文章摘要
方向华,汤哲,ZacharyZimmer,项曼君,ToshikoKaneda.卒中对老年人预期寿命的影响及变化趋势[J].中华流行病学杂志,2009,30(2):105-109
卒中对老年人预期寿命的影响及变化趋势
Effects and trends of stroke and life expectancy among older adults-from 1990s to 2000s
收稿日期:2008-10-15  出版日期:2014-09-18
DOI:
中文关键词: 卒中;健康预期寿命;生活能力评估量表;老年人
英文关键词: Stroke;Active life expectancy;Activity daily living scale;Elderly
基金项目:美国老年所资助项目(ROIAG20063-01)
作者单位
方向华 首都医科大学宣武医院流行病学和社会医学部 100053, 北京 
汤哲 首都医科大学宣武医院流行病学和社会医学部 100053, 北京 
ZacharyZimmer Population, Council, USA 
项曼君 首都医科大学宣武医院流行病学和社会医学部 100053, 北京 
ToshikoKaneda Population, Council, USA 
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中文摘要:
      评价卒中对北京地区老年人预期寿命(LE)、健康预期寿命(ALE)和不健康预期寿命(IALE)的影响,以及上述各项预期寿命指标从1992-1997年到2000-2004年的变化趋势。方法采用纵向研究方法对北京市城区(宣武)、近郊区(大兴)和远郊区(怀柔)有代表性老年人群(3257例)进行12年追踪,调查其健康和存活状况。采用WHO的基本生活能力评估量表(ADL),评估老年人躯体功能健康状况及变化,采用SAS分析比较1992-1997年和2000-2004年2个时间段的LE、ALE和IALE变化。结果各年龄卒中组老年人的LE和ALE均低于非卒中组老年人,IALE则高于非卒中组。基线健康状态是ALE的重要决定因素--基线状态为健康的卒中组老年人,其ALE低于非卒中老年人,但是ALE长于IALE,且卒中组与非卒中组的lALE无差异;而基线不健康的卒中老年人ALE大幅度减少,LALE超出ALE。城市卒中组老年人的LE和ALE均高于农村,而LALE低于农村。到2000-2004年间,无论城乡,是否患卒中,基线调查时是否处于健康状态,LE均有所增加,其中AEL的增加幅度高于IALE,基线不健康的卒中组老年人的ALE增加幅度最大。结论卒中减低老年人生命数量与质量,对于农村老年卒中患者更为明显。从1992-1997年到2000-2004年期间,北京地区无论是城市还是农村,卒中老年人的LE和ALE都有所延长,提示其生命数量和质量得到改善。
英文摘要:
      explore the experience of stroke influencing the lire expectancy(LE),active life expectancy(ALE),inactive life expectancy(IALE),and the trend of 1ife expectancy among older adults,from 1990s to 2000s in Beijing,China.Methods A representative sample of 3257 elderly people living in urban or rural communities in Beijing were followed up from 1990 until 2004.Their health and survival status had been surveyed every 3-5 years.Activity Daily Living(ADL)scale,recommended bv WHO was used to evaluate the physical function capability of the elderly.SAS was used to estimate LE,ALE and IALE for both periods of 1992-1997 and 2000-2004 by age and by areas of residency(rural or urban).Results LE and ALE were shorter.and IALE was longer,among the elderly with stroke than those without stroke at all age groups.Functional Status at baseline was also a very important factor in determining ALE and IALE.For those active at baseline,ALE in the elderly with stroke was shorter than those without.There were no difiererlces found in IALE between those with or without stroke.but ALE was longer than LALE.For the elderly with stroke and inactive at baseline.their IALE were longer than ALE and their ALE were at low levels in all age groups.Among those with stroke and living in urban,their LE and ALE were longer than those living in the rural area.When comparing with the period of 1992-1997.botll LE and ALE increased during the period of 2000-2004 in all the elderly groups,both in urban and rural areas.The largest increment occurred among those with stroke who originated in an inactive state.Conclusion Stroke reduced both quality and quantity of life of the elderly.The reductions of LE and ALE were greater among the elderly with stroke in rural than in urban areas.Both LE and ALE increased from 1992-1997 to 2000-2004 among the elderly with stroke in both urban and rural areas.
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