文献类型：期刊文献

中文题名：Decomposition Analysis of Urban-Rural Disparities in Healthy Life Expectancy Among Older Adults—China,2010–2020

作者：Shuai Guo[1];Jiatong Gao[2];Yuling Li[2];Zuliyaer Talifu[2];Xu Wen[3];Xiaoying Zheng[1]

第一作者：Shuai Guo

机构：[1]Department of Population Health and Aging Science,School of Population Medicine and Public Health,Chinese Academy of Medical Sciences/Peking Union Medical College,APEC Health Science Academy(HeSAy),Beijing,China;[2]School of Population Medicine and Public Health,Chinese Academy of Medical Sciences/Peking Union Medical College,Beijing,China.;[3]College of Biochemical Engineering,Beijing Union University,Beijing,China.

第一机构：Department of Population Health and Aging Science,School of Population Medicine and Public Health,Chinese Academy of Medical Sciences/Peking Union Medical College,APEC Health Science Academy(HeSAy),Beijing,China

年份：2025

卷号：7

期号：15

起止页码：497-502

中文期刊名：China CDC weekly

外文期刊名：中国疾病预防控制中心周报(英文)

基金：Supported by the National Key Research and Development Program of China(2022YFC3600800);the China Postdoctoral Science Foundation(2024M760259);the Postdoctoral Fellowship Program of China Postdoctoral Science Foundation(GZC20240155,GZC20240134);the Beijing Social Science Fund(20SRC029).

语种：英文

中文关键词：Aging;estimate healthy life expectancy hle;Health Status;Mortality;Healthy Life Expectancy;Decomposition Analysis;Urban Rural Disparities;continuous change decomposition method;

摘要：Introduction:As China’s population rapidly ages,concerns have emerged about whether increased longevity among older adults is accompanied by improvements in health status.Methods:This study analyzed data from the 2010 and 2020 Chinese censuses to estimate healthy life expectancy(HLE)at age 60 and examined changes in urban-rural disparities and their driving factors.We applied the Sullivan method to estimate gender-and residence-specific HLE,while using the continuous change decomposition method to analyze how mortality and health status contributed to urban-rural differences.Results:Between 2010 and 2020,both the absolute years of HLE and its proportion of total life expectancy increased,with the urban-rural gap narrowing over time.However,the primary driver of urban-rural HLE disparities has shifted from mortality levels to health status,a pattern more pronounced among men.Decomposition analysis further reveals that compared to 2010,the key age groups contributing to urbanrural HLE disparities in 2020 have shifted to older ages,reflecting a transition in health inequalities as the population ages.These findings suggest that while HLE among China’s older population has improved,the nature of health inequalities is evolving.Conclusions:Future public health policies should place greater emphasis on addressing non-fatal health conditions,particularly in rural areas and among the oldest-old,by improving the accessibility and quality of health services to promote healthy aging and reduce urban-rural health disparities.