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A comparative study on the healthy life expectancy of residents in Hainan Province based on multi-dimensional evaluation indicators
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Di ZHAO1, Shu-han LV1, Jin-ting ZOU1, Yu-tong WU1, Jun-liang TAO2, Dong-xian ZHANG1
Modern Preventive Medicine | 2026, 53(3) : 392 - 398
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Modern Preventive Medicine | 2026, 53(3): 392-398
• Epidemiology and Statistical Methods •
A comparative study on the healthy life expectancy of residents in Hainan Province based on multi-dimensional evaluation indicators
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Di ZHAO1, Shu-han LV1, Jin-ting ZOU1, Yu-tong WU1, Jun-liang TAO2, Dong-xian ZHANG1
Affiliations
  • School of Public Health, Hainan Medical University, Haikou, Hainan 571199, China
Published: 2026-02-10 doi: 10.20043/j.cnki.MPM.202510164
Outline
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Objective

To estimate the healthy life expectancy (HLE) of residents in Hainan Province based on multiple criteria, and to evaluate the health status of the population in Hainan Province.

Methods

The monitoring data of death causes of residents in Hainan Province, underreporting survey data on causes of death of residents in Hainan Province, and the data of healthy life expectancy in Hainan Province (HLE_GBD) in the Global Burden of Disease Study (GBD) were collected. The health questionnaire of residents in Hainan Province was compiled by combining Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), Global Activity Limitation Indicator (GALI), EuroQol Five Dimensions Questionnaire (EQ-5D) and EuroQol Five Dimensions Visual Analogue Scale (EQ-5DVAS) scales. The disability measurement under each criterion was calculated, and the HLE_ADL, HLE_IADL, HLE_GALI, HLE_EQ-5D and HLE_EQ-5DVAS of Hainan residents were estimated using the Sullivan method.

Results

The life expectancy of Hainan residents in 2021 was 79.50 years. The HLE at birth based on ADL, IADL, GALI, EQ-5D, EQ-5DVAS and GBD standards were 75.42, 73.18,71.22, 76.71, 67.73 and 68.26 years, respectively. The HLE of each age group was EQ-5D > ADL > IADL > GALI > GBD > EQ-5DVAS. With the increase of age, healthy life loss and its proportion under different health standards showed a stepwise upward trend. Among them, the proportion of healthy life loss under GBD and IADL standards was the highest, while EQ-5D standard was the lowest.

Conclusion

HLE estimates based on six health standards show notable variation among Hainan Province residents, with EQ-5D and ADL yielding relatively higher HLE values. These findings highlight the need for strengthened methodological validation and cross-standard consistency assessments to establish a more scientific and comparable HLE estimation framework. Incorporating multidimensional health indicators into routine surveillance, while enhancing functional health maintenance, chronic disease management, and elder care capacity, may help improve the overall health status of Hainan’s population.

Healthy life expectancy  /  Sullivan method  /  ADL  /  IADL  /  GALI
赵娣, 吕书涵, 邹金婷, 吴宇彤, 陶俊良, 张东献. 基于多维度评价指标的海南省居民健康预期寿命对比研究. 现代预防医学, 2026 , 53 (3) : 392 -398 . DOI: 10.20043/j.cnki.MPM.202510164
Di ZHAO, Shu-han LV, Jin-ting ZOU, Yu-tong WU, Jun-liang TAO, Dong-xian ZHANG. A comparative study on the healthy life expectancy of residents in Hainan Province based on multi-dimensional evaluation indicators[J]. Modern Preventive Medicine, 2026 , 53 (3) : 392 -398 . DOI: 10.20043/j.cnki.MPM.202510164
Year 2026 volume 53 Issue 3
19
9
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Article Info
doi: 10.20043/j.cnki.MPM.202510164
  • Receive Date:2025-10-13
  • Online Date:2026-11-02
  • Published:2026-02-10
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  • Received:2025-10-13
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    School of Public Health, Hainan Medical University, Haikou, Hainan 571199, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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