年份中的不平等现象，具有重要的政策意义。
To examine gender and regional differences in health expectancies based on the measure of mobility. Health expectancies by gender and region were computed by Sullivan’s method from the fourth Thai National Health Examination Survey (2009). A total of 9,210 older persons aged 60 years and older were included. Mobility limitation was defined as self-reporting of ability to perform only with assistances/aids at least one of: walking at least 400 metres; or going up or down a flight of 10 stairs. Severe limitation was defined as complete inability to do at least one of these two functions, even with assistances or aids. At age 60, females compared to males, spent significantly fewer years without mobility limitation (male-female = 3.2 years) and more years with any limitation (female-male = 6.7 years) and with severe limitation (female-male = 3.2 years). For both genders, years lived with severe limitation were remarkably constant across age. Significant regional inequalities in years lived without and with limitation were evident, with a consistent pattern by gender in years free of mobility limitation (Central ranked the best and the North East ranked the worst). Finally, both males and females in the South had the longest life expectancy and the most years of life with severe mobility limitation. This study identifies inequalities in years without and with mobility limitations with important policy implication.