摘要
随着平均预期寿命不断延长及人口年龄结构的嬗变,中国进入了长寿时代。目前,健康长寿成为学界关注的热门议题,并且学界开始关注长寿时代高龄老人的健康指标变化特征及趋势。为了实现健康老龄化,进一步增进老年人生活福祉,利用中国老龄健康影响因素跟踪调查(CLHLS)数据,从队列的视角出发,采用日常生活自理能力(ADL)、工具性日常生活自理能力(IADL)、自评健康(SRH)、认知能力(MMSE)、精神健康(MH)、虚弱指数(FI)六项指标来探究同一队列高龄老人的健康状况随时间的变动趋势(91~106岁的变化趋势),并比较90岁以上高龄老人与百岁老人之间的健康状况差异。研究结果显示,虽然高龄老人和百岁老人群体中女性老人的比重大于男性,但男性老年人的健康状况总体上要好于女性老年人,在90岁高龄老人到百岁老人的健康变化发展中,“选择性生存”效应明显。
With the increasing average life expectancy and age structure transformation, China has shifted into an era of longevity. Nowadays, health and longevity have become a heated topic in academic communities, and scholars have begun to pay attention to the characteristics and trends of health indicators of the elderly in the era of longevity. In order to explore ways to achieve the healthy aging and further improve the well-being of the elderly, this paper, based on the CLHLS data, adopts six indicators, which are activities of daily life, instrumental activities of daily life, self-rated health, mini-mental state examination, mental health and frailty index, to explore the changing trend of health status over time (from 91 to 106 years old) in the same cohort. The paper also compares the health conditions between the elderly over 90 years old and the centenarians. The results show that although the proportion of female elderly is larger than that of the male, the health status of the male elderly is generally better than that of the female elderly. In the process of health change from 90-year-old to 100-year-old, the "selective survival" effect is obvious.
出处
《人口与社会》
2019年第3期3-16,F0002,共15页
Population and Society
基金
教育部人文社会科学重点基地重大项目(16JDD840004)
深圳市卫生健康发展研究中心“深圳市养老机构医养结合服务现状调查数据分析”
关键词
长寿
百岁老人
健康老龄化
人口老龄化
选择性生存
era of longevity
centenarians
elderly health
aging population
selective survival
