Department of Demography and Geodemography, Faculty of Science, Charles University, Prague, Czechia.
Department of Social Geography and Regional Development, Faculty of Science, Charles University, Prague, Czechia.
Int J Public Health. 2024 Oct 16;69:1607574. doi: 10.3389/ijph.2024.1607574. eCollection 2024.
Our objective was to assess morbidity trends in Europe and to classify European countries based on population ageing theories: the compression, expansion and dynamic equilibrium of morbidity.
The proportions of healthy life years were calculated for 31 European countries for the period 2005-2019 based on life expectancy values and healthy life years at age 65 years adopted from the Eurostat database. European countries were classified according to morbidity patterns applying the standard deviation distance from the average of relative change method between the selected years.
A large degree of variation in terms of life expectancy and healthy life years at age 65 years was determined between 2005 and 2019. While the life expectancy differences between men and women were consistent across all the European countries, the gender gap concerning healthy life years was more diverse. Approximately one-third of the countries fell into the expansion, compression and dynamic equilibrium categories, respectively.
Significant variations were identified in healthy life year trends across European countries, which underscores the need for preventive strategies.
本研究旨在评估欧洲的发病趋势，并根据人口老龄化理论对欧洲国家进行分类：发病压缩、发病扩张和发病动态平衡。
本研究基于 2005 年至 2019 年期间从欧洲统计局数据库中采用的预期寿命值和 65 岁健康寿命年数，计算了 31 个欧洲国家的健康寿命年比例。采用选定年份之间相对变化平均值标准差距离法，根据发病模式对欧洲国家进行分类。
2005 年至 2019 年间，欧洲国家的预期寿命和 65 岁健康寿命年数存在较大差异。虽然所有欧洲国家男性和女性的预期寿命差异基本保持一致，但健康寿命年的性别差距更加多样化。大约三分之一的国家分别属于发病扩张、发病压缩和发病动态平衡类别。
欧洲国家的健康寿命年趋势存在显著差异，这凸显了制定预防策略的必要性。
