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首页> 外文期刊>Aging and Disease >Disability Transitions and Health Expectancies among Elderly People Aged 65 Years and Over in China: A Nationwide Longitudinal Study
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Disability Transitions and Health Expectancies among Elderly People Aged 65 Years and Over in China: A Nationwide Longitudinal Study

机译：中国65岁及65岁以上老年人的残障过渡和健康预期：一项全国纵向研究

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Disability has become a critical issue among elderly populations, yet limited large-scale research related to this issue has been conducted in China, an aging society. This study explored sex and urban-rural differences in disability transitions and life expectancies among older adults in China. Data were collected from the Chinese Longitudinal Health Longevity Survey (CLHLS), which enrolled people aged 65 and older and was conducted in randomly selected counties and cities across 22 provinces in China. Disability was diagnosed based on basic activities of daily living (BADLs) and instrumental activities of daily living (IADLs). Several individual characteristics were assessed, including sociodemographic factors (age, sex and region, etc.) and health behaviors (currently smoking, currently drinking, etc.). Multistate models were applied to analyze the transition rates among 4 states: no disability, mild disability, severe disability and death. The transition rates from disabled states to the no-disability state were found to decrease markedly with age. The rates of recovery from mild disability in rural areas were higher than those in urban areas. Rural elderly individuals lived shorter lives than their urban counterparts, but they tended to live with better functional status, spending a larger fraction of their remaining life with less severe disability. Based on these findings, devoting more attention and resources to rural areas may help less severely disabled people recuperate and prevent severe disability. The study provides insights into health plan strategies to help guide the allocation of limited resources.
机译：残疾问题已成为老年人口中的一个关键问题，但是在这个老龄化的社会中，与该问题相关的大规模研究很少。这项研究探讨了中国老年人在残疾过渡和预期寿命方面的性别和城乡差异。数据来自中国纵向健康长寿调查（CLHLS），该研究招募了65岁以上的人，并在中国22个省的随机选择的县和城市中进行。根据日常生活的基本活动（BADL）和日常生活的工具活动（IADL）诊断了残疾。评估了几个个人特征，包括社会人口统计学因素（年龄，性别和地区等）和健康行为（当前吸烟，当前饮酒等）。应用多州模型分析4个州之间的过渡率：无残疾，轻度残疾，严重残疾和死亡。发现从残疾状态到无残疾状态的转换率随着年龄的增长而显着降低。农村地区轻度残疾的恢复率高于城市地区。农村老年人的寿命比城市老年人短，但他们的生活状况往往更好，他们剩余的大部分时间都生活在残障程度较低的人群中。基于这些发现，将更多的注意力和资源投入农村地区可能会帮助程度较轻​​的残疾人恢复健康并预防严重的残疾。该研究提供了有关卫生计划策略的见识，以帮助指导有限资源的分配。

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