| 彭雯,黄匡时,陈心广,孙晓敏,贺丹,曾毅,乔晓春,王友发.中国健康预期寿命指标体系构建[J].中华流行病学杂志,2023,44(1):74-80 |
| 中国健康预期寿命指标体系构建 |
| Construction of a healthy life expectancy indicator system in China |
| 收稿日期:2022-09-28 出版日期:2023-01-14 |
| DOI：10.3760/cma.j.cn112338-20220928-00827 |
| 中文关键词: 健康预期寿命 指标体系 健康中国 老年化社会 |
| 英文关键词: Healthy life expectancy Indicator system Healthy China Aging society |
| 基金项目:国家社会科学基金重大项目（16ZDA089）；国家自然科学基金（82103846）；国家重点研发计划“精准医学研究”重点专项（2017YFC0907200，2017YFC0907201）；科技部国际合作项目（G2021170007L） |
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| 中文摘要: |
| 健康预期寿命（HLE）研究是老龄化社会和健康中国建设需求，但我国尚未制定具体政策目标值，也未官方公布过HLE。需建立HLE指标体系，指导HLE测算和研究。根据WHO对健康的定义，融入联合国可持续发展目标、全健康和主动健康理念，在梳理国际现有HLE指标体系基础上，基于WHO的国际功能、残疾和健康分类和国际疾病分类框架，提出了多维度HLE指标体系概念框架和指标结构。概念框架包括基本的身体、心理、行为、社会和环境健康5个维度，同时增加测量残障程度的综合指标“失能指数”。以此为基础，提出HLE主要健康测量指标的框架，包括行为因素、生理和病理原因、残障、功能受限、失能和死亡，并进一步讨论了HLE指标体系的构建思路、数据类型和来源。本文有助于促进HLE研究和实践，助力老龄化应对和健康中国建设。 |
| 英文摘要: |
| Research of healthy life expectancy (HLE) is needed in an aging society and by the Healthy China Initiative. However, China has not developed the HLE policy goal nor published HLE values. Therefore, it is essential to construct the HLE indicator system to guide HLE estimation and research. Based on the definition of health from the WHO and the concepts from the United Nations Sustainable Development Goal, One Health and Active Health, we systematically reviewed the existing international HLE indicators, and initially proposed a novel multi-dimensional HLE conceptual framework and indicator structure according to international function, disability and health classifications and international disease classification framework of WHO. The conceptual framework includes five dimensions-physical, mental, behavioral, social, and environmental health, and the comprehensive indicator for disability-disability index is added. Furthermore, we proposed the HLE indicator structure, including behavioral factors, physiological and pathological reasons, impairment, functional limitation, disability and death. Then we discussed the approaches, types of data, and potential data sources for such research. The results of this study would facilitate HLE research and contribute to the aging society and Healthy China Initiative. |
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