A study of calculation of healthy life expectancy for residents in Henan, 2018

  Objective  To calculate healthy life expectancy for residents in Henan province in 2018 and provide evidence for the evaluation of healthy status of the residents.

  Methods  Using available data from the death information registration management system of Henan, the 6^th national health service survey and the age-specific years lived with disability rate of Henan from Global Burden of Disease Study 2019, the healthy life expectancy (self-perceived healthy life expectancy and disability-free life expectancy) and health-adjusted life expectancy for residents in Henan in 2018 were calculated.

  Results  In 2018, the healthy life expectancy based on self-perceived health status of 0-year old residents in Henan was 70.26 years, 68.80 years for men and 71.87 years for women. In the 0-year group, the disability-free life expectancy was 71.55 years, 69.94 years for men and 73.27 years for women. Healthy adjusted life expectancy was 68.47 years for the 0-year group, 67.32 years for men and 69.85 years for women. The ratio of healthy life expectancy to life expectancy decreased with age in both men and women (all P value <0.001). Although women had higher healthy life expectancy and health-adjusted life expectancy than men in most age groups, the ratios of healthy life expectancy to life expectancy and health-adjusted life expectancy to life expectancy of women were always lower than that of men.

  Conclusion  The healthy life expectancy of women was higher than that of men, but the quality of life of women was lower than that of men. In addition, health support and nursing care services for the elderly should be strengthened to improve the quality of life pf this population.