Bowling A
Department of General Practice, St Bartholomew's Medical College, London, UK.
Fam Pract. 1993 Dec;10(4):449-53. doi: 10.1093/fampra/10.4.449.
Social scientists frequently refer to the 'greying' of the population in the west, the extension of the average lifespan to around the age of 76, and the projected increases in the numbers of people aged 85 and over, with the ensuing problems of chronic illness and disability that often accompany very old age. Increasing interest is being expressed in positive aspects of ageing: given the increases in life expectancy during this century, is it resulting in a life worth living? Concern is heightened by the estimate that, although most people aged 65+ live in their own homes and are relatively healthy and independent, years of disability can begin as early as 60 years. Conversely, some researchers and policy makers feel that enough time has been spent on the negative aspects of ageing and that the balance should be addressed by analysing successful, or positive ageing (sometimes defined in terms of an overlapping but separate dimension 'health-related quality of life'), with the aim of promoting well-being for future generations.
社会科学家经常提到西方人口的“老龄化”,即平均寿命延长至76岁左右,预计85岁及以上人口数量将增加,随之而来的是与高龄相伴的慢性病和残疾问题。人们对老龄化的积极方面越来越感兴趣:鉴于本世纪预期寿命的增加,这是否带来了值得过的生活?据估计,尽管大多数65岁以上的人住在自己家里,相对健康且独立,但早在60岁就可能开始出现多年的残疾,这加剧了人们的担忧。相反,一些研究人员和政策制定者认为,在老龄化的消极方面已经花费了足够的时间,应该通过分析成功的或积极的老龄化(有时根据一个重叠但独立的维度“与健康相关的生活质量”来定义)来平衡这一问题,目的是为后代促进福祉。