利用德国北莱茵-威斯特法伦州的行政数据计算健康期望寿命：1999-2005 年。

Calculation of health expectancies with administrative data for North Rhine-Westphalia, a Federal State of Germany, 1999-2005.

机构信息

Department of Public Health Medicine, School of Public Health, University of Bielefeld, Universitätsstr, 25, 33615 Bielefeld, Germany.

出版信息

Popul Health Metr. 2009 Mar 19;7:4. doi: 10.1186/1478-7954-7-4.

DOI:10.1186/1478-7954-7-4

PMID:19298666

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2662786/

Abstract

OBJECTIVES

The main objectives of this study were to prove the feasibility of health expectancy analyses with regional administrative health statistics and to explore the utility of the calculated health expectancies in describing the health state of the population living in North Rhine-Westphalia, a Federal State of Germany.

MATERIALS AND METHODS

Administrative population and mortality data as well as health data on disability and long-term care provided by public services were used to calculate: a) the life expectancy and b) the health expectancies Severe-Disability-Free Life Expectancy (SDFLE) and Long-Term-Care-Free Life Expectancy (LTCFLE) from 1999 to 2005. Calculations were done using the Sullivan method.

RESULTS

SDFLE at birth was 69.9 years (males 66.2 and females 73.2 years) in 1999 and it increased to 71.7 years (males 68.6 and females 74.7 years) in 2005. The proportion of the SDFLE on the total life expectancy at birth was 89.8% (males 88.6 and females 90.8%) in 1999 and 90.7% (males 89.8 and females 91.4%) in 2005.LTCFLE at birth was 75.3 years (males 73.1 and females 77.5 years) in 1999 and it increased to 76.6 years (males 74.7 and females 78.6 years) in 2005. The proportion of the LTCFLE on the total life expectancy at birth was 96.8% (males 97.8 and females 96.1%) in 1999 and 96.8% (males 97.8 and females 96.2%) in 2005.

DISCUSSION AND CONCLUSION

Both health expectancies indicate an improvement in the quantity as well as in the quality of healthy life for the population living in North Rhine Westphalia and therefore suggest a compression of morbidity from 1999 to 2005. The findings however have several limitations in their sensitivity, since we applied dichotomous valuations to the health states. In addition, the results are restricted to comparisons over time because the morbidity concepts do not allow for comparisons with populations other than the German one. Refined calculations with other summary measures of population health and with health data on other morbidity concepts are therefore reasonable.

摘要

目的

本研究的主要目的是证明利用区域行政卫生统计数据进行健康期望分析的可行性，并探讨计算得出的健康期望在描述德国北莱茵-威斯特法伦州人口健康状况方面的效用。

材料与方法

本研究使用人口和死亡率数据以及公共服务提供的残疾和长期护理健康数据，计算 1999 年至 2005 年期间的以下内容：a）预期寿命和 b）严重残疾无预期寿命（SDFLE）和无长期护理预期寿命（LTCFLE）。计算采用 Sullivan 法。

结果

1999 年，北莱茵-威斯特法伦州人口出生时的 SDFLE 为 69.9 岁（男性 66.2 岁，女性 73.2 岁），到 2005 年增加至 71.7 岁（男性 68.6 岁，女性 74.7 岁）。1999 年，SDFLE 占出生时总预期寿命的 89.8%（男性 88.6%，女性 90.8%），2005 年为 90.7%（男性 89.8%，女性 91.4%）。1999 年，北莱茵-威斯特法伦州人口出生时的 LTCFLE 为 75.3 岁（男性 73.1 岁，女性 77.5 岁），到 2005 年增加至 76.6 岁（男性 74.7 岁，女性 78.6 岁）。1999 年，LTCFLE 占出生时总预期寿命的 96.8%（男性 97.8%，女性 96.1%），2005 年为 96.8%（男性 97.8%，女性 96.2%）。

讨论与结论

这两种健康期望均表明北莱茵-威斯特法伦州人口健康的数量和质量都有所提高，因此表明从 1999 年到 2005 年期间发病率有所降低。然而，由于我们对健康状况采用了二分法评估，这些发现的敏感性存在一些局限性。此外，由于发病率概念仅限于与德国人口进行比较，因此结果仅限于随时间的比较。因此，使用其他人口健康综合衡量标准和其他发病率概念的健康数据进行更精细的计算是合理的。