Healthy life expectancy with cardiovascular disease among Chinese rural population based on the prospective cohort study
Feng JIANG1
Xiao-Tian LIU1
Ze HU1
Wei LIAO1
Shuo-Yi LI1
Rui-Fang ZHU1
Zhen-Xing MAO1
Jian HOU1
Sohail Akhtar2
Fayaz Ahmad1
Tahir Mehmood3
Chong-Jian WANG1
1.Department of Epidemiology and Biostatistics,College of Public Health,Zhengzhou University,Zhengzhou,China2.Department of Mathematics and Statistics,The University of Haripur,Haripur,Pakistan3.School of Natural Scie-nces,National University of Sciences and Technology,Islamabad,Pakistan
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 pop-ulation.
METHODS 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 method.
RESULTS 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,respect-ively.The corresponding estimates among women were 8.62(5.55-11.68)years and 5.82(2.59-9.04)years,respectively.
CONCLUSIONS 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 en-hance the quality of life and HLE in resource-limited areas.
机标关键词：populationchineseruralstudylifewithamongbased
论文发表日期：2024-08-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：8( 799-806 )