Manton K G, Stallard E
Duke University Center for Demographic Studies, Durham, NC 27706.
J Gerontol. 1991 May;46(3):S170-82. doi: 10.1093/geronj/46.3.s170.
Estimates are made of active life expectancy for the U.S. elderly and oldest-old populations using data from the 1982 and 1984 National Long Term Care Surveys. In the calculation of active life expectancy a multivariate analysis of 27 measures of functioning was used to define scores to decompose total life expectancy by type and level of disability. These analyses showed significant differences in active life expectancy for males and females. Though a higher proportion of male life expectancy at age 65 was "active," females had larger absolute amounts of active life expectancy. By age 85, in contrast, males had a higher absolute amount of active life expectancy. In addition, calculations were performed with the disability associated with cognitive impairment eliminated in order to illustrate the sensitivity of active life expectancy to changes in morbidity.
利用1982年和1984年全国长期护理调查的数据,对美国老年人口和高龄老人的预期健康寿命进行了估计。在计算预期健康寿命时,使用了对27项功能指标的多变量分析来定义得分,以便按残疾类型和程度分解总预期寿命。这些分析表明,男性和女性的预期健康寿命存在显著差异。虽然65岁时男性预期寿命中“健康”部分的比例较高,但女性的预期健康寿命绝对数值更大。相比之下,到85岁时,男性的预期健康寿命绝对数值更高。此外,还进行了计算,排除了与认知障碍相关的残疾,以说明预期健康寿命对发病率变化的敏感性。