Objective: To evaluate the impact of diabetes prevalence and mortality on health life expectancy (HLE). Methods: A cause-excluded health adjusted life expectancy method was used to quantitatively analyze the impact of diabetes on HLE and the composition of health life losses (HLL), using the integrated data on population mortality, self-assessed health status and diabetes prevalence. Results: The HLE for people aged 15 was 55.80 in Zhejiang, in 2013. After removing the diabetes morbidity and mortality, the HLE for men aged 15 increased by 0.86 and 1.13, respectively, with an increase of 1.04 and 0.66 for urban and rural residents. Substantial increase of HLE was observed in women and urban residents than those for men and rural residents. HLL caused by diabetes mortality and morbidity appeared as 0.10 and 0.79, with a ratio of 7.92. Conclusion: HLL caused by diabetes mortality was much greater than those caused by diabetes mortality, suggesting the most effective measure in reducing the diabetes-related HLL is to promote the healthy lifestyle in urban areas and especially for women.
目的： 评估糖尿病患病和死亡对居民健康期望寿命的影响。 方法： 采用去病因健康期望寿命计算方法，整合人群死因、健康自评以及糖尿病患病等资料，定量分析糖尿病对人群健康期望寿命的影响以及造成健康损失的内部构成。 结果： 2013年浙江省15岁居民健康期望寿命为55.80岁，去除糖尿病病因，男、女性居民健康期望寿命分别增加0.86岁和1.13岁，城市和农村居民分别增加1.04岁和0.66岁，女性居民增幅大于男性居民，城市居民增幅大于农村居民；糖尿病死亡、患病造成的健康寿命损失分别为0.10岁和0.79岁，患病/死亡健康寿命损失之比为7.92。 结论： 2013年浙江省居民糖尿病患病导致的健康寿命损失远大于死亡，应降低城市地区，特别是女性人群的糖尿病流行水平是减少糖尿病对人群健康寿命影响的重要措施。.
Keywords: Diabetes; Disability weight; Health life expectancy; Mortality.