Objective To identify the current situation and distribution differences in the healthy life expectancy among Chinese elderly people.Methods Using the data of the Chinese Longitudinal Healthy Longevity Survey(CLHLS)Series from 2011 to 2018,the life expectancy,healthy life expectancy,and proportion of healthy life expectancy of Chinese elderly people were calculated using a multi-state life table method under the Global Activity Limitation Indicator(GALI)standard.Results The life expectancy without an activity limitation for Chinese people at 65 years of age was 13.78 years,with 4.84 years(26.00%)of activity limitation.1t was lower than the life expectancy without disability calculated based on activities of daily living(ADL).Meanwhile,there were gender and urban-rural differences in the life expectancy of Chinese elderly people without an activity limitation.The life expectancy without an activity limitation in female and male elderly was 13.89 years and 13.66 years,respectively.However,the proportion of life expectancy without an activity limitation was lower in females than in males(69.22%vs 78.20%).The life expectancy without an activity limitation for urban and rural elderly was 13.86 years and 13.67 years,respectively.However,the proportion of life expectancy without an activity limitation was lower in urban elderly than in rural elderly(72.47%vs 75.51%).Conclusion There is a difference between the non-activity limited life expectancy based on GALI and the non-disability life expectancy under ADL standards,which better reflects the comprehensive health level of the elderly than the non-disability health life expectancy.This study expands the multidimensional understanding of healthy life expectancy in China,showing differences in age,gender,and urban-rural areas.Corresponding policies need to be formulated for key populations.
elderly populationGlobal Activity Limitation Indicatorhealthy life expectancyquality of life