Disability-Free Life Expectancy among People Over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China.
Disability-Free Life Expectancy among People Over 60 Years Old by Sex, Urban and Rural Areas in Jiangxi Province, China.
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中国江西省城乡按性别分列的60岁以上人口无残疾预期寿命。
DOI：
10.3390/ijerph18094636
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发表时间：
2021-04-27
影响因子：
--
通讯作者：
Zheng H
中科院分区：
文献类型：
--
作者：
Wang S;Hu S;Wang P;Wu Y;Liu Z;Zheng H
目的：估计并比较2018年江西省60岁以上人口的年龄趋势和无残疾预期寿命（DFLE），按性别和城乡划分。研究方法：基于《2018年江西省卫生统计汇总》和江西省第六次全国卫生服务调查，采用模型生命表估算了按性别和城乡分列的年龄别死亡率。用Sullivan法计算DFLE及其与预期寿命（LE）的比值。结果如下：2018年，60岁以上人群的DFLE男性为17.157岁，女性为19.055岁，分别占其LE的89.7%和86.5%。各年龄段男性的DFLE/LE均高于女性。城市地区人口的生活水平和家庭生活水平高于农村地区。对于妇女来说，城市地区的家庭生活水平/生活水平高于农村地区（75岁和80岁除外）。城市男子的DFLE/LE高于农村男子（85岁除外）。60岁以上男女的DFLE差异为1.898岁，其中2.260岁归因于死亡率，0.362岁归因于无残疾流行率。此外，城乡60岁以上老年人生活质量的差异主要归因于性别死亡率（男性：0.902/1.637;女性：0.893/1.454），但无残疾率的影响也不容忽视（男性：0.735/1.637;女性：0.561/1.454）。结论：DFLE的增加伴随着LE的增加，但随着年龄的增长，DFLE/LE逐渐降低。随着年龄的增长，残疾对老年人的影响变得更加严重。政府部门必须采取相应的预防措施，提高老年人的健康意识，提高老年人的生活质量。农村老年人，特别是农村妇女，需要得到更多的关注和获得更多的保健。
Objective: To estimate and compare age trends and the disability-free life expectancy (DFLE) of the population over 60 years old in 2018 in Jiangxi Province, China, by sex and urban–rural areas. Methods: The model life table was employed to estimate the age-specific mortality rate by sex and urban–rural areas, based on the Summary of Health Statistics of Jiangxi Province in 2018 and the Sixth National Health Service survey of Jiangxi Province. DFLE and its ratio to life expectancy (LE) were obtained by the Sullivan method. Results: In 2018, the DFLE among people over 60 is 17.157 years for men and is 19.055 years for women, accounting for 89.7% and 86.5% of their LE respectively. The DFLE/LE of men is higher than that of women at all ages. LE and DFLE are higher for the population in urban areas than in rural areas. For women, DFLE/LE is higher in urban areas than in rural areas (except at ages 75 and 80). Urban men have a higher DFLE/LE than rural men (except at age 85). The difference in DFLE between men and women over 60 years is 1.898 years, of which 2.260 years are attributable to the mortality rate, and 0.362 years are due to the disability-free prevalence. In addition, the difference in DFLE between urban–rural elderly over 60 years old is mostly attributed to the mortality rate by gender (male: 0.902/1.637; female: 0.893/1.454), but the impact of the disability-free rate cannot be ignored either (male: 0.735/1.637; female: 0.561/1.454). Conclusions: The increase in DFLE is accompanied by the increase in LE, but with increased age, DFLE/LE gradually decreases. With advancing age, the effect of disability on elderly people becomes more severe. The government administration must implement some preventive actions to improve health awareness and the life quality of the elderly. Rural elderly; rural women in particular, need to be paid more attention and acquire more health care.
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5.4
作者：
Crimmins, EM;Saito, Y
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