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能力视角下健康老龄化的不平等轨迹:环境的重要性。

A Capabilities Approach to Unequal Trajectories of Healthy Aging: The Importance of the Environment.

机构信息

1 Massey University, Palmerston North, New Zealand.

出版信息

J Aging Health. 2019 Oct;31(9):1527-1548. doi: 10.1177/0898264318779474. Epub 2018 Jun 20.

DOI:10.1177/0898264318779474
PMID:29923796
Abstract

We aimed to examine the relationships of older people's standard of living and perceived quality of housing and neighborhoods, with different physical, mental, and social well-being trajectories over time. Longitudinal data from 2,483 New Zealanders (55-70 years of age in 2006) surveyed biennially for 10 years were analyzed using latent profile growth analysis and MANOVA. Five health trajectories were revealed: , or . Trajectory group membership was significantly related to economic standard of living, satisfaction with housing, quality of neighborhood, and social cohesion of neighborhood. The findings support a focus on environmental resources to explain inequalities in health. Future research could focus on developing the basis of these associations. Policies to offset such inequalities would focus on social and physical environmental support for the maintenance of social, mental, and physical health in older age.

摘要

我们旨在研究老年人的生活水平和对住房及邻里环境的感知质量与不同身体、心理和社会福祉轨迹随时间变化的关系。 使用潜在剖面增长分析和 MANOVA 对来自 2483 名新西兰人的纵向数据(2006 年时年龄在 55-70 岁)进行了分析。 揭示了五种健康轨迹:高稳定、中稳定、中不稳定、低稳定和高下降。 轨迹组的成员身份与经济生活水平、住房满意度、邻里质量和邻里社会凝聚力显著相关。 研究结果支持关注环境资源来解释健康不平等现象。 未来的研究可以集中在发展这些关联的基础上。 旨在弥补这些不平等的政策将侧重于为维持老年人的社会、心理和身体健康提供社会和物质环境支持。

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