Zhuo Li, Cao Jiawei
Department of Aging Services and Management, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Gerontologist. 2024 Dec 13;65(1). doi: 10.1093/geront/gnae081.
Since the origin of the successful aging (SA) model by Rowe and Kahn, scholars have been working on enriching the content of SA and taking actions to promote this concept worldwide. While most studies primarily focus on older individuals, only a few scholars have considered the environmental aspect of SA. However, the environment, directly and indirectly, enhances older adults' abilities to achieve SA. To measure SA comprehensively and address inequalities among older adults, this theoretical article aims to challenge current SA models by incorporating both individual and environmental aspects and proposing 4 measurement dimensions: inclusivity of disadvantaged groups, culture-specific adaptation, balance between physical and social environments, and dynamics of the whole lifecycle. Moreover, this article provides examples to illustrate how environment can support older adults especially those who would be defined as "unsuccessful" under the original SA model. Our proposed model would provide theoretical guidance for future research and spark new ideas for policies and programs that support every older adult in achieving SA.
自罗威和卡恩提出成功老龄化(SA)模型以来,学者们一直在努力丰富SA的内涵,并在全球范围内采取行动推广这一概念。虽然大多数研究主要关注老年人个体,但只有少数学者考虑到了SA的环境因素。然而,环境直接或间接地增强了老年人实现SA的能力。为了全面衡量SA并解决老年人之间的不平等问题,这篇理论文章旨在通过纳入个体和环境因素来挑战当前的SA模型,并提出4个衡量维度:弱势群体的包容性、特定文化适应性、物理环境与社会环境的平衡以及整个生命周期的动态变化。此外,本文还提供了实例来说明环境如何支持老年人,特别是那些在原始SA模型下会被定义为“不成功”的老年人。我们提出的模型将为未来的研究提供理论指导,并为支持每位老年人实现SA的政策和项目激发新的思路。