Socially inclusive ageing: a lifecourse study of new ageing populations

社会包容性老龄化：新老龄化人口的生命历程研究

• 批准号: ES/W012588/1
• 负责人: Christina Victor
• 金额: $ 119.47万
• 依托单位: Brunel University London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FW012588%2F1
• 关键词: Socially; inclusive; ageing; lifecourse; study

Being socially healthy, not being lonely or isolated, having strong relationships and feeling part of the local community, promotes the health and wellbeing of older people. Statistics show that people with good social health live longer than those with poor social health. They also have better physical and mental health and are less likely to drink alcohol to excess, smoke or be sedentary and not physically active. Promoting and supporting good social relationships is one way to contribute to a key government policy, the health ageing grand challenge which aims to increase healthy active life by 5 years by 2035 and reduce the up to 20-year difference in this between the most and least privileged groups in Britain. Because of the importance of social health, a range of services, and policies to help us be socially healthy have been developed but few have achieved this goal. We think part of our failure to provide services that can improve social health may be because our understanding of what promotes good social health is limited by the type of studies do. Most studies measure social health at only at one time point. Our study will look at information about social health provided by people aged 40 and over for a much longer period.This could be several decades or even across the whole of their adult life. This way we can map the pathways into and out of poor social health; the characteristics of those groups who move /into and out of poor social health and the events that are linked to these changes such as divorce or other things such as wealth or a neighbourhood that has lots of open spaces.Our understanding of the social health of older people is limited because our research often excludes certain groups of older people. Our project includes three group of older adults about whom we know little about. Our first group are those people who are 'growing old in a foreign land' who migrated from the Caribbean/Indian sub-continent to the UK between 1950-1975. These people often came for work and never intended to grow old here. Our second group are those ageing with disabilities physical mental that they have had from birth. Because of increases in survival rates people born with cerebral palsy or Down's syndrome can now expect to live, on average, to their 60s. Our third group are older adults with LGBTQ+ identity. All these groups have experienced significant discrimination across their lifecourse we will find out if it has affected their social health. We will compare social health and how it changes over time for people aged 40 and older from our 3 groups and compare this with the experiences of people of the same age and gender drawn from the wider community. We will look at how experiences across the lifecourse such as bereavement or divorce, are linked with social health. We use birth cohorts that have followed up all the children born in one week in 1946, 1958 and 1970. We will use surveys which focus on those aged 50+ such the English Longitudinal Study of Ageing which has followed people up for 20 years and the Understanding Society study which has been following people up since 1991. We will also conduct interviews with people from each of our three groups to get their stories about experiences of ageing and their social health.The information from our project will collect may help us to design services, policies and interventions that are timelier and more tailored to the needs of individual older people and so help to promote a healthier and more active old age. We will work together with older people, those who develop policies and service providers to pull together the things we have learned and share it with as many people as possible. We will work with older people and service providers to develop resources such as guidelines and toolkits, and networks for sharing information. This will allow more people to use the results of our research and help design better services.

保持社会健康，不孤独或孤立，拥有牢固的关系并感觉自己是当地社区的一部分，可促进老年人的健康和福祉。统计数据表明，社会健康状况良好的人比社会健康状况不佳的人寿命更长。他们也有更好的身心健康，不太可能过度饮酒、吸烟，也不太可能久坐不动。促进和支持良好的社会关系是促进一项关键政府政策的一种方式，这一政策是健康老龄化的重大挑战，其目标是到2035年将健康的积极生活延长5年，并将英国最弱势群体与最弱势群体之间的差距缩短20年。由于社会健康的重要性，已经制定了一系列帮助我们社会健康的服务和政策，但很少实现这一目标。我们认为，我们未能提供能够改善社会健康的服务，部分原因可能是我们对促进良好社会健康的理解受到研究类型的限制。大多数研究只在一个时间点测量社会健康。我们的研究将着眼于40岁及以上人群提供的更长时间的社会健康信息。这可能是几十年甚至整个成年生活。通过这种方式，我们可以绘制出进入和摆脱社会健康状况不佳的路径；社会健康状况不佳的人群的特征以及与这些变化相关的事件，如离婚或其他事情，如财富或有很多开放空间的社区。我们对老年人社会健康的理解是有限的，因为我们的研究经常排除某些老年人群体。我们的项目包括三组老年人，我们对他们知之甚少。我们的第一类人是那些“在异国他乡变老”的人，他们在1950-1975年间从加勒比海/印度次大陆移民到英国。这些人经常来这里工作，从来没有打算在这里老去。我们的第二组是那些从出生起就有身体和精神残疾的老年人。由于存活率的提高，出生时患有脑瘫或唐氏综合症的人现在平均可以活到60岁。我们的第三个群体是LGBTQ+身份的老年人。所有这些群体在其一生中都经历了严重的歧视，我们将查明这是否影响了他们的社会健康。我们将比较三组40岁及以上人群的社会健康及其随时间的变化，并将其与来自更广泛社区的相同年龄和性别的人的经历进行比较。我们将研究生命历程中的经历，如丧亲或离婚，是如何与社会健康联系在一起的。我们对1946年、1958年和1970年在一周内出生的所有儿童进行了随访。我们将使用针对50岁以上人群的调查，如英国老龄化纵向研究，该研究对人们进行了20年的跟踪调查，以及了解社会研究，该研究自1991年以来一直对人们进行跟踪调查。我们还将对来自这三个群体的人进行采访，以了解他们关于老龄化经历和社会健康的故事。我们项目收集的信息可能有助于我们设计更及时、更适合老年人个人需求的服务、政策和干预措施，从而有助于促进更健康、更活跃的老年生活。我们将与老年人、政策制定者和服务提供者共同努力，把我们学到的东西汇集起来，与尽可能多的人分享。我们将与老年人和服务提供者合作，开发指南和工具包等资源以及信息共享网络。这将允许更多的人使用我们的研究结果，并帮助设计更好的服务。