Impact of diabetes prevalence and mortality on health life expectancy among residents in Zhejiang province

Abstract

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.