DEVELOPMENT OF NEW HEALTH PROMOTION STRATEGY FOR THE COMMUNITY-RESIDNIG ELDERLY PERSONS FOCUSING LIFE TIME STRUCTURE AND SOCIAL RHYTHM SYNCHRONIZATION

根据2000年和2001年社区老年人生命时间结构的健康水平评价和行为节律的社会同步性研究结果，提出了21世纪健康促进政策的框架。城市部分和农村部分的健康水平存在差异。健康水平下降的主要原因是农村居民的生活时间结构不规范。从而明确了健康促进活动中城市和农村的强化因素不同。也就是说，以小组方式利用专家功能的健康促进活动在城市是有效的，而居民参与式的网络型健康促进活动在农村是有效的。有必要使卫生宣传的方法多样化，尽管在预防方面没有改变首先重视卫生宣传的做法。健康促进政策的历史路径依赖是我国21世纪健康促进政策作为一项新的健康促进政策而被采纳的原因。认为评价生活时间结构和社会节奏同步的健康促进措施能有效了解社区老年人的健康水平，促进健康促进活动的开展。

Based on the result of the research on the evaluation of health level of the life time structure and the social synchronization of behavioral rhythm of a community senior citizens in 2000 and 2001, the framework of health promotion policy in the 21^<st> century was considered. The difference was admitted as for the health level of the city part and the rural part. The decrease in the health level due to the irregularity of life time structure was found in the rural part. Thus, it was clarified that a reinforced factor was different in the city part and the rural part in the health health promotion activity. That is, the health promotion activity which used the expert function by a group approach was effective in a city, while the health promotion activity of the network type of the resident participation type which put the piecemeal approach in view was effective in the rural part. It is necessary to diversify the method of health communications though there was no change in a preventive of first valuing it. The historical path dependency of the health promotion policy was taken as a reason why such a health promotion policy had come to be adopted though the target-setting health promotion policy was going to be done as a new, health promotion policy of the 21st century in our country. It was thought that a health promotion measures to evaluate the structure of the life time and the social rhythm synchronization were effective to understand health level of community-residing elderly persons and to advance the health promotion activity.