Department of Non-communicable Disease Control and Prevention ,Suzhou Center for Disease Control and Prevention
Suzhou Science and Technology Bureau Fund for Technology for People (SS201807); Suzhou Health Technology Program (Gwzx201802); Key Disciplines of Medicine in Suzhou (KJXW2018051)
目的 测算苏州市18岁及以上居民健康期望寿命，为建立苏州市居民健康状况评价体系、开展精准防治提供科学依据。 方法 健康状态资料来源于2019年苏州市健康期望寿命专项调查，采用多阶段分层整群随机抽样于2019年在苏州全市范围内有效调查6208位18岁及以上成年人，结合苏州市2019年人口和死亡资料，基于Sullivan法和HOPIT模型测算健康期望寿命。结果 苏州市18岁成年人的健康期望寿命为36.30岁，60岁组人群的健康期望寿命为7.80岁，寿命损失百分比分别占45.17%和69.56%。随着年龄的增加，寿命损失百分比逐渐增大。男性各年龄组因伤残损失的健康期望寿命及寿命损失百分比均低于女性，且年龄越大差距越大。结论 苏州市女性成年人的健康水平低于男性，老年人的健康问题对其剩余生命质量造成重大影响。
Objective To estimate the health life expectancy （HALE）of residents aged 18 years and over in Suzhou, and to provide scientific basis for the establishment of health assessment system and the development of accurate prevention and control in Suzhou. Methods A total of 6208 adults aged 18 and above were chosen by multi-stage stratified random cluster sampling in 2019 to gather self-reported health data. Life expectancy table was based on annual official population and mortality data. Sullivan’s method and Hierarchical Ordered Probit（HOPIT）model were used to calculate HALE. Results In 2019, the HALE of the 18-year-old adults in Suzhou is 36.30 years, and that of the 60-year-old group is 7.80 years. The percentage of life lost is 45.17% and 69.56% respectively. With the increase of age, the percentage of life loss increases gradually. The loss of HALE and the percentage of life lost due to disability in all age groups of men were lower than those of women, and the difference increases with age. Conclusion The health level of female adults in Suzhou is lower than that of men, and the health problems of the elderly have a major impact on the quality of the rest of their lives.