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南京医科大学学报(社会科学版)京医科大学学报(社会科学版)
                                                    南                                             第3期 总第128期
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                                             Journal of Nanjing Medical University(Social Sciences)of Nanjing Medical University(Social Sciences)  2025年6月
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                A study on the impact of widowhood on healthy life expectancy among

                  older adults in China:based on multi⁃dimensional health indicators

                                                      1
                                                                  1
                                           HUANG Min ,WEN Yong ,ZONG Zhanhong      2
                                         1. School of Science,2. School of Sociology and Population,
                                   Nanjing University of Posts and Telecommunications,Nanjing 210023,China
                   Abstract:Based on the database of the China Health and Retirement Longitudinal Study from 2011 to
               2020,this paper employed the multi ⁃ state life table method to measure the disability ⁃ free life expectancy,
               depression⁃free life expectancy,and disability⁃and depression⁃free life expectancy of older adults aged 60 to 90
               using the“married”and“widowed”as classification markers across the dimensions of physical,mental,and
               overall health. The results show that:(1)Compared to married older adults,widowed older adults have lower
               average life expectancy,healthy life expectancy,and life quality index,yet have a higher proportion of
               disability⁃free life expectancy in the remaining life expectancy.(2)Older female adults have longer average life
               expectancy and disability ⁃ free life expectancy. However,the depression ⁃ free life expectancy of young older
               female adults is shorter than that of males of the same age,and male older adults show a higher proportion of
               healthy life expectancy in the remaining life expectancy under all three standards.(3)Widowhood reduces the
               healthy life expectancy at a greater and faster reduction rate among males compared to females,and widowing
               has a greater impact on the physical and mental health of men,and the gender difference in healthy life
               expectancy of widowed older adults is greater than that of married counterparts. This study revealed the health
               disparities between married and widowed older adults,expanding the research findings on the impact of
               widowhood on healthy life expectancy among Chinese older adults.
                   Key words:widowhood;healthy life expectancy;older adults;ADL;depression; sex differences
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