King's College London, UK.
Universidad Nacional Pedro Henriquez Ureña, Santo Domingo, Dominican Republic.
J Aging Health. 2020 Jun/Jul;32(5-6):401-409. doi: 10.1177/0898264319825767. Epub 2019 Jan 30.
The objective of this study was to estimate healthy life expectancies in eight low- and middle-income countries (LMICs), using two indicators: disability-free life expectancy (DFLE) and dependence-free life expectancy (DepFLE). Using the Sullivan method, healthy life expectancy was calculated based on the prevalence of dependence and disability from the 10/66 cohort study, which included 16,990 people aged 65 or above in China, Cuba, Dominican Republic, India, Mexico, Peru, Puerto Rico, and Venezuela, and country-specific life tables from the World Population Prospects 2017. DFLE and DepFLE declined with older age across all sites and were higher in women than men. Mexico reported the highest DFLE at age 65 for men (15.4, = 0.5) and women (16.5, = 0.4), whereas India had the lowest with (11.5, = 0.3) in men and women (11.7, = 0.4). Healthy life expectancy based on disability and dependency can be a critical indicator for aging research and policy planning in LMICs.
本研究旨在使用两种指标（无残疾预期寿命和无依赖预期寿命）来估计八个中低收入国家（LMICs）的健康预期寿命。使用 Sullivan 方法，根据来自包括中国、古巴、多米尼加共和国、印度、墨西哥、秘鲁、波多黎各和委内瑞拉的 16990 名 65 岁或以上人群的 10/66 队列研究中残疾和依赖的患病率，以及来自世界人口展望 2017 的特定国家生命表，计算了健康预期寿命。在所有地点，DFLE 和 DepFLE 随年龄增长而下降，女性高于男性。墨西哥报告称，男性（15.4， = 0.5）和女性（16.5， = 0.4）在 65 岁时的 DFLE 最高，而印度则最低，男性和女性均为（11.5， = 0.3）和（11.7， = 0.4）。基于残疾和依赖的健康预期寿命可以成为 LMICs 老龄化研究和政策规划的关键指标。
