Department of Social Work and Social Administration, Faculty of Social Sciences, 25809The University of Hong Kong, Hong Kong.
Mindlink Research Centre, Hong Kong.
J Aging Health. 2020 Dec;32(10):1645-1658. doi: 10.1177/0898264320950067. Epub 2020 Aug 22.
To examine whether we live healthier as we live longer in Hong Kong, which has one of the highest life expectancies in the world. Sullivan's method was used to evaluate the chronic disease-free life expectancy (CDFLE), life expectancy in good self-perceived health (GPHLE), and impairment-free life expectancy (IFLE) among population aged 50 years and older in Hong Kong in 2007-2016. In spite of the marked improvement in life expectancy in Hong Kong, the increase in GPHLE was much smaller, while CDFLE and IFLE even declined for both genders. The situation was more severe among older population. People in Hong Kong live longer but with worsening health. The expansion of chronic diseases, self-perceived poor health, and impairments among older adults calls for more fiscal investments, government attention, and public health policies.
为了研究在香港这样一个预期寿命位居世界前列的地区,人们是否会随着寿命的延长而更健康,我们采用沙利文的方法评估了香港 2007-2016 年 50 岁及以上人群的无慢性病预期寿命(CDFLE)、自我感知健康良好的预期寿命(GPHLE)和无残障预期寿命(IFLE)。尽管香港的预期寿命显著提高,但 GPHLE 的增长要小得多,而 CDFLE 和 IFLE 甚至在两性中都有所下降。这种情况在老年人群中更为严重。香港人活得更长,但健康状况却在恶化。慢性疾病的扩大、自我感知健康状况不佳和老年人的残障问题,都需要更多的财政投入、政府关注和公共卫生政策。