基于CHOPIT校正模型的健康预期寿命测算研究
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1.南京邮电大学;2.南京市疾病预防控制中心

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国家社会科学基金“健康老龄化视角下老年人保健消费行为研究”


Estimation of health life expectancy based on CHOPIT correction model
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1.Nanjing University of Posts and Telecommunications;2.Nanjing Center for Disease Control and Prevention

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    摘要:

    随着人口老龄化的加快和人均预期寿命的延长,健康预期寿命的研究格外受到重视。本文利用南京市2023年≥18岁人口的抽样数据,基于自报健康标准和GALI健康标准,通过CHOPIT模型校正伤残测度,再运用Sullivan法测算南京市健康预期寿命。结果表明:(1)两种健康标准下校正后伤残测度随年龄增加呈增长趋势,女性伤残测度高于男性,且校正数据符合人群健康水平。(2)自报健康标准下健康预期寿命显著低于GALI健康标准,且在高年龄组差距更明显。(3)两种健康标准下女性健康预期寿命占比小于男性,且女性高龄组健康状况较差。基于此,应多关注性别差异,重视健康预期寿命的研究,提高人群的健康水平,并完善老年人医疗卫生服务体系。

    Abstract:

    With the acceleration of population aging and the extension of life expectancy, research on healthy life expectancy has received special attention. In this work, data for Nanjing in 2023, starting from the age of 18, are used for self-reported health standards and GALI health standards. CHOPIT model is used to estimate the disability measures. Then, a method called Sullivan is used to calculate the health life expectancy. Our results indicate that: (1) Under the two health standards, the adjusted disability measure shows an upward trend, synchronized with an increase in age. As expected, women's data is once again higher than men's. The corrected data is consistent with the population's disability level. (2) The healthy life expectancy under self-reported health standards is significantly lower than that under GALI health standards. The difference is more pronounced in the older age group. (3) Under the two health standards, the proportion of women's healthy life expectancy is smaller than that of men, and the elderly group of women has poorer health conditions. Based on this, it is recommended to focus on research regarding gender differences and emphasize on healthy life expectancy, improve health levels, and enhance the healthcare service system for the elderly.

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  • 收稿日期:2024-11-04
  • 最后修改日期:2024-12-01
  • 录用日期:2024-12-05
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