美国出生队列中的残疾和发病率,1998-2018:动态平衡理论的多维测试
Tianyu Shen1, Collin F Payne1,2
1School of Demography, Australian National University, Canberra, Australia.
SSM - population health
|November 6, 2023
概括
美国老年人患有慢性疾病的寿命越来越长,但疾病和残疾之间的联系正在减弱. 然而,差距仍然存在,受教育程度较低的个人经历了更多的残疾和发病率.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 之前的研究经常单独分析无残疾和无病率的预期寿命.
- 这些不同的健康指标在晚年生活中可能是相互关联的.
- 了解它们的相互作用对于人口健康战略至关重要.
研究的目的:
- 调查残疾,发病率和死亡率之间的动态关系.
- 分析美国连续出生群体和人口群体的趋势.
- 通过性别和教育来识别健康期望中的差异.
主要方法:
- 利用了来自美国健康和退休研究的数据.
- 采用多状态生命表方法进行分析.
- 在两个不同的时间段 (1998-2008年和2008-2018年) 中比较了四个出生队伍.
主要成果:
- 观察到残疾的最小压缩,但在队列中病率的显著扩张.
- 慢性疾病患者的无残疾预期寿命 (DFLE) 增加,尽管人口水平的DFLE保持稳定.
- 在连续的队列中,慢性疾病和残疾之间的联系越来越弱.
结论:
- 美国老年人口显示出病率和残疾之间的动态平衡.
- 存在显著的教育差异,较低的成绩与减少的健康寿命年数和增加的发病率/残疾有关.
- 未来的DFLE取决于改善疾病管理和控制慢性发病后果.
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