Healthy life expectancy with cardiovascular disease among Chinese rural population based on the prospective cohort study
作者机构：Department of Epidemiology and Biostatistics College of Public Health Zhengzhou University Department of Mathematics and Statistics The University of Haripur School of Natural Sciences National University of Sciences and Technology
出 版 物：《Journal of Geriatric Cardiology》 (老年心脏病学杂志(英文版))
年 卷 期：2024年第08期
页 面：799-806页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：supported by the Philosophy and Social Science Planning Project of Henan Province (No.2020BSH018) the Science and Technology Innovation Team Support Plan of Colleges and Universities in Henan Province (No.21IRTSTHN029) the Foundation of National Key Program of Research and Development of China (No.2016YFC0900803)
摘 要：BACKGROUND Limited research has explored the impact of cardiovascular disease(CVD) on healthy life expectancy(HLE)especially in resource-limited areas. This study aimed to investigate the association between CVD and HLE in Chinese rural *** This study included 11,994 participants aged 45 years and older from the baseline and follow-up surveys of the Henan rural cohort study. Healthy status was measured via a Visual Analogue Scale. The multistate Markov model was applied to estimate the association between CVD and transitions in health, unhealthiness and death. Gender-specific total life expectancy,HLE and unhealthy life expectancy were calculated by the multistate life table *** During a mean follow-up time of 3.85(3.84–3.86) years, there were 588 deaths recorded. For individuals with CVD,the risk of switching from health to unhealthiness status was increased by 71% [hazard ratio(HR) = 1.71, 95% CI: 1.42–2.07], the chance of recovery was reduced by 30%(HR = 0.70, 95% CI: 0.60–0.82). Men aged 45 years without CVD could gain an extra 7.08(4.15–10.01) years of HLE and lose 4.00(1.60–6.40) years of unhealthy life expectancy compared to their peers with CVD, respectively. The corresponding estimates among women were 8.62(5.55–11.68) years and 5.82(2.59–9.04) years, *** This study indicated that CVD was significantly associated with poorer health status and lower HLE among Chinese rural population. It is an important public health policy to adopt targeted measures to reduce the CVD burden and enhance the quality of life and HLE in resource-limited areas.
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