摘要
心理健康是健康的重要方面,然而目前健康预期寿命研究却缺乏从心理维度出发的测算,限制了对于健康预期寿命的全面理解。为弥补这一不足,文章利用中国健康与养老追踪调查(CHARLS)2011~2015年数据,以抑郁为心理健康指标,并采用多状态生命表法对我国老年人无抑郁预期寿命进行了测算。测算结果发现,我国老年人60岁平均预期寿命为22.95年,无抑郁预期寿命为16.60年,无抑郁预期寿命占余寿比例为72.33%。其中,无抑郁预期寿命占余寿比例随着年龄增长呈现一定上升趋势,这一特点与呈下降趋势的躯体健康不同,反映出老年人健康预期寿命在躯体维度和心理维度的不同规律。另外,我国老年人无抑郁预期寿命在性别、城乡和初期抑郁状况上呈现出巨大差异,男性、城市居民和60岁时不抑郁的老年人拥有更长的无抑郁预期寿命,而且无抑郁预期寿命占余寿比例更高。由此提出了关注女性老年人及农村老年人心理健康状况和以全生命视角的定位老年健康政策等相应政策建议。
Psychological health is a vital aspect of health,however,current studies on healthy life expectancy tend to overlook the exploration of healthy life expectancy from the psychological aspect of health.To fill this gap,the study utilized depression as an indicator to measure psychological health,and adopted the 2011~2015 longitu dinal database from the Chinese Health and Retirement Longitudinal Survey to compute the depression-free life ex pectancy of Chinese elderly population by using the multistate life table method.Results identified that total life ex pectancy and depression-free life expectancy of Chinese elderly population stood at 22.95 and 16.60 years at age 60 respectively during 2011~2015,with depression-free life expectancy accounting for 72.33%of the remaining life.Proportion of depression-free life expectancy in total life expectancy exhibits an increasing trend as age in creases,which is substantially different from the decreasing trend of healthy life expectancy measured from the physical health dimension reported by previous studies.Results also show a salient difference of depression-free life expectancy by gender,rural-urban divide and the initial depression status at age 60 in China.Elderly people who are male,living in urban areas and without depression at age 60 enjoy a longer depression-free life expectancy than their counterparts in both absolute and relative terms.Increased concerns on psychological health of female el derly people and rural elderly residents are needed,and a life-cycle-oriented elderly health policy is also suggest ed to enhance the psychological health for the elderly population.
作者
黄国桂
陈功
郭菲
HUANG Guo-gui;CHEN Gong;GUO Fei(Institute of Population Research,Peking University,Beijing 100871,China;Faculty of Business and Economics,Macquarie University,Sydney 2109,Australia)
出处
《西北人口》
CSSCI
2020年第1期1-12,共12页
Northwest Population Journal
基金
国家重点研发计划“主动健康和老龄化科技应对”专项“人体运动促进健康个性化精准指导方案关键技术研究”项目(2018YFC2000603)
关键词
健康预期寿命
无抑郁预期寿命
老年人口
多状态生命表法
Healthy Life Expectancy
Depression-free Life Expectancy
Elderly Population
Multistate Life Table Method
