School of Geography, University of Leeds, UK.
School of Population Health, University of Auckland, New Zealand.
Health Place. 2022 Jul;76:102820. doi: 10.1016/j.healthplace.2022.102820. Epub 2022 Jun 8.
Health expectancies are an indicator of healthy ageing that reflect quantity and quality of life. Using limiting long term illness and mortality prevalence, we calculate disability-free life expectancy for small areas in England and Wales between 1991 and 2011 for males and females aged 50-74, the life stage when people may be changing their occupation from main career to retirement or alternative work activities. We find that inequalities in disability-free life expectancy are deeply entrenched, including former coalfield and ex-industrial areas and that areas of persistent (dis-) advantage, worsening or improving deprivation have health change in line with deprivation change. A mixed health picture for rural and coastal areas requires further investigation as do the demographic processes which underpin these area level health differences.
健康期望寿命是衡量健康老龄化的一个指标，反映了生活的数量和质量。我们利用长期限制疾病和死亡率的流行情况，计算了英格兰和威尔士 1991 年至 2011 年间 50 至 74 岁男性和女性的无残疾预期寿命，这个年龄段的人可能正在从主要职业转变为退休或其他工作活动。我们发现，无残疾预期寿命的不平等现象根深蒂固，包括前煤矿区和前工业区，以及那些持续（不）处于有利地位、贫困状况恶化或改善的地区，其健康状况的变化与贫困状况的变化是一致的。农村和沿海地区的这种复杂的健康状况需要进一步调查，这些地区的人口结构过程也是导致这些地区健康差异的原因。
