文献类型：期刊文献

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

作者：Guo, Shuai[1,2];Gao, Jiatong[3];Li, Yuling[3];Talifu, Zuliyaer[3];Wen, Xu[4];Zheng, Xiaoying[1,2]

第一作者：Guo, Shuai

通讯作者：Zheng, XY[1];Zheng, XY[2];Wen, X[3]

机构：[1]Chinese Acad Med Sci, Peking Union Med Coll, Sch Populat Med & Publ Hlth, Dept Populat Hlth & Aging Sci, Beijing, Peoples R China;[2]APEC Hlth Sci Acad HeSAy, Beijing, Peoples R China;[3]Chinese Acad Med Sci, Peking Union Med Coll, Sch Populat Med & Publ Hlth, Beijing, Peoples R China;[4]Beijing Union Univ, Coll Biochem Engn, Beijing, Peoples R China

第一机构：Chinese Acad Med Sci, Peking Union Med Coll, Sch Populat Med & Publ Hlth, Dept Populat Hlth & Aging Sci, Beijing, Peoples R China

通讯机构：[1]corresponding author), Chinese Acad Med Sci, Peking Union Med Coll, Sch Populat Med & Publ Hlth, Dept Populat Hlth & Aging Sci, Beijing, Peoples R China;[2]corresponding author), APEC Hlth Sci Acad HeSAy, Beijing, Peoples R China;[3]corresponding author), Beijing Union Univ, Coll Biochem Engn, Beijing, Peoples R China.|[1141726]北京联合大学生物化学工程学院;[11417]北京联合大学;

年份：2025

卷号：7

期号：15

起止页码：497-502

外文期刊名：CHINA CDC WEEKLY

收录：;Scopus(收录号：2-s2.0-105003565152);WOS:【SSCI(收录号:WOS:001496199100002)，SCI-EXPANDED(收录号:WOS:001496199100002)】；

基金：required. Funding: 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) , and the Beijing Social Science Fund (20SRC029) .

语种：英文

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 urban-rural 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.