School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China.
Front Public Health. 2023 Aug 1;11:1219573. doi: 10.3389/fpubh.2023.1219573. eCollection 2023.
Active aging has been listed as an important indicator to measure the quality of life of the older adults and the construction of the senior care system. There is an imbalance between the supply and demand of senior care services for the disabled older adults in rural areas, and the quality of life needs to be improved.
We aimed to analyze the current situation of active aging and the influencing factors of the rural disabled older adults, in order to provide a reference basis for improving the quality of life of the rural disabled older adults.
We conducted a multicenter and cross-sectional study, using the Barthel Index Scale and Chinese version of the Active Aging Scale, to facilitate the selection of 304 rural older adults with disability in 26 villages under Henan Province for a questionnaire survey.
The mean score for the level of active aging of rural older adults with disability was 1.87 (SD 0.36), with the highest score for the dimension of being self-reliant (Mean2.29, SD 0.61) and lower scores for the dimension of active contribution to society (Mean 1.37, SD 0.55) and building up financial security (Mean 1.37, SD 0.57). The results of the multiple regression analysis showed higher levels of active aging among the disabled older adults with retirement pay, mild disability, and longer time per activity/rehabilitation exercise ( < 0.05).
Active aging of the rural disabled older adults is at a low level, with insufficient economic security and social participation. The national government should help improve the quality of primary health care in rural areas, build a friendly environment for senior communities, and improve policies to protect the welfare of the older adults, so as to collaboratively empower the disabled older adults in rural areas at three levels: health, participation, and protection.
积极老龄化已被列为衡量老年人生活质量和养老体系建设的重要指标。农村失能老年人养老服务供给与需求存在不平衡，生活质量有待提高。
分析农村失能老年人积极老龄化现状及影响因素，为提高农村失能老年人生活质量提供参考依据。
采用多中心、横断面研究方法，使用Barthel 指数量表和中文版积极老龄化量表，方便选取河南省 26 个村 304 名农村失能老年人进行问卷调查。
农村失能老年人积极老龄化水平得分为 1.87（SD 0.36），其中自理维度得分最高（Mean2.29，SD 0.61），对社会的积极贡献维度和经济保障维度得分较低（Mean 1.37，SD 0.55；Mean 1.37，SD 0.57）。多元回归分析结果显示，有退休金、残疾程度较轻、每次活动/康复锻炼时间较长的失能老年人积极老龄化水平较高（ < 0.05）。
农村失能老年人积极老龄化水平较低，经济保障和社会参与不足。国家应加大对农村地区基本医疗保障投入，营造老年友好型社区环境，完善老年人福利保障政策，从健康、参与、保护三个层面协同赋能农村失能老年人。
