Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001
Inequalities in healthy life expectancy between ethnic groups in England and Wales in 2001
复制标题
2001 年英格兰和威尔士各族裔健康预期寿命的不平等
作者：
P. Wohland;P. Rees;J. Nazroo;C. Jagger
目标.我们的目标是制定健全的估计无残疾预期寿命（DFLE）和健康预期寿命（HLE）的民族在英格兰和威尔士在2001年，并检查观察到的变化，各民族。设计通过结合2001年人口普查中关于种族、自我报告的限制性长期疾病和自我评估的健康状况的数据，计算了16个种族群体按年龄和性别分列的5岁年龄组的DFLE和HLE，使用两种方法估计的种族群体死亡率：标准化疾病比率（SIR）方法和地理加权方法（GWM）。结果SIR和GWM方法在估计出生时的预期寿命（LE）方面略有不同，但按种族群体对DFLE和HLE的估计非常相似。对于更保守的方法（GWM），DFLE在出生时的范围是男性10.5岁，女性11.9岁，是LE的两倍。中国男性（64.7岁，95% CI 64.0-65.3）和女性（67.0岁，95% CI 66.4-67.6）的出生时DFLE最高。超过一半的少数族裔群体（男性：10;女性：9）出生时的DFLE显著低于白色英国男性（61.7岁，95% CI 61.7-61.7）或女性（64.1岁，95% CI 64.1-64.2），主要是黑人、亚洲人和混合族裔群体。观察到的最低DFLE为孟加拉国男性（54.3岁，95% CI 53.7-54.8）和巴基斯坦女性（55.1岁，95% CI 54.8-55.4）。值得注意的是，印度女性的LE与白色英国女性相似，但无残疾时间短4.3年（95% CI 4.0-4.6）。结论.各族裔群体之间在家庭生活和生活水平方面的不平等很大，而且超过了家庭生活和生活水平方面的不平等。此外，某些种族群体有更大的残疾负担，这似乎与较短的LE无关。随着英国非白人社区人口的增加，必须能够确定残疾风险较高的族裔群体，以便有针对性地采取适当的干预措施。
Objectives. We aim to develop robust estimates of disability-free life expectancy (DFLE) and healthy life expectancy (HLE) for ethnic groups in England and Wales in 2001 and to examine observed variations across ethnic groups. Design. DFLE and HLE by age and gender for five-year age groups were computed for 16 ethnic groups by combining the 2001 Census data on ethnicity, self-reported limiting long-term illness and self-rated health using mortality by ethnic group estimated by two methods: the Standardised Illness Ratio (SIR) method and the Geographically Weighted Method (GWM). Results. The SIR and GWM methods differed somewhat in their estimates of life expectancy (LE) at birth but produced very similar estimates of DFLE and HLE by ethnic group. For the more conservative method (GWM), the range in DFLE at birth was 10.5 years for men and 11.9 years for women, double that in LE. DFLE at birth was highest for Chinese men (64.7 years, 95% CI 64.0–65.3) and women (67.0 years, 95% CI 66.4–67.6). Over half of the ethnic minority groups (men: 10; women: 9) had significantly lower DFLE at birth than White British men (61.7 years, 95% CI 61.7–61.7) or women (64.1 years, 95% CI 64.1–64.2), mostly the Black, Asian and mixed ethnic groups. The lowest DFLE observed was for Bangladeshi men (54.3 years, 95% CI 53.7–54.8) and Pakistani women (55.1 years, 95% CI 54.8–55.4). Notable were Indian women whose LE was similar to White British women but who had 4.3 years less disability-free (95% CI 4.0–4.6). Conclusions. Inequalities in DFLE between ethnic groups are large and exceed those in LE. Moreover, certain ethnic groups have a larger burden of disability that does not seem to be associated with shorter LE. With the increasing population of the non-White British community, it is essential to be able to identify the ethnic groups at higher risk of disability, in order to target appropriate interventions.