| 臧博莹,屈静晗,周俊文,王婉琪,刘梦泽,李敏瑞,赵厚宇,张睿,刘韫宁,王黎君,万霞,孙凤,吴静.健康期望寿命的影响因素研究进展[J].中华流行病学杂志,2022,43(11):1811-1820 |
| 健康期望寿命的影响因素研究进展 |
| Progress in research of determinants of healthy life expectancy |
| 收稿日期:2022-06-29 出版日期:2022-11-22 |
| DOI：10.3760/cma.j.cn112338-20220629-00575 |
| 中文关键词: 健康期望寿命 影响因素 健康决定因素 |
| 英文关键词: Healthy life expectancy Influencing factor Determinant of health |
| 基金项目:中国工程院2022年重大战略研究与咨询项目“全民健康管理工程研究”（2022-XBZD-21-02） |
| 作者 | 单位 | E-mail | | 臧博莹 | 北京大学公共卫生学院, 北京 100191 | | | 屈静晗 | 北京大学公共卫生学院, 北京 100191
中国医学科学院北京协和医学院北京协和医院药剂科, 北京 100730 | | | 周俊文 | 北京大学公共卫生学院, 北京 100191 | | | 王婉琪 | 北京大学公共卫生学院, 北京 100191 | | | 刘梦泽 | 北京大学公共卫生学院, 北京 100191 | | | 李敏瑞 | 北京大学公共卫生学院, 北京 100191 | | | 赵厚宇 | 北京大学公共卫生学院, 北京 100191 | | | 张睿 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050 | | | 刘韫宁 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050 | | | 王黎君 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050 | | | 万霞 | 中国医学科学院基础医学研究所, 北京 100005 | | | 孙凤 | 北京大学公共卫生学院, 北京 100191 | sunfeng@bjmu.edu.cn | | 吴静 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050 | wujing@chinacdc.cn |
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| 中文摘要: |
| 目的 分析健康期望寿命（HLE）的影响因素。方法 检索7个中英文数据库截至2022年5月7日收录的近三年相关文献。筛选纳入有关HLE影响因素的原始研究，影响因素包括疾病与伤害及其影响因素。本研究基于健康决定因素的生态学模型将疾病与伤害的影响因素分为5个层次：个人特质、个体的行为与生活方式、社会社区网络、生活和工作条件、宏观上的社会经济、文化和环境状态。梳理研究地区、HLE指标、研究人群、影响因素、数据来源和结果等内容，应用证据图谱对不同HLE指标和两个维度影响因素的报告文献频次进行可视化展示，并进一步提取四大权威医学英文期刊和中文核心期刊的实证研究进行对比分析。结果 共纳入90篇文献，其中在中国开展的文献研究占28.9%（26篇）。报告疾病与伤害的文献53篇，全部涉及非传染性疾病，且占比最大（58.9%）。报告健康决定因素77篇，涉及生态学模型5个层次，所有文献会同时报告多层次。其中个人特质的文献数最多，共53篇（58.9%）；个体的行为与生活方式47篇（52.2%）；社会社区网络10篇（11.1%）；生活与工作条件35篇（38.9%）；宏观上的社会经济、文化、环境状态8篇（8.9%）。提取四大权威医学英文期刊和中文核心期刊近三年发表的HLE影响因素的相关文献21篇，其中涉及非传染性疾病和个人特质的文献最多，分别有11篇（52.3%）和12篇（57.1%）。非传染性疾病是全球伤残调整寿命年贡献的最主要因素，个体的行为与生活方式为最易被改变因素。结论 近三年HLE影响因素研究主要集中于对非传染性疾病与个人特质的研究；未来应当深入探讨个体的行为与生活方式和职业环境因素。 |
| 英文摘要: |
| Objective To analyze the influencing factors of healthy life expectancy (HLE).Methods Seven Chinese and English databases were used for the retrieval of related literatures published by May 7, 2022 to identify influencing factors of HLE, including diseases and injuries and their risk factors. Based on the ecological model of health determinants, this study classifies the risk factors of diseases and injuries into five levels:personal characteristics, individual behavior and lifestyle, social network, living and working conditions, and macroscopic socio-economic, cultural and environmental conditions. Contents of research area, HLE indicators, research population, influencing factors, data sources and results were extracted. The frequencies of reported documents of different HLE indicators and influencing factors of different dimensions were visualized by using evidence map, and the empirical studies of four authoritative English medical journals and Chinese core medical journals were further compared and described. Results A total of 90 studies were selected, in which 26 were conducted in China (28.9%). Fifty-three studies are about diseases and injuries in the first dimension, and all of them have studied non-communicable diseases, accounting for the highest proportion (58.9%). There were 77 studies about the analysis on the determinants of health at five levels by an ecological model, all the studies reported multi-level results. Among them, 53 studies reported personal characteristics (58.9%), 47 studies reported individual behavior and lifestyle (52.2%), 10 studies reported social networks (11.1%), 35 studies reported living and working environment (38.9%), 8 studies reported social economy, culture status and environment condition (8.9%). The literatures about HLE published by 4 authoritative English medical journals and 21 Chinese core medical journals in recent three years were selected. Non-communicable diseases and personal characteristics were the top two most commonly studied factors of HLE, and 11 (52.3%) and 12 (57.1%) studies reported these two kinds of factors respectively. The most important factor contributing to the global disability-adjusted life years of non-communicable diseases was individual behavior and lifestyle, which was the most changeable factor. Conclusions In recent three years, studies involving influencing factors of HLE were mainly non-communicable diseases and personal characteristics. In the future, individual behavior, lifestyle and working environment should be strengthened. |
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