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首页> 外文期刊>SSM - Population Health >Trends in healthy life expectancy between 2002 and 2018 in Germany - Compression or expansion of health-related quality of life (HRQOL)?
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Trends in healthy life expectancy between 2002 and 2018 in Germany - Compression or expansion of health-related quality of life (HRQOL)?

机译：2002年至2018年在德国的健康预期趋势 - 压缩或扩张与健康有关的生活质量（HRQOL）？

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The question of whether rising life expectancy has led to additional life years spent in good health or poor health is of major public health relevance. We tested the theories of compression or expansion of morbidity for Germany with respect to the mental and physical component summary scales (MCS/PCS) of the health-related quality of life (HRQOL) questionnaire (SF-12). Data of 90,758 women and 81,400 men were obtained from the German Socio-Economic Panel between 2002 and 2018. Linear and logistic regression analyses were applied to estimate temporal changes in MCS and PCS in different life stages. The development of healthy life expectancy (H-LE) expressed by life years without severe functional limitations was calculated by applying the Sullivan method.Overall, a significant increase of MCS and PCS was found in both genders. The rise was mainly due to declining proportions of severe limitations (norm values??60 points did not change substantially. Improvements were most apparent for the ‘young seniors’ (65–79 years) and at ‘old age’ (80 years +). In contrast, no improvements in PCS were found for ‘later working life’ (50–64 years) and decreasing levels were observed for persons of ‘middle working age’ (30–49 years). During the study period, H-LE at age 50 increased in women/men by 2.93/2.90 years (MCS) and 1.92/2.53 years (PCS), respectively. Our results support the hypothesis of absolute compression of morbidity. However, since consistent improvements were not found for ages below 65 years, it remains open to debate whether the positive health trend will also persist in the future. Our findings suggest that health promotion efforts should be strengthened for people of middle and later working age to support healthy aging.
机译：的预期寿命不断延长是否导致了额外的生命年，身体健康或健康状况不佳花费的问题是重要的公共卫生意义的。我们测试了压缩或发病率对于德国的膨胀理论相对于的寿命（HRQOL）与卫生相关的质量的精神和身体成分摘要秤（MCS / PCS）问卷（SF-12）。从德国社会经济小组2002年和2018年的线性和逻辑回归分析应用于估计MCS和在不同生命阶段的时间变化PCS之间获得90758名妇女和男子81,400的数据。通过生命年无严重功能限制表达的健康寿命（H-LE）的发展是通过应用沙利文method.Overall，在男女被发现MCS和PCS的显著增加来计算。增加，主要是由于严重的限制比例下降（范数值<？？40分），而范数值的比例？>？60点没有显着改变。改进是最明显的为“年轻的老人”（65-79岁），并在“旧时代”（80岁+）。相反，在PCS没有改善被发现“以后的工作生活”（50-64岁），并观察“中间工作年龄”（30-49岁）的人水平降低。在研究期间，H-LE在50岁女性/男性2.93 /2.90年（MCS）和1.92 /2.53年（PCS）分别上升。我们的研究结果支持的发病率的绝对压缩量的假设。然而，由于持续改善，未发现对65岁以下的年龄，它仍然是值得商榷的积极健康的趋势是否会持续也对未来。我们的研究结果表明，健康促进工作应加强的中等人家，后来工作年龄段的健康老龄化。

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