Department of community Health Sciences, University of Manitoba, Winnipeg.
Can J Aging. 2011 Sep;30(3):479-93. doi: 10.1017/S0714980811000237. Epub 2011 Jul 12.
On the political and policy front, interest has increased in making communities more "age-friendly", an ongoing trend since the World Health Organization launched its global Age-Friendly Cities project. We conceptualize age-friendly communities by building on the WHO framework and applying an ecological perspective. We thereby aim to make explicit key assumptions of the interplay between the person and the environment to advance research or policy decisions in this area. Ecological premises (e.g., there must be a fit between the older adult and environmental conditions) suggest the need for a holistic and interdisciplinary research approach. Such an approach is needed because age-friendly domains (the physical environment, housing, the social environment, opportunities for participation, informal and formal community supports and health services, transportation, communication, and information) cannot be treated in isolation from intrapersonal factors, such as age, gender, income, and functional status, and other levels of influence, including the policy environment.
在政治和政策方面,人们越来越关注使社区更加“适合老年人居住”,这是自世界卫生组织启动全球“适合老年人居住的城市”项目以来的一个持续趋势。我们通过借鉴世界卫生组织的框架并采用生态视角来构建适合老年人居住的社区。通过这种方式,我们旨在明确人与环境相互作用的关键假设,以促进该领域的研究或政策决策。生态前提(例如,老年人必须与环境条件相适应)表明需要采取整体和跨学科的研究方法。之所以需要这种方法,是因为适合老年人居住的领域(物理环境、住房、社会环境、参与机会、非正式和正式的社区支持和卫生服务、交通、通信和信息)不能与个人因素(如年龄、性别、收入和功能状态)以及其他层次的影响(包括政策环境)隔离开来。