Department of Public Health, Keimyung University, Daegu 42601, Korea.
Department of Health Policy and Management, Seoul National University College of Medicine, Seoul 03080, Korea.
Int J Environ Res Public Health. 2019 Jul 20;16(14):2593. doi: 10.3390/ijerph16142593.
This study aimed to estimate and compare life expectancy at birth among people with and without officially registered disabilities in Korea between 2004 and 2017. We used the National Health Information Database in Korea to obtain aggregate data on the numbers of population and deaths according to calendar year (2004 to 2017), sex, age groups, and officially registered disability status. A total of 697,503,634 subjects and 3,536,778 deaths, including 33,221,916 disabled subjects (829,464 associated deaths), were used to construct life tables. Between 2004 and 2017, life expectancy for people with disabilities increased by 9.1 years in men and 8.3 years in women, while life expectancy for the non-disabled increased by 5.5 years in men and 4.6 years in women. The average life expectancy difference between non-disabled and disabled people was 18.2 years during the study period, decreasing from 20.4 years in 2004 to 16.4 years in 2017. In 2017, the life expectancy of people with the most severe grade of disabilities was 49.7 years, while the life expectancy of people with the least severe grade of disabilities was 77.7 years. The government should implement more effective policies to protect the health of people with officially registered disabilities.
本研究旨在估计和比较 2004 年至 2017 年间韩国有和没有正式登记残疾的人群的出生预期寿命。我们使用韩国国家健康信息数据库获取了按历年（2004 年至 2017 年）、性别、年龄组和正式登记残疾状况分类的人口和死亡人数的汇总数据。共使用了 697503634 名受试者和 3536778 例死亡，包括 33221916 名残疾受试者（829464 例相关死亡），构建了生命表。2004 年至 2017 年间，男性残疾人群的预期寿命增加了 9.1 年，女性增加了 8.3 年，而非残疾人群的预期寿命男性增加了 5.5 年，女性增加了 4.6 年。在研究期间，非残疾人和残疾人群之间的平均预期寿命差异为 18.2 年，从 2004 年的 20.4 年下降到 2017 年的 16.4 年。2017 年，最严重残疾等级人群的预期寿命为 49.7 岁，而最不严重残疾等级人群的预期寿命为 77.7 岁。政府应实施更有效的政策，保护有正式登记残疾的人群的健康。
