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“岁月沉淀智慧:”对北极地区老年人健康老龄化观点的定性综述

"With Age Comes Wisdom:" a Qualitative Review of Elder Perspectives on Healthy Aging in the Circumpolar North.

作者信息

Howell Britteny M, Peterson Jennifer R

机构信息

Division of Population Health Sciences, University of Alaska Anchorage, 3211 Providence Drive, BOC3 #233, Anchorage, AK, 99508, USA.

National Resource Center for Alaska Native Elders, University of Alaska Anchorage, Anchorage, AK, USA.

出版信息

J Cross Cult Gerontol. 2020 Jun;35(2):113-131. doi: 10.1007/s10823-020-09399-4.

Abstract

Cross-cultural research has shown marked variation in health outcomes across the world's older adult populations. Indeed, older adults in the Circumpolar North experience a variety of health disparities. Because aging is a biological process rooted in sociocultural context, there exists great variation in the ways older adults define and experience healthy, or "successful," aging in their communities. The aim of this analysis was to synthesize qualitative research among older residents (aged 50+ years) in the Circumpolar North to identify a definition of healthy aging common in the region. A thorough review was conducted across a variety of academic search databases for peer-reviewed, qualitative studies conducted among community-dwelling older adults. The search strategy initially identified 194 articles; 23 articles met the inclusion criteria. Included studies were coded and analyzed using Grounded Theory to examine underlying themes of healthy aging in the Circumpolar North. The findings reveal the importance older adults place on respect, their relationship to the land, and psychosocial resilience into multidimensional models of healthy aging. This research also highlights the need for increased translational research with populations in the Circumpolar North that are under-represented in the literature.

摘要

跨文化研究表明,世界各地老年人群的健康状况存在显著差异。事实上,北极圈北部的老年人面临着各种健康差距。由于衰老作为一个生物学过程植根于社会文化背景之中,老年人在其社区中界定和体验健康或“成功”衰老的方式存在很大差异。本分析的目的是综合北极圈北部老年居民(50岁及以上)的定性研究,以确定该地区常见的健康衰老定义。我们对各种学术搜索数据库进行了全面审查,以查找针对社区居住老年人开展的同行评审定性研究。搜索策略最初识别出194篇文章;23篇文章符合纳入标准。对纳入研究进行编码,并运用扎根理论进行分析,以探究北极圈北部健康衰老的潜在主题。研究结果揭示了老年人对尊重、他们与土地的关系以及心理社会适应力在健康衰老多维模型中的重要性。这项研究还强调,需要加强对北极圈北部文献中代表性不足人群的转化研究。

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