A Contemporary Insight into an Age-Friendly Environment Contributing to the Social Network, Active Ageing and Quality of Life of Community Resident Seniors in Japan
A Contemporary Insight into an Age-Friendly Environment Contributing to the Social Network, Active Ageing and Quality of Life of Community Resident Seniors in Japan
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DOI：
10.1080/26892618.2020.1813232
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发表时间：
2021-01-01
影响因子：
2
通讯作者：
Yuasa, Motoyuki
中科院分区：
文献类型：
--
作者：
Aung, Myo Nyein;Koyanagi, Yuka;Yuasa, Motoyuki
日本一直致力于营造一个关爱老年人的环境，以促进老年人的健康和福祉。本研究旨在确定促进日本老年人社交网络多样性、积极老龄化和生活质量的环境因素。通过日本不同地区 243 名老年人的经验，我们评估了世界卫生组织推荐的老年友好环境理论框架的 20 个因素，以及这些因素如何影响因变量：社交网络多样性、积极老龄化和生活质量。三个因素显着影响老年人的社交网络：（1）参与志愿者活动，（2）有报酬就业机会，（3）在家有互联网接入，而两个因素（1）参与社会文化活动和（2）闲暇时间参加集体体育活动，与积极老龄化相关具有统计显着性。此外，生活质量与（1）当地可获得的有关健康问题和服务需求的信息显着相关； (2) 可通过正规服务在家庭环境中实现的个人护理或协助需求； (3) 在没有公共或私人援助的情况下，收入足以满足过去 12 个月的基本需求。总之，获得社区护理对于老年人的生活质量非常重要，而社会参与和锻炼则有助于积极老龄化。关爱老人的环境意味着护理、福利和健康服务的平衡。
Japan has been promoting an age-friendly environment for the health and well-being of its senior citizens. This study aimed to identify the environmental factors that promote social network diversity, active ageing, and quality of life for seniors in Japan. Through the experience of 243 seniors in different parts of Japan, we assessed 20 factors of the WHO recommended age-friendly environment theoretical framework and how those contributed to the dependent variables: social network diversity, active ageing, and quality of life. Three factors significantly influenced the social network of seniors: (1) engagement in volunteer activity, and (2) having opportunities for paid employment, and (3) having internet access at home, whereas two factors (1) participation in sociocultural activities and (2) participation in group physical activities in leisure time, were statistically significant in relation to active ageing. Furthermore, the quality of life was significantly related to (1) locally available information about health concerns and service needs; (2) personal care or assistance needs achievable in the home setting using formal services; and (3) income sufficient to meet basic needs over the previous 12 months without public or private assistance. In conclusion, access to care in the community is important for the quality of life of the older, whilst social participation and exercise merit active ageing. Age-friendly environment implies a balance of care, welfare, and health services.