目的比较沙利文法和虚拟人数法测算去病因健康调整预期寿命(cause-eliminated health-adjusted life expectancy,CEHALE)的特点。方法首先介绍沙利文法和虚拟人数法;其次使用全球疾病负担研究公布的中国全因和肿瘤疾病负担数据编制生命...目的比较沙利文法和虚拟人数法测算去病因健康调整预期寿命(cause-eliminated health-adjusted life expectancy,CEHALE)的特点。方法首先介绍沙利文法和虚拟人数法;其次使用全球疾病负担研究公布的中国全因和肿瘤疾病负担数据编制生命表,分别基于上述两种方法测算CEHALE,并使用分解法进行验证;最后比较和总结实证分析结果。结果假设消除肿瘤导致的死亡和伤残(场景1)或仅消除肿瘤导致的伤残(场景2)后,基于虚拟人数法测算的各年龄段CEHALE与健康调整预期寿命的差值均低于沙利文法。随着年龄组增大,上述两种方法分别测算的差值均逐渐减小;年龄组贡献的占比逐渐增大,达到贡献峰值(场景1:沙利文法为75~79岁,虚拟人数法为65~69岁;场景2:均为70~74岁)后逐渐减小。结论使用虚拟人数法测算CEHALE需要对开口组的折算标准加以考虑,例如假设开口组宽度为2/开口组死亡率,或使用等效地区的开口组宽度替代。将死亡和伤残作为同一概念实施分解,可能低估消除伤残对健康预期寿命变化的贡献,而分别计算过早死亡减少和伤残水平改善的作用,可以真实反映各年龄组消除特定原因造成的死亡和伤残对健康预期寿命的综合影响。展开更多
Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the...Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the past decades worldwide[1],but the growth in healthy life expectancy has generally lagged behind[2].China has made substantial strides in enhancing both life expectancy and healthy life expectancy.展开更多
文摘目的比较沙利文法和虚拟人数法测算去病因健康调整预期寿命(cause-eliminated health-adjusted life expectancy,CEHALE)的特点。方法首先介绍沙利文法和虚拟人数法;其次使用全球疾病负担研究公布的中国全因和肿瘤疾病负担数据编制生命表,分别基于上述两种方法测算CEHALE,并使用分解法进行验证;最后比较和总结实证分析结果。结果假设消除肿瘤导致的死亡和伤残(场景1)或仅消除肿瘤导致的伤残(场景2)后,基于虚拟人数法测算的各年龄段CEHALE与健康调整预期寿命的差值均低于沙利文法。随着年龄组增大,上述两种方法分别测算的差值均逐渐减小;年龄组贡献的占比逐渐增大,达到贡献峰值(场景1:沙利文法为75~79岁,虚拟人数法为65~69岁;场景2:均为70~74岁)后逐渐减小。结论使用虚拟人数法测算CEHALE需要对开口组的折算标准加以考虑,例如假设开口组宽度为2/开口组死亡率,或使用等效地区的开口组宽度替代。将死亡和伤残作为同一概念实施分解,可能低估消除伤残对健康预期寿命变化的贡献,而分别计算过早死亡减少和伤残水平改善的作用,可以真实反映各年龄组消除特定原因造成的死亡和伤残对健康预期寿命的综合影响。
文摘Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the past decades worldwide[1],but the growth in healthy life expectancy has generally lagged behind[2].China has made substantial strides in enhancing both life expectancy and healthy life expectancy.
