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Objective To analyze the health life expectancy (HALE) of the residents aged 15 years and above in Zhejiang Province and to evaluate the health level among adults. Methods The study was based the mortality data collected from Zhejiang Chronic Disease Surveillance Information and Management System, and the mortality rates were from the Under-Reporting Survey and the sample data in Zhejiang from the 5th National Health Service Survey in 2013. A Sullivan' s method was used to calculate the HALE. Results The life expectancy and self-evaluated HALE were 63.62 years, 55.80 years, respectively, and the difference was 7.82 years (61.49 years VS 55.13 years in males and 66.10 years VS 56.57 years in females) . The self-evaluated HALE 55.89 years in urban and 55.54 years in rural residents aged 15 years and above. The proportion of self-evaluated HALE in the total life expectancy was 87.70%, and it decreased with age, and the proportion has dropped to 67.31% in ≥65 age group. Life expectancy without chronic morbidity was 46.68 years (46.35 years in males and 47.01 years in females; 44.03 years in urban and 47.15 years in rural areas) among residents aged 15 years and above, and the proportion of self-evaluated HALE without chronic morbidity in the total life expectancy without chronic morbidity was 73.37%. Conclusion In general the proportion of self-evaluated HALE in the total life expectancy was small , and males had a greater proportion than female, and adults in rural areas had a greater proportion than that in urban areas. We should consider NCDS management for the elderly residents and to improve the life quality among the elderly residents.
RESUMO
INTRODUCCIÓN: a medida que se desplaza la mortalidad hacia edades avanzadas y predomina la morbilidad por enfermedades crónicas no transmisibles, la esperanza de vida al nacer resulta insuficiente para estimar el estado de salud de las poblaciones, cuyos integrantes pueden padecer durante períodos prolongados las secuelas de enfermedades discapacitantes. En estos escenarios, la esperanza de vida libre de limitaciones permanentes (EVLLP) y con limitacionespermanentes (EVCLP) constituyen indicadores recomendados paraevaluar las condiciones de salud. OBJETIVOS: Estimar la EVLLP porenfermedades físicas o cognitivas para Argentina en 2010. MÉTODOS: Se utilizó el método Sullivan para calcular ambos indicadores. La información básica se obtuvo del Censo Nacional de Población, Hogares y Viviendas de 2010. Se realizaron cálculos de EVLLP y EVCLP al nacer y por edades para la población argentina en 2010. También se elaboró un indicador de impacto de las limitaciones sobre la esperanza de vida para valorar las diferencias halladas. RESULTADOS: Se conocieron las diferencias provinciales en el perfil de salud-discapacidad según sexoy el impacto de la discapacidad en el curso de vida completo segúnprovincias y sexo. CONCLUSIONES: Se espera que las mujeres vivan más años libres de limitaciones, pero con mayor carga potencial de limitaciones permanentes. La Ciudad Autónoma de Buenos Aires es la jurisdicción con mayor EVLLP y con menor carga potencial de discapacidad, mientras que la provincia con mayor impacto dediscapacidad es Jujuy.
INTRODUCTION: as mortality shifts to extreme ages, and morbidity from chronic non-communicable diseasespredominates, life expectancy at birth is not enough to assess the overall health status of populations, whose members may suffer the consequences for long periods of disabling diseases. In these scenarios, indicators like life expectancy free of disabilities (LEFD) and with disabilities (LEWD) arerecommended to evaluate population health conditions. OBJECTIVES: To estimate the LEFD due to physical or cognitive diseases for Argentina in 2010. METHODS: Sullivan methodwas used to calculate both indicators. The basic information was obtained from the 2010 Census of Argentina. LEFD and LEWD at birth and specific ages for the Argentine populationwere calculated. An indicator about impact of the disability on life expectancy was developed to assess the differences found RESULTS:. The study revealed provincial differencesrelated to health and disease profile by sex as well as the impact of the disability on the whole life course by provinces and sex.. CONCLUSIONS: Women are expected to live free of limitations longer than men, but with a higher load of permanent disabilities. Buenos Aires City is the jurisdictionwith the highest life expectancy free of disability and with the lowest potential load, while the province with the greatest impact of disability is Jujuy.