Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China.
Department of Applied Statistics, School of Statistics and Big Data, Henan University of Economics and Law, Zhengzhou, PR China.
J Affect Disord. 2022 Dec 15;319:318-324. doi: 10.1016/j.jad.2022.09.033. Epub 2022 Sep 16.
This study aimed to estimate healthy life expectancy (HLE) regarding anxiety, depression and their comorbidity among rural older adults.
A total of 12,851 subjects (5790 men and 7061 women) enrolled from the Henan Rural Cohort Study were used to evaluate healthy status expectancy (HSE), and 10,096 (4475 men and 5621 women) of them were used to estimate health-adjusted life expectancy (HALE). The life expectancy was calculated using period life table, and HSE and HALE indicators were calculated via the Sullivan method.
For participants aged 60, the depression-free life expectancy (DFLE), anxiety-free life expectancy (AFLE), and depression- and anxiety-free life expectancy (DAFLE) were 23.0993, 23.3314, and 22.7206 years, respectively. The quality-adjusted life expectancy (QALE) of those with neither anxiety nor depression, with anxiety, with depression, and with comorbidity was 22.0727, 20.8751, 18.1484, and 17.0823 years, respectively. The ratio of DFLE (AFLE) to LE increased with age among both genders, while the DAFLE/LE showed a decreasing trend. Regardless of HSE or HALE indicators, women tended to have higher HLE, while HLE/LE was lower than men. Furthermore, all HLE indicators associated with anxiety were the largest in both genders compared to indicators regarding depression.
The HLE may be overestimated ignoring institutional population in the study.
Anxiety and depression played essential roles in the quality of life among rural older adults, especially depression. Comorbidity would intensify the adverse effect in rural areas, especially for older men. More attention should be paid to the psychological problems among rural older population.
本研究旨在估计农村老年人中焦虑、抑郁及其共病的健康预期寿命（HLE）。
本研究使用河南农村队列研究的数据，共纳入了 12851 名受试者（5790 名男性和 7061 名女性）来评估健康状况预期寿命（HSE），其中 10096 名受试者（4475 名男性和 5621 名女性）用于估计健康调整预期寿命（HALE）。使用期间生命表计算预期寿命，采用 Sullivan 法计算 HSE 和 HALE 指标。
在 60 岁的参与者中，无抑郁预期寿命（DFLE）、无焦虑预期寿命（AFLE）和无抑郁和焦虑预期寿命（DAFLE）分别为 23.0993、23.3314 和 22.7206 年。无焦虑和抑郁、有焦虑、有抑郁和共病的参与者的质量调整预期寿命（QALE）分别为 22.0727、20.8751、18.1484 和 17.0823 年。无论使用 HSE 还是 HALE 指标，男女的 DFLE（AFLE）与 LE 的比值均随年龄增长而增加，而 DAFLE/LE 呈下降趋势。无论使用 HSE 还是 HALE 指标，女性的 HLE 均高于男性，而 HLE/LE 低于男性。此外，与抑郁相关的所有 HLE 指标在两性中均大于焦虑相关的指标。
本研究在估计 HLE 时忽略了机构人群，可能导致 HLE 被高估。
焦虑和抑郁在农村老年人的生活质量中起着重要作用，尤其是抑郁。共病会加剧农村地区的不利影响，尤其是对老年男性。应更加关注农村老年人群的心理问题。
