Faculty of Business and Management Sciences, Department of Health Economics, Policy and Management, Catholic University of Cameroon (CATUC), P. O. Box 782 Bamenda, Cameroon.
Faculty of Economics and Management Sciences, The University of Bamenda, P. O. Box 39 Bambili, Cameroon.
Int J Environ Res Public Health. 2020 Apr 27;17(9):3038. doi: 10.3390/ijerph17093038.
This paper examines the determinants and policy implications of active and healthy ageing in Sub-Saharan Africa, taking the case of Bamenda, in Cameroon. Specifically, the study sought to identify and explore the determinants of active and healthy ageing using a mixed-methods approach involving qualitative and quantitative data collection and analysis. Focus group discussions were conducted complemented by a survey (random and snowball sampling) using a structured questionnaire. Narratives and thematic analysis were used to analyze the data generated from the focus group discussion and Tobit regression was employed to analyze the multiple determinants of active ageing by dimensions and on a global scale in Cameroon. Results identified three key dimensions of active and healthy ageing: employment/livelihood options (EL), community support and health (CH) and housing and living in Bamenda (HL). The regression results reveal gender bias in active ageing, a non-effect of education and health on active ageing, and a positive effect of income on active and healthy ageing. This study contributes, among others, to the competence-environmental press theory on active ageing with regards to unbundling context specific determinants of active and healthy ageing. It equally derives policy considerations with regards to gender mainstreaming and the identification of age friendly income earning options to enhance the active and healthy ageing process.
本文以喀麦隆巴门达为例,考察了撒哈拉以南非洲积极健康老龄化的决定因素及其政策意义。具体而言,本研究采用混合方法,包括定性和定量数据收集和分析,旨在确定和探讨积极健康老龄化的决定因素。采用焦点小组讨论,并辅以使用结构化问卷的随机和滚雪球抽样调查。采用叙述和主题分析来分析焦点小组讨论产生的数据,并采用 Tobit 回归分析来分析喀麦隆积极老龄化的多个决定因素及其维度和总体情况。结果确定了积极健康老龄化的三个关键维度:就业/生计选择(EL)、社区支持和健康(CH)以及巴门达的住房和生活(HL)。回归结果显示,积极老龄化存在性别偏见,教育和健康对积极老龄化没有影响,收入对积极和健康老龄化有积极影响。这项研究除其他外,有助于关于积极老龄化的能力-环境压力理论,因为该理论涉及到分解积极健康老龄化的具体决定因素。它同样也提出了一些政策考虑因素,例如性别主流化和确定有利于年龄的收入来源选项,以加强积极健康老龄化的进程。