| 王婉琪,屈静晗,刘梦泽,李敏瑞,臧博莹,周俊文,赵厚宇,张睿,刘韫宁,王黎君,万霞,孙凤,吴静.健康期望寿命的指标定义和测算方法研究进展[J].中华流行病学杂志,2022,43(12):1986-1994 |
| 健康期望寿命的指标定义和测算方法研究进展 |
| Measurement and algorithm of healthy life expectancy: a scoping review |
| 收稿日期:2022-06-29 出版日期:2022-12-17 |
| DOI：10.3760/cma.j.cn112338-20220629-00574 |
| 中文关键词: 健康期望寿命 概括性综述 实证研究 |
| 英文关键词: Healthy life expectancy Scoping review Application studies |
| 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 | | 王婉琪 | 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院, 北京 100730 | | | 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 | | | 臧博莹 | 北京大学公共卫生学院, 北京 100191 | | | 周俊文 | 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
中国疾病预防控制中心, 北京 102206 | | | 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，wujing@chinacdc.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 健康期望寿命（HLE）将预期寿命与健康水平相结合，是各国衡量国民寿命长度和质量的重要综合性指标。本研究采用概括性综述梳理全球HLE的指标定义和测算方法以及实证研究，以期为决策者遴选和发展适合中国国情的HLE指标和算法提供借鉴和参考。方法 检索7个中英文文献数据库，检索时限为建库至2022年5月7日；同时，手动检索综述性文献及其参考文献。纳入HLE指标及测算方法相关的系统评价和实证研究，提取并汇总研究地区、研究类型、研究人群、HLE指标、测算方法、测算数据源和近5年实证研究等内容，梳理HLE的指标定义演变、不同指标适用范围、定义健康的量表，以及HLE的测算方法，总结不同指标测算方法的实证研究结果。研究遵循概括性综述规范实施步骤，文章撰写参考PRSIMA-ScR声明。结果 共纳入文献84篇，其中13篇综述评价，17篇为HLE指标定义的原始研究，10篇为指标测算方法的原始研究，44篇为近5年开展的实证研究。HLE的相关指标多达20种，定义健康的量表各有侧重；不同学者提出10种指标测算方法，根据指标的健康定义、是否设置权重和数据类型而不同。近5年最常用的指标是无残疾期望寿命和不区分具体类型的HLE。对于HLE的测算，横断面数据多使用沙利文法、纵向数据多采用多状态寿命表法。结论 HLE的定义和测算方法多样，尚无公认的最优方法。总结全球范围内的HLE概念、健康评价技术和测算方法以及实证研究，可为我国HLE指标测算的本土化提供借鉴和参考。 |
| 英文摘要: |
| Objective Healthy life expectancy (HLE), which combines life expectancy with health, is an essential comprehensive measure of life length and quality. This article aimed to systematically review the methods for defining and measuring HLE and describe application studies published, providing a reference for decision makers to select and develop methods suitable for China's conditions to measure HLE. Methods Seven Chinese and English literature databases were searched up to May 7, 2022, and several related reviews and bibliography were manually retrieved. Systematic reviews and empirical research were included concerning HLE indicators and measurement of HLE. Information including the study area, type of the study, study population, HLE index, measurement method, data sources, and results from application studies published in the last five years were extracted. The evolution of the definition of HLE, the scope of different indicators, the measurement scale of health, and measurement methods, were all collected. Results of the empirical research related to measurement methods of indicators were summarized. The study followed the scoping review framework and was written according to the PRISMA-ScR statement. Results A total of 84 articles were included, including 13 reviews, 17 original studies related to HLE index definition, ten original studies related to index measurement, and 44 empirical studies conducted in the past five years. There were as many as 20 indicators related to HLE, and each scale had its emphasis. A total of ten methods measuring HLE were identified, which vary in the definition of health, whether using weight, and the data type. The most commonly used indicators in the past five years were disability-free life expectancy and HLE. For the method of HLE calculation, Sullivan's method was mainly used for cross-sectional data, and the multistate life table was mainly used for longitudinal data.Conclusions There are various definitions and measurement methods of HLE, but none are suitable for all scenarios. To summarize the HLE concept, health evaluation techniques, measurement methods, and application studies published worldwide can provide a reference for the localization of HLE measurement in China. |
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