目的 评估农村老年人基于心理维度的预期寿命(life expectancy,LE)和健康预期寿命(healthy life expectancy,HLE),以便提出延长农村老年人LE和HLE的对策建议.方法 基于"河南农村队列"基线和随访调查数据,通过多状态寿命表法分年龄性别计算农村≥60岁老年人群的LE和HLE.所计算的HLE指标包括无抑郁或焦虑症状预期寿命(depression-or anxiety-free life expectan-cy,DAFLE)、无抑郁症状预期寿命(depression-free life expectancy,DFLE)和无焦虑症状预期寿命(anxiety-free life expectancy,AFLE).结果 60 岁总人群的 DAFLE、DFLE 和 AFLE 分别为20.081 5 岁、20.230 1 岁和20.435 2岁,分别占 LE 的 95.85％、96.28％和 96.99％;60 岁男性的DAFLE、DFLE 和 AFLE 分别为 18.076 8 岁、18.012 8 岁和 18.166 5 岁,分别占 LE 的 96.70％、97.10％和97.41％;60岁女性的DAFLE、DFLE和AFLE分别为22.811 6岁、23.325 3岁和23.492 2岁,分别占LE的95.33％、95.59％和96.57％.结论 农村老年女性HLE/LE值低于男性,提示抑郁症状和焦虑症状对女性生命质量的影响大于男性.
Healthy life expectancy for rural older population based on mental health:multistate Markov modeling
Objective This study aimed to estimate the life expectancy(LE)healthy life ex-pectancy(HLE)indicators regarding depression and anxiety symptoms to quantify the impact of them on the health of the elderly population in order to provide recommendations for countermeasures to prolong HLE in rural areas.Methods Participants aged 60 and older from the baseline study and the follow-up study of the"Henan Rural Cohort Study"were used to evaluate LE and HLE indicators across age and gender.In the present study,the HLE indicators included depression-or anxiety-free life expectancy(DAFLE),depression-free life expectancy(DFLE)and anxiety-free life expectancy(AFLE).Results Based on the data from the baseline and the follow-up survey of"Henan rual cohort",the DAFLE,DFLE,AFLE was measured via multistate life tables.For those who were 60 years old,the DAFLE,DFLE and AFLE were 20.081 5,20.230 1 and 20.435 2 years,accounting for 95.85％,96.28％and 96.99％of LE,respectively.For men aged 60 years old,the DAFLE,DFLE and AFLE were 18.076 8,18.012 8 and 18.166 5 years,accounting for 96.70％,97.10％and 97.41％of LE,respectively.For women aged 60,the DAFLE,DFLE and AFLE were 22.811 6,23.325 3 and 23.492 2 years,which ac-counted for 95.33％,95.59％and 96.57％,respectively.Conclusions The ratio of HLE to LE were higher among men than women,which suggest that depression and anxiety effected the quality of life among elderly women more severely than among men.
Healthy life expectancyDepressionAnxietyMultistate life tableMultistate Markov model
NETL
NSTL
万方数据
