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影响孟加拉国积极老龄化状况的因素。

Factors affecting the active aging situation in Bangladesh.

作者信息

Afrin Sadiya, Khan Md Mehedi Hasan, Haque Md Aminul

机构信息

Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh.

出版信息

Front Public Health. 2025 Mar 6;13:1517482. doi: 10.3389/fpubh.2025.1517482. eCollection 2025.

Abstract

BACKGROUND

The older population in Bangladesh is growing rapidly, from 8.0% in 2020 to 22.0% in 2050. However, the determinants of active aging are scarcely known.

OBJECTIVE

The study aimed to assess the determinants influencing the active aging situation in Bangladesh.

METHODS

A cross-sectional study was conducted among 518 older adults aged 60 and over. Following the WHO active aging model, the respondents' socio-demographic, personal, behavioral, and physical environment and health and social services characteristics were collected using a semi-structured questionnaire. Multiple linear regression was performed to assess the effect of the determinants on active aging, followed by the bivariate level of analysis.

RESULTS

The determinants of active aging were deeply rooted in the respondents' socio-cultural, economic, and spatial conditions. Nine out of 23 determinants, like marital status, income, decision-making capacity, regular walking/physical exercise, smokeless tobacco consumption, newspaper reading as a leisure activity, use of medicine, and health service accessibility, significantly influence active aging. The active aging score was 10-15% higher among the respondents who regularly adhered to the above determinants.

CONCLUSION

Effective initiatives are needed to improve the socio-cultural, economic, and health system-related determinants of active aging to enhance the active aging situation. Concerned bodies of the country, ministries, departments, and development partners should take appropriate measures to increase awareness and the participation of people in lifestyle-related determinants to improve the active aging situation in the country.

摘要

背景

孟加拉国老年人口正在迅速增长,从2020年的8.0%增长到2050年的22.0%。然而,积极老龄化的决定因素却鲜为人知。

目的

本研究旨在评估影响孟加拉国积极老龄化状况的决定因素。

方法

对518名60岁及以上的老年人进行了一项横断面研究。遵循世界卫生组织的积极老龄化模型,使用半结构化问卷收集了受访者的社会人口统计学、个人、行为、身体环境以及健康和社会服务特征。进行多元线性回归以评估这些决定因素对积极老龄化的影响,随后进行双变量水平分析。

结果

积极老龄化的决定因素深深植根于受访者的社会文化、经济和空间条件。23个决定因素中有9个,如婚姻状况、收入、决策能力、定期步行/体育锻炼、无烟烟草消费、将阅读报纸作为休闲活动、用药情况以及医疗服务可及性,对积极老龄化有显著影响。经常遵循上述决定因素的受访者的积极老龄化得分高出10 - 15%。

结论

需要采取有效举措来改善与积极老龄化相关的社会文化、经济和卫生系统方面的决定因素,以提升积极老龄化状况。该国相关机构、部委、部门以及发展伙伴应采取适当措施,提高人们对与生活方式相关决定因素的认识并促进其参与,以改善该国的积极老龄化状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/11925200/6c9b49cbc691/fpubh-13-1517482-g001.jpg

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