The relationship between longevity and healthy life expectancy

被引:37
|
作者
Robine, Jean-Marie [1 ]
Saito, Yasuhiko [2 ]
Jagger, Carol [3 ]
机构
[1] INSERM, Natl Inst Hlth & Med Res, Paris, France
[2] Nihon Univ, Adv Res Inst Sci & Human, Tokyo, Japan
[3] Univ Leicester, Dept Hlth Sci, Leicester, Leics, England
来源
QUALITY IN AGEING AND OLDER ADULTS | 2009年 / 10卷 / 02期
关键词
longevity; health; morbidity; disability; life expectancy;
D O I
10.1108/14717794200900012
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
What is the relationship between longevity and health? Health expectancies were developed more than 30 years ago specifically to answer this question. It may therefore be the time to try to answer this question, though it is worth noting that the question implies a unidirectional relationship. Almost no one questions the positive association between health and longevity. It is expected that healthy, robust people will live, on average, longer than frail people. This heterogeneity in terms of robustness/frailty may explain the shape of the mortality trajectory with age, ie. the oldest old seem to follow a lower mortality schedule (Vaupel et al, 1979). On the other hand, many people wonder about the relationship between longevity and health. Are we living longer because we are in better health? Are we living longer in good health? Or are we merely surviving longer whatever our health status? In other words, can we live in good health as long as we can survive? And this is exactly the purpose of health expectancies: monitoring how long people live in various health statuses
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页码:5 / 14
页数:10
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