A research agenda for aging in China in the 21st century.

A research agenda for aging in China in the 21st century.
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DOI:
10.1016/j.arr.2015.08.003
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发表时间:
2015-11
影响因子:
13.1
通讯作者:
Ng, Tzi Bun
Ng, Tzi Bun
中科院分区:
医学1区
文献类型:
--
作者:
Fang, Evandro Fei;Scheibye-Knudsen, Morten;Jahn, Heiko J.;Li, Juan;Ling, Li;Guo, Hongwei;Zhu, Xinqiang;Preedy, Victor;Lu, Huiming;Bohr, Vilhelm A.;Chan, Wai Yee;Liu, Yuanli;Ng, Tzi Bun

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中国的老年人口呈指数级增长,这种增长将持续数十年。中国的老龄化问题预计将导致巨大的社会经济负担,这需要老年学家、医疗保健专业人员、政策制定者和社会力量的共同努力。关于收集公共卫生数据、饮食和食品安全、体育锻炼、老年相关疾病的药物干预、老年人和老年护理以及政策对话的研究议程,是缓解老龄化问题的潜在途径。中国政府更多的政治和财政承诺,对于实现中国在21世纪的老龄化研究议程至关重要。中国正面临着老龄化问题带来的严峻的医疗挑战。到2050年,中国65岁以上人口将达到4亿,其中80岁以上人口将达到1.5亿。独生子女政策、从农村向城市的迁移以及空巢老年人人口的扩大带来的不良后果正在侵蚀着传统的家庭养老,进一步加剧了当前公共医疗体系所承担的负担。老年护理的挑战需要通过提出几个关键领域的改进战略来迅速引起关注。需要更多关注的老年人主要疾病包括慢性非传染性疾病和心理健康障碍。我们建议建立以家庭护理为主的老年护理体系,并通过政策对话,让老龄研究人员在老年护理改革中发挥积极作用。我们对中国为即将到来的老龄化负担做好准备,创造有利于健康老龄化的养育环境提出了设想。
The elderly population in China is growing exponentially and this growth will last for decades. The aging problem in China is expected to lead to a significant socioeconomic burden which will require a combined effort among gerontologists, healthcare professionals, policymakers, and social forces. A research agenda on the collection of public health data, diet and food safety, physical exercise, pharmacological interventions in age associated diseases, the elderly and geriatric care, and policy dialogues are potential ways to relieve the aging problem. Increased political and financial commitments from the Chinese government are critical for achieving a research agenda on aging in China for the 21st century. China is encountering formidable healthcare challenges brought about by the problem of aging. By 2050, there will be 400 million Chinese citizens aged 65+, 150 million of whom will be 80+. The undesirable consequences of the one-child policy, rural-to-urban migration, and expansion of the population of ‘empty nest’ elders are eroding the traditional family care of the elders, further exacerbating the burden borne by the current public healthcare system. The challenges of geriatric care demand prompt attention by proposing strategies for improvement in several key areas. Major diseases of the elderly that need more attention include chronic non-communicable diseases and mental health disorders. We suggest the establishment of a home care-dominated geriatric care system, and a proactive role for researchers on aging in reforming geriatric care through policy dialogs. We propose ideas for preparation of the impending aging burden and the creation of a nurturing environment conducive to healthy aging in China.
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