[我们活得更长了，但健康状况如何？质量调整生命预期方面的不平等]
[We are living longer, but in good health? Inequality in quality-adjusted life expectancy].
作者信息
van Baal P, Gheorghe M
机构信息
*Dit onderzoek werd eerder gepubliceerd in The European Journal of Public Health (2016;26:794-9) met als titel 'Health inequalities in the Netherlands: trends in quality-adjusted life expectancy (QALE) by educational level'. Afgedrukt met toestemming.
出版信息
Ned Tijdschr Geneeskd. 2017;161:D806.
OBJECTIVE
Quantifying trends in quality-adjusted life expectancy (QALE) by level of education in the Netherlands 2001-2011.
DESIGN
Retrospective study.
METHOD
For this study we used data from several sources. Using regression models we estimated mortality rates and quality of life as functions of age, gender, calendar year and educational level. Quality of life was measured using the SF-6D questionnaire. In order to calculate QALE we combined estimates of mortality rates and quality of life into Sullivan's life tables.
RESULTS
Over the period 2001-2011 quality of life and survival increased at all educational levels. This resulted in an increase of QALE varying from 1.5 to 3 years depending on gender and education. QALE increased less strongly in people with lower education than in those with higher education, which to a large extent was due to widening inequalities in mortality.
CONCLUSION
The Dutch are living longer and have a better quality of life but inequalities in QALE have increased.
目的
量化2001 - 2011年荷兰不同教育水平人群的质量调整预期寿命（QALE）趋势。
设计
回顾性研究。
方法
本研究使用了多个来源的数据。我们通过回归模型估计死亡率和生活质量，将其作为年龄、性别、日历年份和教育水平的函数。生活质量使用SF - 6D问卷进行测量。为了计算QALE，我们将死亡率和生活质量的估计值合并到沙利文生命表中。
结果
在2001 - 2011年期间，所有教育水平人群的生活质量和生存率均有所提高。这导致QALE增加了1.5至3年，具体取决于性别和教育程度。低教育水平人群的QALE增长幅度小于高教育水平人群，这在很大程度上是由于死亡率不平等加剧所致。
结论
荷兰人的寿命更长，生活质量更高，但QALE方面的不平等现象有所增加。
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