College of Population Studies, Chulalongkorn University, Visid Prachuabmoh Building, Bangkok 10330, Thailand.
Health Place. 2013 Nov;24:1-10. doi: 10.1016/j.healthplace.2013.08.002. Epub 2013 Aug 14.
We investigate links between increasing longevity and health status in Thailand. Using data from 2002 and 2007 national surveys of the elderly, healthy life expectancies at older ages were estimated. Change depended on health indicator, gender and age. Self-reported health and self-care disability showed expansion of morbidity. Mobility disability change indicated compression but a wording change means this may be an artefact. We compare these findings with the 1990 and 2010 results of the Global Burden of Disease study. Using HLE based on disease prevalence, the GBD found that Thailand experienced small longevity gains and morbidity compression. Our findings suggest these results should be treated with caution, as, since 2000, Thailand has introduced universal health care.
我们研究了泰国人口寿命延长与健康状况之间的关联。本研究使用了 2002 年和 2007 年泰国老年人全国调查的数据,估计了老年人的健康预期寿命。变化取决于健康指标、性别和年龄。自我报告的健康和自我护理障碍表明发病率扩大。移动障碍的变化表明发病率在减少,但措辞的变化可能表明这只是一个假象。我们将这些发现与 1990 年和 2010 年全球疾病负担研究的结果进行了比较。基于疾病流行率的 HLE,全球疾病负担研究发现泰国的寿命延长幅度较小,发病率减少。我们的研究结果表明,由于自 2000 年以来泰国已经实施了全民医疗保健,因此应该谨慎对待这些结果。