Comparative study of disability-free life expectancy across six low- and middle-income countries
Comparative study of disability-free life expectancy across six low- and middle-income countries
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六个低收入和中等收入国家无残疾预期寿命的比较研究
DOI：
10.1111/ggi.12748
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发表时间：
2017-04-01
影响因子：
3.3
通讯作者：
Chen, He
中科院分区：
文献类型：
--
作者：
Chirinda, Witness;Chen, He
目的低收入和中等收入国家对无残疾预期寿命（DFLE）的认识存在差距。本研究旨在计算和比较六个这样的国家的DFLE，并检查每个国家的DFLE的性别差异。方法基于世界卫生组织全球老龄化研究和成人健康浪潮1调查的数据，我们使用Sullivan方法估计50岁及以上人群的DFLE。残疾在计算中分为中度残疾和重度残疾。结果在六个国家中，中国的DFLE最高，预期平均残疾寿命最低。印度有最低的DFLE和最高的寿命年，中度和重度残疾。在每个国家，女性的寿命都比男性长，但从绝对数量和比例上看，残疾人数都更多。俄罗斯巨大的性别差异需要特别关注。此外，大部分残疾预期寿命是在严重残疾而不是中度残疾中度过的。结论：该研究揭示了六个国家在老年人DFLE方面的差异。在一些国家（如印度），dle占预期寿命的比例很低，这要求制定有效的健康老龄化政策。我们的研究结果支持了DFLE的性残疾-生存悖论。为了区分残疾的严重程度，应常规计算DFLE。Geriatr Gerontol Int 2017；17: 637 - 644。
AimThere is a knowledge gap about the disability-free life expectancy (DFLE) in low- and middle-income countries. The present study aimed to compute and compare DFLE in six such countries, and examine sex differences in DFLE in each country.MethodsBased on data from the World Health Organization Study on Global Aging and Adult Health wave 1 survey, we used the Sullivan method to estimate DFLE among persons aged years 50years and older. Disability was divided into moderate disability and severe disability during the calculation.ResultsOf the six countries, China had the highest DFLE and lowest expected average lifetime with disability. India had the lowest DFLE and highest life years with moderate and severe disability. In each country, women live longer than men, but with more disabilities in both absolute and proportional terms. The huge sex difference in Russia requires special attention. In addition, most of the life expectancy lived with disability was spent with severe disability, rather than moderate disability.ConclusionsThe study has shed some light on the disparities across the six countries with regard to DFLE at old ages. The low percentage of DFLE in life expectancy in some countries, such as India, calls for effective policies on healthy aging. The sex disability-survival paradox in DFLE is supported by our results. To differentiate the severity of disability should be routine in calculating DFLE. Geriatr Gerontol Int 2017; 17: 637-644.