在意大利，健康预期寿命显著下降：从 2004 年到 2008 年，新生女孩的预期寿命下降了 10 年。

In Italy, healthy life expectancy drop dramatically: from 2004 to 2008 there was a 10 years drop among newborn girls.

机构信息

San Paolo General Hospital, Largo Donatori del sangue, 00053, Civitavecchia, Italy.

出版信息

Ital J Pediatr. 2012 May 18;38:19. doi: 10.1186/1824-7288-38-19.

DOI:10.1186/1824-7288-38-19

PMID:22607773

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3408327/

Abstract

INTRODUCTION

In this short essay, we would like to address a severe divergence observed in Italy between Life Expectancy (LE) and Healthy Life Expectancy (Healthy LE) and a unique trend of worsening in Healthy LE, compared to the other European countries. Both issues emerge in recent data by EUROSTAT Report.

METHODS

The analysis used by the authors of the EUROSTAT report is based on Sullivan method which combines 2 type of variables: mortality and morbidity data.

RESULTS

While several European countries started to deal with comparable data about LE since 1960, in Italy, analogous data were available for the first time in EUROSTAT Report only in 1985. In Italy, in the period 1985-2008, there was a good progressive increase in L.E., following the best European values. Nevertheless, while until 2004 Italy was among the European best countries in terms of both LE and Healthy LE at birth, four years later in 2008 there was a shocking loss of 10 years of Healthy LE at birth in newborn girls. In the process, they lost their 2-years previous advantage with respect to males (the latter lost only 6 years of Healthy LE, in the same time span). Looking at healthy LE at age 65 in respect to 2004, Italian women in 2008 could expect to live healthy only about 7 years (as much as men) versus the almost 15 years of the European best values (14 years for men).

CONCLUSIONS

It is legitimate to wonder why no one official comment has been produced as a reaction after the first year of spectacular decline in Healthy Life Years in Italy: in counter-tendency with European values, from 2004 to 2008 there is a clear evidence of a 10 years drop in Healthy LE among newborn girls. The problem has not been taken into consideration even when the situation clearly appeared to worsen in the following years, dropping 4-6 more years for males and females in 2006 (for newborn babies); two more years of healthy life expectancy have been lost between 2006 and 2007 for each gender. One more year of Healthy Life Expectancy is lost in 2008. And data have not been made available any more, since then, from Italy.

摘要

引言

在这篇短文里，我们想讨论一下意大利出现的一个严峻问题，即与欧洲其他国家相比，意大利的预期寿命（Life Expectancy，LE）与健康预期寿命（Healthy Life Expectancy，Healthy LE）之间存在严重分歧，且健康预期寿命呈持续恶化趋势。这些问题均源自欧盟统计局（EUROSTAT）的最新报告。

方法

EUROSTAT 报告的作者采用了沙利文（Sullivan）方法，该方法结合了两类变量：死亡率和发病率数据。

结果

虽然自 1960 年起，一些欧洲国家就开始使用 LE 的可比数据，但意大利直到 EUROSTAT 报告于 1985 年才首次提供类似数据。在意大利，1985 年至 2008 年期间，LE 呈良好的渐进式增长，与欧洲最佳数据趋同。然而，尽管在 2004 年之前，意大利在 LE 和出生时的健康预期寿命方面均属于欧洲最佳国家之列，但在四年后的 2008 年，新生女孩的出生时健康预期寿命却惊人地下降了 10 年。在此期间，她们与男性相比，失去了 2 年前的优势（后者在同一时期仅失去了 6 年的健康预期寿命）。从 65 岁时的健康预期寿命来看，与 2004 年相比，2008 年意大利女性的健康预期寿命仅为 7 年（与男性相同），而欧洲最佳水平则接近 15 年（男性为 14 年）。

结论

自意大利健康预期寿命首次大幅下降的第一年以来，人们不禁要问，为什么没有官方评论对此做出反应：与欧洲价值观背道而驰的是，从 2004 年到 2008 年，新生女孩的健康预期寿命明显下降了 10 年。即使在情况明显恶化的情况下，也没有考虑到这个问题，2006 年（新生婴儿）男性和女性的健康预期寿命又下降了 4-6 年；在 2006 年至 2007 年期间，两性的健康预期寿命又分别减少了两年；2008 年，健康预期寿命又减少了一年。此后，意大利没有再提供相关数据。