Population Ageing and Women's Health: A Cross-Country Comparative Study of Experiences from Select Asian countries.

人口老龄化和妇女健康：对部分亚洲国家经验的跨国比较研究。

• 批准号: 2901831
• 金额: --
• 依托单位: London School of Economics and Political Science
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2901831
• 关键词: Population; Ageing; Women; Health; Cross

Improvements in health care provision and medical advancements with increasing average life expectancies, alongside declining fertility rates, is resulting in global shifts to population ageing. Though not uniform, these 'new demographic realities' seen through the stages of the demographic transitions model mean that addressing the needs of middle- and older-age adults in terms of their physical and mental health, alongside social and economic wellbeing, is a growing priority for scholars and policymakers. However, understanding women's distinctive health and wellbeing challenges in this area remains a key research gap with most research taking a gender-neutral approach. For example, there is need to consider the impacts of life course events including the menopause on women's health and wellbeing in later life, with current research mostly treating women almost exclusively as reproductive beings. As a result of higher life expectancies, women face both the rising burden of non-communicable diseases (NCDs) linked to age- and lifestyle- factors, alongside the brunt of increasing pressures on health and social care services. Meanwhile, transformations in traditional family and community support structures are also disproportionately affecting older age women. Asian countries are at different points in the demographic transition: with countries such as Japan and South Korea facing the 'demographic cliff', Malaysia and Indonesia transitioning to low mortality and falling birth rates, and India and China where population growth and ageing are happening concurrently albeit at different rates. These 6 examples provide snapshots of the varied consequences of population ageing and demographic transitions on women's health and wellbeing. This thesis on utilises a life course approach to examine under-explored dimensions of transformations in women's health and wellbeing in the context of population ageing and debates over realising ambitions of creating healthy ageing. Using advanced quantitative research methods and econometric techniques, this thesis will use longitudinal data from the Gateway to Global Ageing from select Asian countries to provide a robust and in-depth view of how population ageing is impacting women across Asian societies. It will use data from 6 Asian countries at the forefront of global population growth and ageing trends including India (the Longitudinal Ageing Study in India, LASI); China (the China Health and Retirement Longitudinal Study, CHARLS); Malaysia (the Malaysian Ageing and Retirement Survey, MARS); Indonesia (the Indonesian Family Life Survey, IFLS); South Korea (the Korean Longitudinal Study of Ageing, KLoSA); and Japan (the Japanese Study of Ageing and Retirement, JSTAR). It will examine issues such as the role of biomarkers of ageing as predictors of older age physical and mental health and wellbeing; the significance and long- term implications of menopausal transitions; the impact of life course events; and how access to health and health system functioning affects women's health and wellbeing in later life. This is essential to understand how the lived experience of women impacts across the life course impacts on their health experiences in older age. Thus, this innovative thesis aims to provide an evidence-based analysis for informed research and policy development on population ageing towards improving women's health and wellbeing outcomes.

随着平均预期寿命的增加以及生育率下降，医疗保健提供和医疗进步的改善正在导致全球转移到人口衰老。尽管并不统一，但通过人口过渡模型的阶段看到的这些“新人口统计学”意味着，在他们的身心健康以及社会和经济福祉方面满足中年和老年成年人的需求是学者和政策制定者的首要任务。但是，了解这一领域的妇女的独特健康和福祉挑战仍然是一个重要的研究差距，大多数研究采用性别中性方法。例如，有必要考虑生活课程活动的影响，包括更年期对妇女健康和后来的健康，而当前的研究主要将妇女几乎完全视为生殖生物。由于预期寿命较高，妇女既面临与年龄和生活方式因素有关的非通信疾病（NCD）的负担，也面临着对健康和社会护理服务的压力的首当重。同时，传统家庭和社区支持结构的转变也对老年妇女的影响也不成比例。亚洲国家处于人口过渡的不同点：日本和韩国等国家面临“人口悬崖”，马来西亚和印度尼西亚过渡到低死亡率和出生率下降，印度和中国正在同时发生人口增长和衰老，尽管速度不同。这6个例子提供了人口衰老和人口过渡对妇女健康和福祉的各种后果的快照。这一论点利用生活课程的方法来检查在人口衰老的背景下，妇女健康和福祉转变的范围不足的维度，以及关于实现建立健康衰老的野心的辩论。该论文使用先进的定量研究方法和计量经济学技术，将使用从某些亚洲国家到全球衰老的纵向数据，以对人口衰老如何影响亚洲社会的妇女有牢固而深入的看法。它将使用来自全球人口增长和衰老趋势最前沿的6个亚洲国家的数据（印度的纵向老化研究，拉西）；中国（中国卫生与退休纵向研究，查尔斯）；马来西亚（马来西亚老龄化和退休调查，火星）；印度尼西亚（印尼家庭生活调查，IFLS）；韩国（韩国衰老纵向研究，克洛萨）；和日本（日本对衰老和退休的研究，JSTAR）。它将研究诸如衰老的生物标志物作为年龄较大的身心健康和福祉的预测因素之类的问题；绝经过渡的意义和长期意义；生活课程事件的影响；以及健康和卫生系统运作的机会如何影响以后的妇女的健康和福祉。这对于了解女性在整个生活过程中影响的生活经历如何影响其老年健康经历，这是至关重要的。因此，这项创新的论文旨在为人口老龄化的知情研究和政策制定提供基于证据的分析，以改善妇女的健康和福祉。