1 National University of Singapore, Singapore.
J Aging Health. 2018 Dec;30(10):1642-1676. doi: 10.1177/0898264318795564. Epub 2018 Aug 30.
Against the background of emerging research interest in integrating Active Aging in long-term care policies, the study investigates the relationships between community environment and engagement in social activities (paid work, domestic care, participation in community and leisure activities) by older Chinese adults. Six indicators are derived from the economic, institutional, and sociodemographic environments of the communities under analysis.
The first wave of the China Health and Retirement Longitudinal Study (CHARLS) is used for empirical examinations. The sample includes respondents aged 50 years and above ( n = 6,290) from 307 communities. Random-intercept multilevel logistic models are employed.
Economic environment is positively linked to engagement in paid work and grandparental childcare, community activities, and leisure activities. However, the effects decreased after including the indicators for the institutional and sociodemographic environments. We found that older adults are more likely to engage in community activities and leisure activities in communities and with a higher percentage of migrant population.
To integrate Active Aging in the current long-term care policies in China, the study points out that residential community environment is crucial for older Chinese to enhance and sustain their involvement in family and communities before older adults rely on long-term care facilities. In particular, the relevance of institutional and sociodemographic environment provides policy makers to rethink about how to provide community-based long-term care.
在将积极老龄化纳入长期护理政策的研究兴趣不断涌现的背景下,本研究调查了中国老年人的社区环境与参与社会活动(有酬工作、家庭护理、参与社区和休闲活动)之间的关系。从分析社区的经济、制度和社会人口环境中得出了六个指标。
利用中国健康与退休纵向研究(CHARLS)的第一波数据进行实证检验。样本包括来自 307 个社区的 50 岁及以上的受访者(n=6290)。采用随机截距多水平逻辑模型。
经济环境与有酬工作和祖辈照顾儿童、社区活动和休闲活动的参与呈正相关。然而,在纳入制度和社会人口环境指标后,这些影响有所减弱。我们发现,在移民人口比例较高的社区,老年人更有可能参与社区活动和休闲活动。
为了将积极老龄化纳入中国当前的长期护理政策,本研究指出,居住社区环境对中国老年人在老年人依赖长期护理设施之前增强和维持其家庭和社区参与至关重要。特别是制度和社会人口环境的相关性促使政策制定者重新思考如何提供以社区为基础的长期护理。