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Shih CI, Yang HF, Chia SL, Lin TK, Fan SY. Differences in the healthcare needs of older adults attending primary health centers in urban and rural areas of Taiwan. BMC PRIMARY CARE 2023; 24:213. [PMID: 37858077 PMCID: PMC10585796 DOI: 10.1186/s12875-023-02174-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 10/09/2023] [Indexed: 10/21/2023]
Abstract
PURPOSE As the older adult population in Taiwan continues to increase, primary health centers (PHCs) play a crucial role in geriatric care. This study explored the differences in the PHC experiences and usage needs of older adults in urban versus rural areas. METHODS A qualitative study was conducted. Twenty-one older adults were recruited from PHCs in northern, central, southern, and eastern Taiwan. Semistructured interviews were used to collect data, and the interview guidelines included their reasons for visiting PHCs, the health-care services they received, their evaluation of the services, and the advantages and disadvantages of these centers. The data were analyzed using thematic content analysis. RESULTS The PHC usage needs of older adults in urban areas differ from those of older adults in rural areas in the following 3 aspects: (1) Medical services: older adults in rural areas demand clinics specializing in various medical domains, mobile and home medical care, and case management, whereas those in urban areas demand mobile health examinations. (2) Environment and transportation: older adults in rural areas demand diverse medical equipment, shuttle services, and accessible facilities, whereas those in urban areas demand recreational facilities. (3) Active aging: older adults in rural areas demand health education courses, and those in urban areas demand diverse senior citizen courses as well as opportunities to volunteer and build interpersonal relationships. CONCLUSION The older adults in urban and rural areas had different PHC usage needs. The older adults in rural areas generally focused on medical care and transportation services in PHCs, whereas those in urban areas generally focused on health promotion as a means of social participation and active aging.
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Affiliation(s)
- Chen-I Shih
- Department of Community Health, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan
| | - Hui-Fei Yang
- Department of Community Health, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan
| | - Shu-Li Chia
- Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan
| | - Tang-Kuei Lin
- East District Primary Health Center, Chia-Yi, Taiwan
| | - Sheng-Yu Fan
- Institute of Gerontology, College of Medicine, National Cheng Kung University, No.1, University Road, Tainan City, 701, Taiwan.
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Wang Y, Fu P, Li J, Gao T, Jing Z, Wang Q, Zhao D, Zhou C. Community-Level Social Support to Mitigate the Impact of Combined Frailty and Multimorbidity on Psychological Distress Among Rural Chinese Older Adults During the COVID-19 Pandemic: Multilevel Modeling Study. JMIR Public Health Surveill 2023; 9:e43762. [PMID: 36811848 PMCID: PMC10037180 DOI: 10.2196/43762] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2022] [Revised: 02/07/2023] [Accepted: 02/14/2023] [Indexed: 02/24/2023] Open
Abstract
BACKGROUND Accumulating research provides evidence that the psychological health of older people deteriorated from before to during the COVID-19 pandemic. Unlike robust individuals, coexisting frailty and multimorbidity expose older adults to more complicated and wide-ranging stressors. Community-level social support (CSS) is also an important impetus for age-friendly interventions, and it is 1 of the components of social capital that is seen as an ecological-level property. To date, we have not found research that examines whether CSS buffered the adverse impacts of combined frailty and multimorbidity on psychological distress in a rural setting during COVID-19 in China. OBJECTIVE This study explores the combined effect of frailty and multimorbidity on psychological distress in rural Chinese older adults during the COVID-19 pandemic and examines whether CSS would buffer the aforementioned association. METHODS Data used in this study were extracted from 2 waves of the Shandong Rural Elderly Health Cohort (SREHC), and the final analytic sample included 2785 respondents who participated in both baseline and follow-up surveys. Multilevel linear mixed effects models were used to quantify the strength of the longitudinal association between frailty and multimorbidity combinations and psychological distress using 2 waves of data for each participant, and then, cross-level interactions between CSS and combined frailty and multimorbidity were included to test whether CSS would buffer the adverse impact of coexisting frailty and multimorbidity on psychological distress. RESULTS Frail older adults with multimorbidity reported the most psychological distress compared to individuals with only 1 or none of the conditions (β=.68, 95% CI 0.60-0.77, P<.001), and baseline coexisting frailty and multimorbidity predicted the most psychological distress during the COVID-19 pandemic (β=.32, 95% CI 0.22-0.43, P<.001). Further, CSS moderated the aforementioned association (β=-.16, 95% CI -0.23 to -0.09, P<.001), and increased CSS buffered the adverse effect of coexisting frailty and multimorbidity on psychological distress during the COVID-19 pandemic (β=-.11, 95% CI -0.22 to -0.01, P=.035). CONCLUSIONS Our findings suggest that more public health and clinical attention should be paid to psychological distress among multimorbid older adults with frailty when facing public health emergencies. This research also suggests that community-level interventions prioritizing social support mechanisms, specifically improving the average levels of social support within communities, may be an effective approach to alleviate psychological distress for rural older adults who concurrently manifest frailty and multimorbidity.
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Affiliation(s)
- Yi Wang
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Peipei Fu
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Jie Li
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Tingting Gao
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Zhengyue Jing
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Qiong Wang
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Dan Zhao
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Chengchao Zhou
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
- National Health Commission Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
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Zhang K, Kan C, Luo Y, Song H, Tian Z, Ding W, Xu L, Han F, Hou N. The promotion of active aging through older adult education in the context of population aging. Front Public Health 2022; 10:998710. [PMID: 36299739 PMCID: PMC9589353 DOI: 10.3389/fpubh.2022.998710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 09/22/2022] [Indexed: 01/26/2023] Open
Abstract
We have entered an era of population aging, and many public health problems associated with aging are becoming more serious. Older adults have earlier onset of chronic diseases and suffer more disability. Therefore, it is extremely important to promote active aging and enhance health literacy. These involves full consideration of the need for education and the provision of solutions to problems associated with aging. The development of OAE is an important measure for implementing the strategy of active aging, and curriculum construction is a fundamental component of achieving OAE. Various subjective and objective factors have limited the development of OAE. To overcome these difficulties and ensure both active and healthy aging, the requirements for active aging should be implemented, the limitations of current OAE should be addressed, system integration should be increased, and the curriculum system should be improved. These approaches will help to achieve the goal of active aging. This paper discusses OAE from the perspective of active aging, based on the promotion of health literacy and provides suggestions to protect physical and mental health among older adults, while promoting their social participation. The provision of various social guarantees for normal life in older adults is a new educational concept.
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Affiliation(s)
- Kexin Zhang
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, Weifang, China,Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Chengxia Kan
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, Weifang, China,Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Youhong Luo
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, Weifang, China,Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Hongwei Song
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, Weifang, China,Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Zhenghui Tian
- Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Wenli Ding
- Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China,Department of Pathology, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Linfei Xu
- Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China,Department of Pathology, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Fang Han
- Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China,Department of Pathology, Affiliated Hospital of Weifang Medical University, Weifang, China,*Correspondence: Fang Han
| | - Ningning Hou
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, Weifang, China,Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China,Ningning Hou
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Construction of Community Medical Communication Service and Rehabilitation Model for Elderly Patients under the Internet of Things. JOURNAL OF HEALTHCARE ENGINEERING 2022; 2022:9689769. [PMID: 35392145 PMCID: PMC8983247 DOI: 10.1155/2022/9689769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Revised: 12/16/2021] [Accepted: 01/08/2022] [Indexed: 11/17/2022]
Abstract
The objective of this study was to discuss the health management of elderly patients in the community and the management of community rehabilitation under the support of the new Internet of Things (IoT). The IoT technology was adopted to monitor the wearable devices through mobile medical physiological data. The heart rate, blood pressure, respiratory rate, and other physiological indicators of the elderly were collected in real time. The support vector machine (SVM) algorithm was selected as the core algorithm for the elderly physiological index disease risk assessment, the fuzzy comprehensive evaluation method was adopted as the core method of the elderly disease risk quantitative assessment model to process the physiological indicators, and finally, a reasonable physiological index processing model and quantitative indicators of disease risk were obtained. The data on vascular disease were selected from the MIMIC database. In addition, the advantages and disadvantages of the SVM algorithm and the Backpropagation Neural Network (BPNN) algorithm were compared and analysed. The final verification results showed that the fusion accuracy of the SVM processing MIMIC database and the University of California Irvine (UCI) dataset was 0.8327 and 0.8045, respectively, while the fusion accuracy of the BPNN algorithm in processing the same data was 0.7792 and 0.7288, respectively. It was obvious that the fusion accuracy of the SVM algorithm was higher than that of the BPNN algorithm, and the accuracy difference of the SVM algorithm was lower than that of the BPNN algorithm in different groups of data. In the verification of the elderly disease risk quantitative assessment model, the results were consistent with the selected data, which verified the effectiveness of the design model in this study. Therefore, it can be used as a quantitative assessment model of general elderly physiological indicators of disease risk and can be applied to the community medical communication management system. It proved that the model of medical communication and rehabilitation services for elderly patients in the community constructed in this study can definitely help the development of community service for the elderly.
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Yin R, Xin Y, Bhura M, Wang Z, Tang K. Bridge Employment and Longevity: Evidence from a 10-year Follow-up Cohort Study in 0.16 million Chinese. J Gerontol B Psychol Sci Soc Sci 2021; 77:750-758. [PMID: 34718577 DOI: 10.1093/geronb/gbab204] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Indexed: 01/14/2023] Open
Abstract
OBJECTIVES Bridge employment has been encouraged by many countries worldwide as the societies age rapidly. However, the health impact on bridge employment is not consistent in previous studies. This study aims to explore the association between bridge employment and the long-term health outcome among the Chinese population. METHOD In this prospective cohort study, we used a subset of the China Kadoorie Biobank study, in which 163,619 participants who reached the statutory age of retirement at baseline (2004-2008) were included in this study. Mortality statistics were obtained from death registries in the Death Surveillance Points system annually. We used a Cox proportional hazard model to analyze the association between bridge employment and all-cause mortality. RESULTS Overall, we found that compared to retired/non-employed men and women, hazards of all-cause mortality were lower in older people with bridge employment (Men: 0.82, 95% CI: 0.77-0.88; Women: 0.79, 95% CI: 0.74-0.94) in healthy populations. The protective effect of bridge employment was stronger among older adults living in rural areas and among those from a relatively low socioeconomic status. CONCLUSION The lower risk of all-cause mortality associated with bridge employment was consistently observed among older men and women. Our findings may provide important insights from the health dimension on the retirement policy-making in China as a hyper-ageing society.
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Affiliation(s)
- Ruoyu Yin
- Vanke School of Public Health, Tsinghua University, Haidian District, Beijing 100084, China.,Department of Public Health and Primary Care, University of Cambridge, United Kingdom
| | - Yiqian Xin
- Vanke School of Public Health, Tsinghua University, Haidian District, Beijing 100084, China.,Duke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC 27710, United States
| | - Maria Bhura
- Department of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan
| | - Zhicheng Wang
- Vanke School of Public Health, Tsinghua University, Haidian District, Beijing 100084, China
| | - Kun Tang
- Vanke School of Public Health, Tsinghua University, Haidian District, Beijing 100084, China
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Sia BK, Tey NP, Goh KL, Ng ST. Productive engagement of older adults in China: A multilevel analysis. Geriatr Gerontol Int 2021; 21:1138-1146. [PMID: 34700364 DOI: 10.1111/ggi.14299] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Revised: 09/22/2021] [Accepted: 10/04/2021] [Indexed: 11/29/2022]
Abstract
AIM This study investigates how the personal characteristics and behavior, and health status of older adults in China influenced their productive engagement in paid and unpaid jobs. METHODS Data for this analysis came from 2002, 2005, 2008 and 2011 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). We used a random intercept multilevel multinomial logit model to analyze data from 3208 older adults aged 65 from the 2002 wave, which decreased to 1385 in 2011. The main study variable is older adults' engagement in paid jobs and unpaid work (including housework, care-taking, poultry farming, and planting vegetables that have an economic value). RESULTS There was a strong association between older adults' productive engagement and their functional limitations to daily living activities, health and healthy behavior. Older adults with inadequate finance were more likely to be working to support themselves. Those who exercised less and living in the provinces with higher GDP were less likely to work post-retirement. Chronic diseases, advances in age, no education and rural residence did not deter older adults from doing unpaid work. CONCLUSION Older adults in China were actively engaged in paid and unpaid activities. Efforts to support the active engagement of older adults require all stakeholders to promote healthy living, facilitate social engagements and provide an age-friendly work environment. Geriatr Gerontol Int 2021; 21: 1138-1146.
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Affiliation(s)
- Bik-Kai Sia
- Faculty of Business and Economics, University of Malaya, Kuala Lumpur, Malaysia.,Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman, Kajang, Malaysia
| | - Nai-Peng Tey
- Faculty of Business and Economics, University of Malaya, Kuala Lumpur, Malaysia
| | - Kim-Leng Goh
- Faculty of Business and Economics, University of Malaya, Kuala Lumpur, Malaysia
| | - Sor-Tho Ng
- Faculty of Business and Economics, University of Malaya, Kuala Lumpur, Malaysia
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Yu J, Huang W, Kahana E. Investigating Factors of Active Aging among Chinese Older Adults: A Machine Learning Approach. THE GERONTOLOGIST 2021; 62:332-341. [PMID: 33942091 DOI: 10.1093/geront/gnab058] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND AND OBJECTIVES With the extension of healthy life expectancy, promoting active aging has become a policy response to rapid population aging in China. Yet, it has been inconclusive about the relative importance of the determinants of active aging. By applying a machine learning approach, this study aims to identify the most important determinants of active aging in three domains, i.e., paid/unpaid work, caregiving, and social activities, among Chinese older adults. RESEARCH DESIGN AND METHOD Data were drawn from the first wave of the China Health and Retirement Longitudinal Study (CHARLS), which surveys a nationally representative sample of adults aged 60-year-old and above (N=7,503). We estimated Random Forest and the least absolute shrinkage and selection operator (LASSO) regression models to determine the most important factors related to active aging. RESULTS Health has a generic effect on all outcomes of active aging. Our findings also identified the domain-specific determinants of active aging. Urban/rural residency is among the most important factors determining the likelihood of engaging in paid/unpaid work. Living in a multi-generational household is especially important in predicting caregiving activities. Neighborhood infrastructure and facilities have the strongest influence on older adults' participation in social activities. DISCUSSION AND IMPLICATIONS The application of feature selection models provides a fruitful first step in identifying the most important determinants of active aging among Chinese older adults. These results provide evidence-based recommendations for policies and practices promoting active aging.
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Affiliation(s)
- Jiao Yu
- Sociology Department, Case Western Reserve University, Cleveland, Ohio, USA
| | - Wenxuan Huang
- Sociology Department, Case Western Reserve University, Cleveland, Ohio, USA
| | - Eva Kahana
- Sociology Department, Case Western Reserve University, Cleveland, Ohio, USA
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8
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Lak A, Rashidghalam P, Amiri SN, Myint PK, Baradaran HR. An ecological approach to the development of an active aging measurement in urban areas (AAMU). BMC Public Health 2021; 21:4. [PMID: 33388040 PMCID: PMC7778809 DOI: 10.1186/s12889-020-10036-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 12/09/2020] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND An essential element in the process of "aging well" is the concept of Active Aging (AA). To propose an operational definition of Active Aging, the present study seeks to develop a new measurement tool through an ecological approach. The aim is to recognize significant indicators that play a role in assessing AA in urban areas. METHODS This study was conducted through a two-phase process of consensus-building: 1) identifying a set of indicators that were likely candidates for inclusion based on literature review, and 2) a two-round modified Delphi survey using an international panel of academic experts in environmental sciences and gerontology to achieve consensus on the importance of the extracted indicators and validate the items. The panelists were asked to complete a researcher-developed questionnaire with an 11-point Likert scale based on the indicators derived in phase 1. Finally, the Delphi survey's valid indicators and criteria were utilized to develop the measurement tool. RESULTS At the outset, a list of 111 indicators of AA was prepared through the desk study. A panel of 22 experts reviewed the extracted items and arrived at a consensus on 99 items in the first round and finalised in the second round. Thematic analysis of the panelists' open-ended responses revealed new concepts that would be explicitly considered by the consensus group. This developed measurement scale consists of five domains, i.e., individual, spatial, socio-economic, governance, and health-related, which contain 15 criteria and 99 indicators. CONCLUSIONS The present researchers have developed the active aging measure for urban settlements (AAMU), which can be used both by policy-makers and as an informal self-reported statement among the elderly. AAM's results in the elderly's residential environmental communities can improve policy-making to address urban design to sustain an active, healthy life among older people in urban environments.
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Affiliation(s)
- Azadeh Lak
- Faculty of Architecture and Urban Planning, Shahid Beheshti University, Tehran, 1983963113 Iran
| | - Parichehr Rashidghalam
- Faculty of Architecture and Urban Planning, Shahid Beheshti University, Tehran, 1983963113 Iran
| | - S. Nouroddin Amiri
- Faculty of Architecture and Urban Planning, Khalij-e- Fars University, Bushehr, Iran
| | - Phyo K. Myint
- Ageing Clinical & Experimental Research Team, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - Hamid R. Baradaran
- Ageing Clinical & Experimental Research Team, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
- Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
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Bedaso TS, Han B. Work after retirement affects elderly mental health and behaviors in Addis Ababa. Health Psychol Open 2021; 8:2055102921996189. [PMID: 33717495 PMCID: PMC7917865 DOI: 10.1177/2055102921996189] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
This study aimed to determine the impact of being without a job post-retirement on mental health (depression, life satisfaction) and behaviors (alcohol and cigarette). A cross-sectional study was conducted on 330 Ethiopians aged 60-69. Compared to workers, retirees without a job reported higher depression, lower life satisfaction, and hazardous drinking (d = .49, .39 and φ = .65, respectively). Hierarchical multiple regression analyses indicated that being without a job post-retirement was associated with depression and life dissatisfaction. Thus, greater emphasis has to be given to improve the mental health and behaviors of retired elderly.
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Affiliation(s)
- Teshome Sirak Bedaso
- Key Lab of Mental Health (Institute of Psychology),
Chinese Academy of Sciences, China
| | - Buxin Han
- Key Lab of Mental Health (Institute of Psychology),
Chinese Academy of Sciences, China
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Yang Y, Meng Y, Dong P. Health, Security and Participation: A Structural Relationship Modeling among the Three Pillars of Active Ageing in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17197255. [PMID: 33020396 PMCID: PMC7579513 DOI: 10.3390/ijerph17197255] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 10/01/2020] [Accepted: 10/02/2020] [Indexed: 11/16/2022]
Abstract
This paper explores and tests the impact of health and security on the participation of Chinese older people using data from the China Longitudinal Ageing Social Survey (CLASS) in 2014. Based on the framework of Active Ageing, the exogenous latent variables "health" and "security" are assumed to directly affect the endogenous latent variable "participation", and indirectly affect it via mediating the function of "willingness". The estimation results of the structural equation model show that health has a significant positive impact, while security has a significant negative impact on participation. In addition, health and security can significantly enhance the willingness of older people to participate. After the opposite effects of health and security are offset, their net effect on participation is generally negative. According to these empirical results, this paper concludes that the optimization of health coupled with the moderation of security level is more beneficial for promoting the participation of older people.
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Affiliation(s)
- Yinan Yang
- School of Public Administration, South China University of Technology, Guangzhou 510641, China
- Correspondence: (Y.Y.); (Y.M.)
| | - Yingying Meng
- Centre for Social Security Studies, Wuhan University, Wuhan 430072, China
- Correspondence: (Y.Y.); (Y.M.)
| | - Pengtao Dong
- Policy Research Department, China National Committee on Ageing, Beijing 100011, China;
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Associations of City-Level Active Aging and Age Friendliness with Well-Being among Older Adults Aged 55 and Over in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17124304. [PMID: 32560170 PMCID: PMC7345662 DOI: 10.3390/ijerph17124304] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 06/12/2020] [Accepted: 06/15/2020] [Indexed: 11/17/2022]
Abstract
This study aims to identify the typology of city-level active aging and age-friendliness across cities in Taiwan and examine their effects on well-being in terms of life satisfaction (aged 55 and over) and health-related quality of life (HRQoL) (aged 65 and over) among older adults. The data were from the 2017 Taiwan Senior Citizen Condition Survey. Available indicators of Taiwan’s Active Aging Index and city age-friendliness were selected, and mixed linear models were analyzed. Active aging cities were classified into four categories—content, developed, participatory, and pioneer—and age-friendly cities into insecure, infrastructural, and tranquil. Life satisfaction was rated higher in content and participatory cities compared with the pioneer city, and related to individuals’ active aging status. Physical HRQoL was rated higher in infrastructural and tranquil cities, compared with insecure cities. City types of active aging and age-friendliness have different effects on well-being, but the effects are weaker than those of individuals’ characteristics.
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12
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Lak A, Rashidghalam P, Myint PK, Bradaran HR. Comprehensive 5P framework for active aging using the ecological approach: an iterative systematic review. BMC Public Health 2020; 20:33. [PMID: 31918693 PMCID: PMC6953274 DOI: 10.1186/s12889-019-8136-8] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Accepted: 12/30/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND "Active aging" is an inclusive term and has been defined from a variety of aspects in different domains throughout the literature. The aim of this review was to identify those aspects that play significant roles in building this concept using an ecological approach. METHODS In this study, seven online databases, including JSTOR, Pub-Med, Web of Science, Google Scholar, ProQuest, EBSCO, and Scopus, were searched from 2002 to 2018 for both qualitative and quantitative articles published in English. Two reviewers independently found the related articles using the search terms "active aging" and "built environment" and included both "ageing" and "aging". RESULTS Of 1500 records which passed the screening stage, 92 were eligible for inclusion in the review. A total of 15 subthemes were derived: (1) personal characteristics, (2) behavioral attitude, (3) land use, (4) access, (5) physical form, (6) cityscape/city image, (7) public open spaces, (8) housing, (9) social environment, (10) cultural Environment, (11) economic environment, (12) good governance, (13) physical health, (14) mental health, and (15) social health. Ecological themes of active aging can be defined as the 5P model: person, processes, place, prime, and policymaking. CONCLUSIONS The results of this study can shed light on different aspects of active aging. Also, the results emphasized the significance of the multidimensional nature of active aging, micro (person), meso (process), and macro systems (place and policymaking), based on health (prime) environments. Moreover, the results were based on the relationships between the person and the environment at the individual, interpersonal, and environmental levels, which can be used to conduct future studies and develop policies on aging populations.
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Affiliation(s)
- Azadeh Lak
- Faculty of Architecture and Urban Planning, Shahid Beheshti University, Tehran, 1983963113 Iran
| | - Parichehr Rashidghalam
- Faculty of Architecture and Urban Planning, Shahid Beheshti University, Tehran, 1983963113 Iran
| | - Phyo K. Myint
- Ageing Clinical & Experimental Research Team, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - Hamid R. Bradaran
- Ageing Clinical & Experimental Research Team, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
- Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
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Pham VT, Chen YM, Van Duong T, Nguyen TPT, Chie WC. Adaptation and Validation of Active Aging Index Among Older Vietnamese Adults. J Aging Health 2019; 32:604-615. [PMID: 30964384 DOI: 10.1177/0898264319841524] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: The objective of this study was to adapt and validate the Vietnamese version of Active Aging Index (AAI). Method: We conducted an expert panel, focus groups, test-retest and examination of internal consistency, and construct and concurrent validity among 804 older Vietnamese adults. Results: Scale content validity index (CVI) was 0.98. Test-retest coefficients ranged from 0.70 to 1.00. The Cronbach's alphas of well-being, voluntary, affordability, and politics were 0.94, 0.70, 0.65, and 0.16, respectively. Voluntary and well-being had good construct validity. Regarding politics, only one of four items had good test-retest reliability (Kappa 0.84), while other three had low variance in both test-retest and field study. In exploratory factor analysis, items assessing affordability loaded on three components. AAI was positively associated with perceived health, life satisfaction, and quality of life; it was negatively associated with falls, loneliness, and frailty. Discussion: In adapting AAI, researchers should consider cultural sensitivity. Key modifications, findings, explanations, and suggestions are presented here.
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Affiliation(s)
- Vu Tuan Pham
- College of Public Health, Institute of Health Policy and Management, National Taiwan University, Taiwan.,Faculty of Nursing, Thai Nguyen University of Medicine and Pharmacy, Vietnam
| | - Ya-Mei Chen
- College of Public Health, Institute of Health Policy and Management, National Taiwan University, Taiwan
| | | | | | - Wei-Chu Chie
- Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taiwan
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Yeung WJJ, Thang LL. Long-Term Care for Older Adults in ASEAN Plus Three: The Roles of Family, Community, and the State in Addressing Unmet Eldercare Needs. J Aging Health 2018; 30:1499-1515. [PMID: 30239253 DOI: 10.1177/0898264318796345] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To introduce this Special Issue that focuses on understanding the issues surrounding the long-term care (LTC) in selected societies in Southeast and East Asian countries. METHOD We first provide demographic and socioeconomic context for these countries and then summarize the seven articles in this issue. RESULTS The articles highlight the rapidly rising demand for LTC in this region in the next few decades given the declining fertility, lengthening life expectancy, and increasing migration. They also discuss challenges and strategies in meeting these demands. Most countries are ill prepared to cope with the demand for LTC with older adults heavily rely upon female family members for care. Elderly women in low-income households have the greatest unmet need. DISCUSSION Home-based and community-based services are set to become an integral part of the LTC system. It is important to incorporate older adults' cultural norms and wishes in their care plan and provision.
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