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为什么英格兰和威尔士的预期寿命“停滞不前”?

Why is life expectancy in England and Wales 'stalling'?

机构信息

London School of Hygiene and Tropical Medicine, ECOHOST, London, UK.

University of Central Lancashire, Preston, Lancashire, UK.

出版信息

J Epidemiol Community Health. 2018 May;72(5):404-408. doi: 10.1136/jech-2017-210401. Epub 2018 Feb 20.

Abstract

Several independent analyses, by both epidemiologists and actuaries, have concluded that the previous rate of improvement of life expectancy in England and Wales has now slowed markedly, and at older ages may even be reversing. However, although these findings have led the pension industry to reduce estimates of future liabilities, they have failed to elicit any significant concern in the Department of Health and Social Care. In this essay, we review the evidence on changing life expectancy, noting that the problems are greatest among older women. We then estimate the gap between what life expectancy is now and what it might have been had previous trends continued. At age 85, the gap is 0.34 years for women and 0.23 for men. We argue that recent changes cannot be dismissed as a temporary aberration. While the causes of this phenomenon are contested, there is growing evidence to point to the austerity policies implemented in recent years as at least a partial explanation. We conclude by calling for a fully independent enquiry to ascertain what is happening to life expectancy in England and Wales and what should be done about it.

摘要

几项由流行病学家和精算师进行的独立分析得出结论,英格兰和威尔士的预期寿命之前的改善速度现在明显放缓,在老年甚至可能出现逆转。然而,尽管这些发现导致养老金行业降低了对未来负债的估计,但它们并没有引起卫生和社会保障部的任何重大关注。在本文中,我们回顾了关于预期寿命变化的证据,指出在老年女性中问题最大。然后,我们估计了目前预期寿命与如果延续之前趋势可能达到的预期寿命之间的差距。在 85 岁时,女性的差距为 0.34 岁,男性为 0.23 岁。我们认为,最近的变化不能被视为暂时的反常现象。虽然这种现象的原因存在争议,但越来越多的证据表明,近年来实施的紧缩政策至少是部分原因。我们最后呼吁进行全面的独立调查,以确定英格兰和威尔士的预期寿命正在发生什么变化,以及应该采取什么措施。

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