Papsidero J A
Community Health Science, Michigan State University, East Lansing 48824.
J Hypertens Suppl. 1988 Nov;6(1):S11-4.
Mortality rates and measures of life expectancy are widely used to compare and monitor health within populations. However, there is a need to add dimensions of population health other than survival. An alternative measure, 'active life expectancy', is a way of quantifying the functional health of older adult populations and, in part, measuring quality of life. Life-table techniques are used to define the expected duration of well-being. Instead of death, the end-point of active life expectancy is loss of independence in activities of daily living. Initial studies showed that active life expectancy decreased with age, from 10 years to 4.7 years and 2.9 years, respectively, for people entering the age intervals 65-69, 80-84 and 85 years and over. Since cardiovascular disease is the major cause of disability in the older adult population, measures of active life expectancy can provide improved information about functional independence and dependence. Life tables with estimates of active life expectancy can be used as a basis for determining the needs of age cohorts of people with hypertension and other conditions.
死亡率和预期寿命指标被广泛用于比较和监测人群健康状况。然而，除了生存情况外，还需要增加人群健康的其他维度。另一种衡量指标“健康预期寿命”是量化老年人群功能健康状况以及部分衡量生活质量的一种方式。生命表技术用于确定健康状况的预期持续时间。健康预期寿命的终点不是死亡，而是日常生活活动中失去自理能力。初步研究表明，健康预期寿命随年龄增长而下降，对于进入65 - 69岁、80 - 84岁以及85岁及以上年龄区间的人群，健康预期寿命分别从10年降至4.7年和2.9年。由于心血管疾病是老年人群残疾的主要原因，健康预期寿命指标可以提供有关功能独立和依赖状况的更多信息。包含健康预期寿命估计值的生命表可作为确定高血压及其他疾病老年人群需求的依据。
