Ageing Well in Later Life: Health Behaviour Change and Implications for the Social Care of Widows in England

英国经历了预期寿命的增加，这继续给社会护理系统带来压力。拟议的混合方法研究将随着时间的推移，检验丧偶对老年妇女(60岁以上)健康行为的影响，这种变化的社会决定因素，以及对晚年接受社会护理的影响。使用和分析英国老龄化纵向研究(ELSA)(第1-8波)中确定的变量(人口、社会经济、身体、医疗、生活方式衡量标准、社会和公民参与)以及30个半结构化访谈将被用来回答以下研究问题：1.寡妇的人口统计、健康状况、健康行为和社会经济特征与其他婚姻状况群体有何不同？(横断面)2.健康状况和健康行为如何随着婚姻状况的变化而变化？(纵向)3.寡妇的护理需求是什么？4.当地服务在满足这些需求方面有多有效？如何改进服务以更好地支持寡妇？本研究的目标是确定可改变的行为变化决定因素，以帮助个人更好地变老，减少护理需求，以及个人支付者和地方政府支出的成本。

England has experienced an increase in life expectancy which continues to stress the social care system.The proposed mixed method research will examine, over time, the impact of widowhood on olderwomen's (60+ years) health behaviour who are ageing well, the social determinants of such changes,and the implications for social care receipt in later life. Use and analysis of variables (demographic,socio-economic, physical, medical, lifestyle measures, social and civic participation) identified in theEnglish Longitudinal Study of Ageing (ELSA) (waves 1-8) as well as 30 semi-structured interviews will beused to address the following research questions:1. How do the demographic, health status, health behaviour and socio-economic characteristics ofwidows differ from those among other groups of marital status? (cross-sectional)2. How do health status and health behaviour change as marital status changes? (longitudinal)3. What are the care needs of widows?4. How effective are local services in meeting these needs and how can services be improved to bettersupport widows?The goal of this research is to identify modifiable behaviour change determinants that can assistindividuals age well, reduce care needs, and the costs for individual payers and local governmentspending.