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目的准确评价北京市人群健康水平,为确定医疗卫生服务以及疾病预防控制工作的优先重点提供重要依据。方法采用世界卫生组织(WHO)测算健康期望寿命(health life expectancy,HALE)的方法,开展居民自报健康调查。应用HOPIT模型对北京市居民自报健康调查的数据进行校正,获得人群伤残测度,通过沙利文法结合北京市常规死因监测资料测算北京市成人HALE。结果人群自报健康数据经HOPIT模型校正后,女性伤残测度高于男性,北京市18岁成年人的HALE为40.17剩余年,各年龄组的HALE男性高于女性。随年龄增长,HALE损失占期望寿命的百分比逐渐增大,18岁组人群寿命损失百分比为37.54%,60岁组人群为63.96%。结论北京市成人中女性健康水平低于男性,人口老龄化是北京市医疗卫生服务及疾病预防控制工作面临的重要挑战。
Objective To accurately evaluate the health status of Beijing residents and provide an important basis for determining the priority of medical and health services and disease prevention and control. Methods The health life expectancy (HALE) method was used by the World Health Organization (WHO) to carry out resident self-reported health survey. The HOPIT model was used to correct the data of Beijing residents’ self-reported health survey to obtain the population disability measure. The adult HALE of Beijing was estimated by the Sullivan method combined with the routine monitoring data of death from Beijing. Results After self-reported health data were corrected by HOPIT model, the disability measure of female was higher than that of male. The HALE of 18-year-old adults in Beijing was 40.17 years old, and the HALE men of all age groups were higher than women. As age increases, the percentage of HALE loss to life expectancy increases. The percentage of life loss of the 18-year-old population is 37.54% and that of the 60-year-old population is 63.96%. Conclusion The level of female health among adults in Beijing is lower than that of men. The aging of population is an important challenge for medical and health services and disease prevention and control in Beijing.