Department of Radiation Oncology, Chung-Kang Branch, Cheng-Ching General Hospital, 40764 Taichung, Taiwan.
Department of Occupational Therapy, Asia University, 41354 Taichung, Taiwan.
Int J Environ Res Public Health. 2020 Jun 18;17(12):4390. doi: 10.3390/ijerph17124390.
(1) Introduction: This study aims to investigate the disparity in the healthy life expectancy of the elderly with hypertension and diabetes mellitus. (2) Materials and Methods: This study used survey data collected in five waves (1996, 1999, 2003, 2007, and 2011) of the "Taiwan Longitudinal Study on Aging" (TLSA) to estimate the life expectancy and healthy life expectancy of different age groups. The activities of daily living, the health condition of hypertension and diabetes and the survival statuses of these cases were analyzed by the IMaCh (Interpolated Markov Chain) and logistic regression model. (3) Results: As regards the elderly between age 50 and 60 with hypertension and diabetes, women with hypertension only exhibited the longest life expectancy, and the healthy life expectancy and the percentage of remaining life with no functional incapacity were 33.74 years and 87.11%, respectively. In contrast, men with diabetes only showed the shortest life expectancy, and the healthy life expectancy and the percentage of remaining life with no functional incapacity were 22.51 years and 93.16%, respectively. We also found that people with diabetes showed a lower percentage of remaining life with no functional incapacity. (4) Conclusions: We suggest that policymakers should pay special attention to publicizing the importance of health control behavior in order to decrease the risk of suffering diseases and to improve the elderly's quality of life.
（1）引言：本研究旨在探讨患有高血压和糖尿病的老年人健康预期寿命的差异。（2）材料与方法：本研究使用了“台湾老龄化纵向研究”（TLSA）在五个时间点（1996 年、1999 年、2003 年、2007 年和 2011 年）收集的调查数据，估计不同年龄组的预期寿命和健康预期寿命。采用 IMaCh（插值马尔可夫链）和逻辑回归模型分析了日常生活活动、高血压和糖尿病的健康状况以及这些病例的生存状况。（3）结果：对于 50-60 岁患有高血压和糖尿病的老年人，仅患有高血压的女性表现出最长的预期寿命，健康预期寿命和无功能障碍剩余寿命的百分比分别为 33.74 年和 87.11%。相比之下，仅患有糖尿病的男性表现出最短的预期寿命，健康预期寿命和无功能障碍剩余寿命的百分比分别为 22.51 年和 93.16%。我们还发现，患有糖尿病的人无功能障碍剩余寿命的百分比较低。（4）结论：我们建议政策制定者应特别注意宣传健康控制行为的重要性，以降低患病风险，提高老年人的生活质量。
