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从避难所到繁荣之地:大流行时代的老年宜居场所。

From Sheltered in Place to Thriving in Place: Pandemic Places of Aging.

机构信息

College of Architecture and Planning, University of Utah, Salt Lake City, Utah, USA.

Healthy Aging and Resilient Places Lab, College of Architecture and Planning, University of Utah, Salt Lake City, Utah, USA.

出版信息

Gerontologist. 2024 Feb 1;64(2). doi: 10.1093/geront/gnad087.

DOI:10.1093/geront/gnad087
PMID:37417468
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10825836/
Abstract

BACKGROUND AND OBJECTIVES

Response to the coronavirus disease 2019 pandemic required rapid changes to physical, social, and technological environments. There is a need to understand how independent-living older adults are adapting to pandemic-borne transformations of place and how environmental factors may shape experiences of aging well in the context of a public health emergency response.

RESEARCH DESIGN AND METHODS

We conducted a photovoice study to examine the characteristics associated with aging in place. Our study investigated how independent-living older adults characterized aging in a "right" place approximately 1 year after the onset of the pandemic.

RESULTS

Six themes categorized into 2 groups capture how older adults describe a "right" place to age. The first category, "places as enactors of identity and belonging," describes the significance of places contributing to intimate relationships, social connections, and a sense of personal continuity. The second category, "places as facilitators of activities and values," recognizes environments that promote health, hobbies, goals, and belief systems. Participants reported modifying their daily living environments with increased use of technology and more time outdoors.

DISCUSSION AND IMPLICATIONS

Our findings emphasize older adults' active engagement with place and strategies used to maintain healthy aging despite public health restrictions. The results also identify place-based characteristics that may help overcome stressful circumstances from older adults' perspectives. These findings inform pathways to pursue to facilitate resiliency for aging in place.

摘要

背景与目的

应对 2019 年冠状病毒病大流行需要对物理、社会和技术环境进行快速改变。有必要了解独立生活的老年人如何适应大流行带来的场所转变,以及在公共卫生应急响应的背景下,环境因素如何影响良好的老龄化体验。

研究设计与方法

我们进行了一项摄影访谈研究,以研究与就地老龄化相关的特征。我们的研究调查了独立生活的老年人在大流行开始约 1 年后如何描述一个“合适”的地方进行老龄化。

结果

六个主题分为两组,描述了老年人如何描述一个“合适”的地方进行老龄化。第一组主题为“场所作为身份和归属感的执行者”,描述了场所对亲密关系、社会联系和个人连续性的重要性。第二组主题为“场所作为活动和价值观的促进者”,认识到促进健康、爱好、目标和信仰体系的环境。参与者报告说,他们通过更多地使用技术和更多地在户外来改变他们的日常生活环境。

讨论与意义

我们的研究结果强调了老年人积极参与场所,并采取了策略来保持健康的老龄化,尽管存在公共卫生限制。研究结果还从老年人的角度确定了可能有助于克服压力情况的场所特征。这些发现为促进就地老龄化的适应能力提供了途径。

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本文引用的文献

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Recovering From Coronavirus Disease 2019 (COVID-19): Resisting Ageism and Recommitting to a Productive Aging Perspective.从2019冠状病毒病(COVID-19)中康复:抵制年龄歧视并重新致力于积极老龄化观念
Public Policy Aging Rep. 2020 Aug 26:praa021. doi: 10.1093/ppar/praa021.
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Ageism toward older adults during the COVID-19 pandemic: Intergenerational conflict and support.新冠疫情期间对老年人的年龄歧视:代际冲突与支持
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Aging in the Right Place: A Conceptual Framework of Indicators for Older Persons Experiencing Homelessness.
在合适的地方变老:无家可归老年人指标的概念框架。
Gerontologist. 2022 Oct 19;62(9):1251-1257. doi: 10.1093/geront/gnac023.
4
Aging in Place During a Pandemic: Neighborhood Engagement and Environments Since the COVID-19 Pandemic Onset.大流行期间的原地老龄化:自 COVID-19 大流行开始以来的邻里参与和环境。
Gerontologist. 2022 Apr 20;62(4):504-518. doi: 10.1093/geront/gnab169.
5
Traversing the Aging Research and Health Equity Divide: Toward Intersectional Frameworks of Research Justice and Participation.跨越老龄化研究与健康公平鸿沟:走向研究正义与参与的交叉框架。
Gerontologist. 2022 May 26;62(5):711-720. doi: 10.1093/geront/gnab107.
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Promising Aging in Community Models in the U.S.: Village, Naturally Occurring Retirement Community (NORC), Cohousing, and University-Based Retirement Community (UBRC).美国社区模式中的养老前景:村落、自然形成的退休社区(NORC)、共同住宅以及大学附属退休社区(UBRC)。
Gerontol Geriatr Med. 2021 May 12;7:23337214211015451. doi: 10.1177/23337214211015451. eCollection 2021 Jan-Dec.
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Impact of the COVID-19 Pandemic on Older Adults: Rapid Review.2019冠状病毒病大流行对老年人的影响:快速综述
JMIR Aging. 2021 Apr 12;4(2):e26474. doi: 10.2196/26474.
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Physical and mental health of older people while cocooning during the COVID-19 pandemic.老年人在 COVID-19 大流行期间“茧居”时的身心健康。
QJM. 2021 Nov 13;114(9):648-653. doi: 10.1093/qjmed/hcab015.
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Int J Environ Res Public Health. 2020 Dec 10;17(24):9246. doi: 10.3390/ijerph17249246.
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The Effects of COVID-19 Among the Elderly Population: A Case for Closing the Digital Divide.新冠疫情对老年人群体的影响:消除数字鸿沟的必要性
Front Psychiatry. 2020 Nov 12;11:577427. doi: 10.3389/fpsyt.2020.577427. eCollection 2020.