Health and ill-health in the older population in England and Wales
Health and ill-health in the older population in England and Wales
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DOI：
10.1093/ageing/30.1.53
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发表时间：
2001-01-01
期刊：
影响因子：
6.7
通讯作者：
Jagger, C
中科院分区：
文献类型：
--
作者：
Brayne, C;Matthews, FE;Jagger, C
目的：提供老年人口疾病和残疾概况。设计：MRC CFAS从五个地点的家庭健康服务管理局名单中抽取了64岁及以上的人口样本，并向参与者询问了社会人口统计学变量、身体和认知健康以及日常生活活动。我们根据不同类型的主诉或残疾（身体、功能和认知）的数量计算了合并症的患病率，并计算了每种合并症状态下的健康预期寿命。环境：三个城市（纽卡斯尔，诺丁汉和牛津）和两个农村地区（剑桥郡和格温内斯）。结果：最年轻年龄组患病率较低，合并症发生率较低。女性的发病率始终高于男性。发病率随着年龄的增长而急剧上升，其中女性的上升幅度更大。64岁以上的所有年龄组没有任何发病率的预期寿命都很短，两个或两个以上地区受到影响的预期年数几乎不变，直至90岁。作为剩余预期寿命的一部分，在两个或两个以上受影响地区度过的时间在男性中增加了90%至30%，在女性中增加了60%。结论：老年人口的预防方案应考虑到青年老年人、中年老年人和老年老年人之间的巨大差异。我们的研究提供了一个基线，用以比较老年人口未来的健康变化，以及英国人口的基准预期。
Objective: to provide a profile of disorders and disabilities in the older population.Design: the MRC CFAS drew population samples of people aged 64 pears and over from Family Health Service Authority lists at five sites and asked participants about sociodemographic variables, physical and cognitive health and activities of daily living. We calculated the prevalence of co-morbidity from the number of different types of complaint or disability (physical, functional and cognitive), and calculated healthy life expectancies in each of these co-morbid states.Setting: three urban (Newcastle, Nottingham and Oxford) and two rural sites (Cambridgeshire and Gwynedd).Results: the prevalence of morbidity is low at the youngest ages, as is co-morbidity. Women have consistently greater morbidity than men. Morbidity increases sharply with age, with a more dramatic rise in women. Life expectancy without any morbidity is short at all ages over 64, with the number of years expected with two or more areas affected virtually constant up to 90 years. As a proportion of remaining life expectancy the period of time spent with two or more areas affected rises by the age of 90 to 30% in men and 60% in women.Conclusions: preventive programmes for the older population should take into account the large differences between the young old, the middle old and the old old. Our study provides a baseline against which to compare future changes in health in older populations, as well as benchmark expectancies for the UK population.