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2 型糖尿病患者的性别特异性健康调整生命预期在农村老年人群体中的研究。

Gender-Specific Health-Adjusted Life Expectancy of Type 2 Diabetes Mellitus Among the Rural Elderly Population.

机构信息

Department of Social Medicine and Health Management, School of Public Health, Wuhan University, Wuhan, Hubei, China.

Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China.

出版信息

Int J Public Health. 2024 Mar 13;69:1606680. doi: 10.3389/ijph.2024.1606680. eCollection 2024.

Abstract

This study aimed to estimate the life expectancy (LE) and health-adjusted life expectancy (HALE) of type 2 diabetes mellitus (T2DM) among the rural elderly population. A total of 10,318 participants aged 65 to 79 were derived from the Henan Rural Cohort. The LE and HALE were calculated via the Sullivan method and multistate life table. Among 10,318 subjects, 1,325 suffered from T2DM at the baseline, and 394 participants had newly-developed T2DM. The results from the Sullivan method showed that the LE, HALE, and HALE/LE were 17.98, 16.18 years, and 89.95% for men aged 65 to 69, and the corresponding estimates for women were 21.81, 18.73 years, and 85.86%, respectively. The LE, HALE and HALE/LE calculated via multistate life table were 19.86, 17.53 years, and 88.29% for men at aged 65, and the corresponding values for women were 25.01, 20.87 years, and 83.44%, respectively. Rural elderly women have a longer LE and HALE of T2DM, but they have lower quality of life than men. More attention should be paid to T2DM among rural elderly people, especially in women. The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 06 July 2015. http://www.chictr.org.cn/showproj.aspx?proj=11375.

摘要

本研究旨在估算农村老年人群中 2 型糖尿病(T2DM)患者的预期寿命(LE)和健康调整预期寿命(HALE)。共纳入来自河南农村队列的 10318 名 65-79 岁的参与者。LE 和 HALE 通过 Sullivan 法和多状态生命表计算。在 10318 名受试者中,基线时有 1325 名患有 T2DM,394 名患有新诊断的 T2DM。Sullivan 法的结果显示,65-69 岁男性的 LE、HALE 和 HALE/LE 分别为 17.98、16.18 年和 89.95%,女性的相应估计值分别为 21.81、18.73 年和 85.86%。多状态生命表法计算的 LE、HALE 和 HALE/LE 分别为 65 岁男性的 19.86、17.53 年和 88.29%,女性的相应值分别为 25.01、20.87 年和 83.44%。农村老年女性 T2DM 的 LE 和 HALE 较长,但生活质量低于男性。应更加关注农村老年人群中的 T2DM,尤其是女性。河南农村队列研究已在中国临床试验注册中心注册(注册号:ChiCTR-OOC-15006699)。注册日期:2015 年 7 月 6 日。http://www.chictr.org.cn/showproj.aspx?proj=11375。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d95c/10965460/94bf42944067/ijph-69-1606680-g001.jpg

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