近日，《柳叶刀》子刊《柳叶刀·公共卫生》（The Lancet Public Health）发表了一项重要研究，绘制出全球多国健康寿命（Healthy Life Expectancy, HALE）的延长趋势图。该研究基于全球疾病负担（GBD）项目的数据，分析了1990年至2021年间195个国家和地区的健康寿命变化。结果显示，尽管全球平均预期寿命持续增长，但人们在无重大疾病或残疾状态下生活的年限——即健康寿命——增长速度明显滞后。例如，高收入国家居民平均寿命虽长，但晚年常伴随慢性病；而部分中低收入国家通过改善基础医疗和公共卫生措施，健康寿命增速反而更快。研究强调，未来政策应从单纯延长寿命转向提升生命质量，推动‘健康老龄化’。专家呼吁各国加强预防性医疗、慢性病管理和健康生活方式推广，以实现‘活得更久，也活得更好’的目标。
Recently, The Lancet Public Health, a sub-journal of The Lancet, published a significant study mapping global trends in Healthy Life Expectancy (HALE). Drawing on data from the Global Burden of Disease (GBD) study, the research analyzed HALE changes across 195 countries and territories from 1990 to 2021. Findings show that while global average life expectancy continues to rise, the number of years people live in good health—free from major illness or disability—is increasing at a much slower pace. For instance, although high-income countries enjoy longer lifespans, their populations often face chronic diseases in later life. In contrast, some low- and middle-income countries have seen faster gains in HALE due to improvements in basic healthcare and public health interventions. The study underscores the need for policies to shift focus from merely extending lifespan to enhancing quality of life, promoting ‘healthy aging.’ Experts urge governments to strengthen preventive care, chronic disease management, and healthy lifestyle promotion to achieve the goal of not just living longer—but living better.
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