Glass Thomas A, Freedman Marc, Carlson Michelle C, Hill Joel, Frick Kevin D, Ialongo Nick, McGill Sylvia, Rebok George W, Seeman Teresa, Tielsch James M, Wasik Barbara A, Zeger Scott, Fried Linda P
Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA.
J Urban Health. 2004 Mar;81(1):94-105. doi: 10.1093/jurban/jth096.
Population aging portends a crisis of resources and values. Desired solutions could include intergenerational strategies to harness the untapped potential of older adults to address societal needs and to generate health improvements for older adults. Despite the desire of many older adults to remain socially engaged and productive, the creation of productive roles has lagged. This report describes the conceptual framework and major design features of a new model of health promotion for older adults called Experience Corps. Experience Corps operates at, and leads to benefits across, multiple levels, including individuals, schools, and the larger community. At the individual level, we propose a model based on Erikson's concept of generativity to explain how and why Experience Corps works. At the level of schools, we propose a parallel model based on social capital. Experience Corps is a volunteer service program designed to improve the lives of urban children and to yield health improvement for older persons. It illustrates how population aging creates new opportunities to address difficult social problems. This article explores how the linkage of concepts at multiple levels motivates a potentially cost-effective, feasible, and high-impact program.
人口老龄化预示着资源和价值观的危机。理想的解决方案可能包括代际策略,以挖掘老年人未被利用的潜力,满足社会需求,并改善老年人的健康状况。尽管许多老年人渴望保持社会参与和富有成效,但创造富有成效的角色却滞后了。本报告描述了一种名为“经验军团”的针对老年人的新型健康促进模式的概念框架和主要设计特点。“经验军团”在多个层面开展活动并带来益处,包括个人、学校和更大的社区。在个人层面,我们提出一个基于埃里克森的创生性概念的模型,以解释“经验军团”的运作方式及原因。在学校层面,我们提出一个基于社会资本的平行模型。“经验军团”是一个志愿服务项目,旨在改善城市儿童的生活,并为老年人带来健康改善。它说明了人口老龄化如何创造新的机会来解决棘手的社会问题。本文探讨了多层次概念的联系如何推动一个潜在的具有成本效益、可行且影响深远的项目。