A research framework for the United Nations Decade of Healthy Ageing (2021–2030)

European Journal of Ageing - Tập 19 - Trang 775-787 - 2022
N. Keating1,2,3,4
1Global Social Issues on Ageing (GSIA), International Association of Gerontology and Geriatrics, Buenos Aires, Argentina
2Centre for Innovative Ageing, Swansea University, Swansea, UK
3Research on Ageing, Policies and Practice (RAPP), University of Alberta, Edmonton, Canada
4Optentia Research Unit, North-West University, Potchefstroom, South Africa

Tóm tắt

The mission of UN Decade of Healthy Ageing (2020–2030) is to improve the lives of older people, their families and their communities. In this paper, we create a conceptual framework and research agenda for researchers to knowledge to address the Decade action items. The framework builds on the main components of healthy ageing: Environments (highlighting society and community) across life courses (of work and family) toward wellbeing (of individuals, family members and communities). Knowledge gaps are identified within each area as priority research actions. Within societal environments, interrogating beliefs about ageism and about familism are proposed as a way to illustrate how macro approaches to older people influence their experiences. We need to interrogate the extent to which communities are good places to grow old; and whether they have sufficient resources to be supportive to older residents. Further articulation of trajectories and turning points across the full span of work and of family life courses is proposed to better understand their diversities and the extent to which they lead to adequate financial and social resources in later life. Components of wellbeing are proposed to monitor improvement in the lives of older people, their families and communities. Researcher priorities can be informed by regional and national strategies reflecting Decade actions.

Tài liệu tham khảo

Ahn M, Kang J, Kwon HJ (2020) The concept of aging in place as intention. Gerontologist 60(1):50–59. https://doi.org/10.1093/geront/gny167

Andrews G, Evans J, Wiles J (2013) Re-spacing and re-placing gerontology: relationality and affect. Ag Soc 33:1339–1373. https://doi.org/10.1017/S0144686X12000621

Ayalon L, Tesch-Römer C (eds) (2018) Contemporary perspectives on ageism. Springer Nature, Geneva. https://doi.org/10.1007/978-3-319-73820-8

Bauer J, Sousa-Poza A (2015) Impacts of informal caregiving on caregiver employment, health, and family. Popul Ag 8:113–145. https://doi.org/10.1007/s12062-015-9116-0

Bigonnesse C, Chaudhury H (2020) The landscape of “aging in place” in gerontology literature: emergence, theoretical perspectives, and influencing factors. J Ag Environ 34(3):233–251. https://doi.org/10.1080/02763893.2019.1638875

Carr D, Utz RL (2020) Families in later life: a decade in review. J Marriage Fam 82:346–363. https://doi.org/10.1111/jomf.12609

Casado-Marín D, García-Gómez P, López-Nicolás Á (2011) Informal care and labour force participation among middle-aged women in Spain. Series 2:1–29. https://doi.org/10.1007/s13209-009-0008-5

Chang ES, Kannoth S, Levy S, Wang SY, Lee JE, Levy BR (2020) Global reach of ageism on older persons’ health: a systematic review. PLoS ONE 15(1):1–24. https://doi.org/10.1371/journal.pone.0220857

Clark C, Smuk M, Lain D, Stansfeld SA, Carr E, Head J, Vickerstaff S (2017) Impact of childhood and adulthood psychological health on labour force participation and exit in later life. Psychol Med 47(9):1597–1608. https://doi.org/10.1017/s0033291717000010

Cueva K, Rink E, Lavoie JG et al (2021) Diving below the surface: a framework for arctic health research to support thriving communities. Scand J Public Health. https://doi.org/10.1177/14034948211007694

Dannefer D, Kelley-Moore JA (2009) Theorizing the life course: new twists in the paths. In: Bengston V, Silverstein M, Putney N, Gans D (eds) Handbook of theories of aging, 2nd edn. Springer, New York, pp 389–411

DeVerteuil G, Kiener J, Mizuuchi T (2020) The service hub as bypassed social infrastructure: evidence from inner-city Osaka. Urban Geogr. https://doi.org/10.1080/02723638.2020.1826751

Elder GH (1985) Perspectives on the life course. In: Elder GH (ed) Life course dynamics: trajectories and transitions, 1968–1980. Cornell University Press, Ithaca NY, pp 23–49

European Commission and WHO Regional Office for Europe (no date). Age-friendly environments in Europe (AFEE). https://www.euro.who.int/en/health-topics/Life-stages/healthy-ageing/activities/age-friendly-environments-in-europe-afee Accessed 27 November 2021

Finlay J, Gaugler J, Kane R (2020) Ageing in the margins: expectations of and struggles for ‘a good place to grow old’ among low-income older Minnesotans. Ag Soc 40(4):759–783. https://doi.org/10.1017/S0144686X1800123X

Folbre N (2020) Manifold exploitations: toward an intersectional political economy. Rev Soc Econ 78(4):451–472. https://doi.org/10.1080/00346764.2020.1798493

Fraser S et al (2020) Ageism and COVID-19: What does our society’s response say about us? Age Ag 49:692–695. https://doi.org/10.1093/ageing/afaa097

Fried L, Rowe J (2020) Health in aging—past, present, and future. N Engl J Med 383:1293–1296. https://doi.org/10.1056/NEJMp2016814

Gildner TE et al (2019) Perceived income adequacy and well-being among older adults in six low- and middle-income countries. J Gerontol: Ser B 74(3):516–525. https://doi.org/10.1093/geronb/gbw145

Gilligan M, Karraker A, Jasper A (2018) Linked lives and cumulative inequality: a multigenerational family life course framework. J Fam Theory Rev 10:111–125. https://doi.org/10.1111/jftr.12244

Girardin M, Widmer ED, Connidis IA, Castrén AM, Gouveia R, Masotti B (2018) Ambivalence in later-life family networks: beyond intergenerational dyads. J Marriage Fam 80:768–784. https://doi.org/10.1111/jomf.12469

Glick P (1977) Updating the life cycle of the family. J Marriage Fam 39(1):5–13. https://doi.org/10.2307/351058

Gobierno de Chile (2021). Chile leads launch of Decade of Healthy Ageing 2021–2030, which seeks to improve conditions for older people. https://www.gob.cl/en/news/chile-leads-launch-decade-healthy-ageing-2021-2030-which-seeks-improve-conditions-older-people/ Accessed 25 November 2021

Golant S (2014) Age-friendly communities: are we expecting too much? Institute for Research on Public Policy (IRPP). https://on-irpp.org/37HR4cr

Goldani AM (2010) “Ageism” in Brazil: What is it? Who does it? what to do with it? Revista Brasileira De Estudos De População 27(2):385–405. https://doi.org/10.1590/S0102-30982010000200009

González P, Dussaillant F, Calvo E (2021) Social and individual subjective wellbeing and capabilities in Chile. Front Psychol 11:4080. https://doi.org/10.3389/fpsyg.2020.628785

Hägglund AE, Bächmann AC (2017) Fast lane or down the drain? Does the occupation held prior to unemployment shape the transition back to work? Res Soc Stratif Mobil 49:32–46. https://doi.org/10.1016/j.rssm.2017.03.005

Hallegatte S, Rozenberg J (2017) Climate change through a poverty lens. Nature Clim Change 7:250–256. https://doi.org/10.1038/nclimate3253

Hernandez M, Bamaca-Colbert M (2016) A behavioral process model of familism. J Fam Theory Rev 8(December):463–483. https://doi.org/10.1111/jftr.12166

Hoang NPT, Haslam D, Sanders MR (2019) Coparenting conflict and cooperation between parents and grandparents in Vietnamese families: the role of grandparent psychological control and parent–grandparent communication. Fam Process 59(6):1161–1174. https://doi.org/10.1111/famp.12496

Jensen A, Nielson M, Yorgason J (2020) The longest-lasting relationship: patterns of contact and well-being among mid- to later-life siblings. J Gerontol B Psychol Sci Soc Sci 75(10):2240–2249. https://doi.org/10.1093/geronb/gbz083

Keating N, Eales J (2017) Social consequences of family care to adults: a scoping review. Int J Care Caring 1(2):153–173. https://doi.org/10.1332/239788217X14937990731749

Keating N, Eales J, Phillips J (2013) Age-friendly rural communities: conceptualizing ‘best-fit.’ Can J Ag 32(4):319–332. https://doi.org/10.1017/s0714980813000408

Keating N, Eales J, Funk L, Fast J, Min J (2019) Life course trajectories of family care. Int J Care Caring 3(2):147–163. https://doi.org/10.1332/239788219X15473079319309

Keating N, McGregor JA, Yeandle S (2021b) Sustainable care: theorising the wellbeing of caregivers to older adults. Int J Care Caring. https://doi.org/10.1332/239788221X16208334299524

Keenan K, Ploubidis GB, Silverwood RJ, Grundy E (2017) Life-course partnership history and midlife health behaviours in a population-based birth cohort. J Epidemiol Commun Health 71:232–238. https://doi.org/10.1136/jech-2015-207051

Kemp C (2021) #MoreThanAVisitor: families as “essential” care partners during COVID-19. Gerontologist 61(2):145–151. https://doi.org/10.1093/geront/gnaa161

Kilaru AS, Gee RE (2020) Structural ageism and the health of older adults. JAMA Health Forum 1(10):e201249. https://doi.org/10.1001/jamahealthforum.2020.1249

Kreyenfeld M, Konietzka D (eds) (2017) Childlessness in Europe: contexts, causes, and consequences. Springer, Switzerland

Kossek E, Lautsch B (2018) Work-life flexibility for whom? Occupational status and work-life inequality in upper, middle and lower level jobs. Acad Manag Ann 12(1):5–36. https://doi.org/10.5465/annals.2016.0059

Larsson D, Stattin M (2015) The labour market in ageing Sweden: lifecourse influences on workforce participation. In: Komp K, Johansson S (eds) Population ageing from a lifecourse perspective: critical and international approaches. Policy Press, Bristol, pp 203–220

León M, Pavolini E (2014) ‘Social investment’ or back to ‘familism’: the impact of the economic crisis on family and care policies in Italy and Spain. South Eur Soc Polit 19(3):353–369. https://doi.org/10.1080/13608746.2014.948603

Lestari MD, Stephens C, Morison T (2021) Constructions of older people’s identities in Indonesian regional ageing policies: The impacts on micro and macro experiences of ageing. Ageing Soc 1–21. https://doi.org/10.1017/S0144686X20001907

Li J, Zehr S (2020) The wellbeing of communities, large and small: a ponderance of HRD. Hum Resour Dev Int 23(2):103–107. https://doi.org/10.1080/13678868.2020.1726604

Liukkonen V, Virtanen P, Vahtera J, Suominen S, Sillanmäki L, Koskenvuo M (2009) Employment trajectories and changes in sense of coherence. Eur J Public Health 20(3):293–298. https://doi.org/10.1093/eurpub/ckp171

Ministerio de Salud (2021). Plan nacional de salud integral para personas mayores y su plan de acción 2020–2030. Resolucion Exenta Nº 499 del 31 de mayo del 2021. https://diprece.minsal.cl/wp-content/uploads/2021/09/Plan-Nacional-de-Salud-Integral-para-Personas-Mayores_v2.pdf Accessed 26 November 2021

Makore BCN, Al-Maiyah S (2021) Moving from the margins: towards an inclusive urban representation of older people in Zimbabwe’s policy discourse. Societies 11(1):1–21. https://doi.org/10.3390/soc11010007

Marotz-Baden R, Adams G, Munro B, Munro G (1979) Family form or family process? Reconsidering the deficit family model approach. Fam Coord 28(1):5–14. https://doi.org/10.2307/583262

Marques S, Mariano J, Mendonça J, De Tavernier W, Hess M, Naegele L, Peixeiro F, Martins D (2020) Determinants of ageism against older adults: a systematic review. Int J Environ Res Public Health 17(7):1–27. https://doi.org/10.3390/ijerph17072560

McCrillis E, Skinner MW, Colibaba A (2021) Developing rural insights for building age-friendly communities. J Rural Stud 81:336–344. https://doi.org/10.1016/j.jrurstud.2020.10.053

Michel JP, Leonardi M, Martin M, Prina M (2021) WHO’s report for the decade of healthy ageing 2021–30 sets the stage for globally comparable data on healthy ageing. Lancet 2(3):E121–E122. https://doi.org/10.1016/S2666-7568(21)00002-7

Mitra A (2015) Informal economy in India: persistence and meagreness. Agrarian South: J Polit Econ 4(2):216–231

Mokomane Z (2021) Balancing care and work roles among women working in the informal sector in South Africa. Int J Care Caring 5(1):129–147. https://doi.org/10.1332/239788220X15984634358661

Mucchi-Faina A, Pacilli MG, Verma J (2010) The two faces of familism: a cross-cultural research in India and Italy. Psychol Stud 55:365–373. https://doi.org/10.1007/s12646-010-0042-1

Muers S (2018) Culture, values and public policy. Institute for Policy Research, University of Bath. https://www.bath.ac.uk/publications/culture-values-and-public-policy/attachments/ipr-culture-values-and-public-policy.pdf. Accessed 2 July 2021.

Ng ST, Tey NP, Asadullah MN (2017) What matters for life satisfaction among the oldest old? Evidence from China. Plos One 12(2):e0171799. https://doi.org/10.1371/journal.pone.0171799

Ní Léime Á, Street D (2019) Working later in the USA and Ireland: implications for precariously and securely employed women. Ageing Soc 39(10):2194–2218. https://doi.org/10.1017/S0144686X18000508

Nussbaum M (2002) Capabilities and social justice. Int Stud Rev 4(2):123–135. https://doi.org/10.1111/1521-9488.00258

Obadia L (2015) Spatial turn, beyond geography: a new agenda for sciences of religion? Int Rev Sociol 25(2):200–217. https://doi.org/10.1080/03906701.2015.1039269

Perelli-Harris B, Lyons-Amos M (2015) Changes in partnership patterns across the life course: an examination of 14 countries in Europe and the United States. Demogr Res 33:145–178

Polletta F (2018) The multiple meanings of familialism. Law Soc Inq 43(1):230–237. https://doi.org/10.1111/lsi.12340

Radó M, Boissonneault M (2020) Short and long-term change in subjective well-being among voluntary and involuntary retirees. J Econ Ag 17:100178. https://doi.org/10.1016/j.jeoa.2018.11.003

Rémillard-Boilard S, Buffel T, Phillipson C (2021) Developing age-friendly cities and communities: eleven case studies from around the world. Int J Environ Res Public Health 18(1):133. https://doi.org/10.3390/ijerph18010133

Rogers R (1964) Toward a theory of family development. J Marriage Fam 26(3):262–270. https://doi.org/10.2307/349456

Rondi E, De Massis A, Kotlar J (2019) Unlocking innovation potential: a typology of family business innovation postures and the critical role of the family system. J Fam Bus Strat 10(4):100236. https://doi.org/10.1016/j.jfbs.2017.12.001

Roux A, Viljoen D (2018) Using futures studies methodologies to explore the economic participation of the older cohorts of South Africa’s population towards 2030. J Futures Stud 23(1):5–22. https://doi.org/10.6531/JFS.201809_23(1).0002

Ryser L, Halseth G, Markey S, Hanlon N, Skinner M (2021). In: Skinner M, Winterton R, Walsh K (eds) Rural gerontology: towards critical perspectives on rural ageing. Routledge, London, pp 152–163

Schmitz A (2021) Gendered experiences of widowhood and depression across Europe: the role of loneliness and financial resources from a longitudinal perspective. J Affect Disord 280:114–120. https://doi.org/10.1016/j.jad.2020.11.091

Silverstein M, Giarrusso R (2010) Aging and family life: a decade review. J Marriage Fam 72:1039–1058. https://doi.org/10.1111/j.1741-3737.2010.00749.x

Sis SS, Safaeeian A, Zeinalhajlou AA, Matlabi H (2020) Viewpoints of older people toward the features of age-friendly communities: map for charting progress in Tabriz, Iran. J Ag Environ https://doi.org/10.1080/26892618.2020.1859037

Skinner M, Alun J, Hanlon N, Halseth G, Ryser L (2016) Voluntarism, older people, and ageing places: pathways of integration and marginalization. In: Skinner M, Hanlon N (eds) Ageing resource communities: new frontiers of rural population change, community development and volunteerism. Routledge, London, pp 38–54

Smith D (1993) The standard North American family: SNAF as an ideological code. J Fam Issues 14(1):50–65. https://doi.org/10.1177/0192513X93014001005

Stephens C, Szabó Á, Allen J, Alpass F (2019) Livable environments and the quality of life of older people: an ecological perspective. Gerontologist 59(4):675–685. https://doi.org/10.1093/geront/gny043

Stoilova M, Roseneil S, Carter J, Duncan S, Phillips M (2017) Constructions, reconstructions and deconstructions of ‘family’ amongst people who live apart together (LATs). Br J Sociol 68(1):78–96. https://doi.org/10.1111/1468-4446.12220

The Ministry of Justice and Human Rights the Republic of Indonesia (2021) Regulation of the President of the Republic of Indonesia, No. 88 year 2021 about National Strategic Plan on Ageing. Available at https://jdih.bappenas.go.id/peraturan/detailperaturan/2700

The WHOQOL Group (1998) The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties. Soc Sci Med 46(12):1569–1585. https://doi.org/10.1016/S0277-9536(98)00009-4

Ting GHY, Woo JD (2009) Elder care: is legislation of family responsibility the solution? Asian J Gerontol Geriatr 4(2):72–75

Tronto J (2017) There is an alternative: homines curans and the limits of neoliberalism. Int J Care Caring 1(1):27–43. https://doi.org/10.1332/239788217X14866281687583

Urbaniak A, Walsh K (2019) The interrelationship between place and critical life transitions in later life social exclusion: a scoping review. Health Place 60:102234. https://doi.org/10.1016/j.healthplace.2019.102234

van Exel NJA, Brouwer WBF, van den Berg B, Koopmanschap MA, van den Bos GAM (2004) What really matters: an inquiry into the relative importance of dimensions of informal caregiver burden. Clin Rehabil 18(6):683–693. https://doi.org/10.1191/0269215504cr743oa

Van Winkle Z, Fasang A (2017) Complexity in employment life courses in Europe in the twentieth century—large cross-national differences but little change across birth cohorts. Soc Forces 96(1):1–30. https://doi.org/10.1093/sf/sox032

Velarde-Jurado E, Avila-Figueroa C (2002) Methodological considerations for evaluating quality of life. Salud Publica Mex 44(5):448–463

Vervaecke D, Meisner B (2021) Caremongering and assumptions of need: the spread of compassionate ageism during COVID-19. Gerontologist 61(2):159–165. https://doi.org/10.1093/geront/gnaa131

Visser M, Gesthuizen M, Kraaykamp G, Wolbers M (2018) Labor market vulnerability of older workers in the Netherlands and its impact on downward mobility and reduction of working hours. Work, Ag Retire 4(3):289–299. https://doi.org/10.1093/workar/wax017

Vos WH, van Boekel LC, Janssen MM, Leenders RTAJ, Luijkx KG (2020) Exploring the impact of social network change: experiences of older adults ageing in place. Health Soc Care Commun 28(1):116–126. https://doi.org/10.1111/hsc.12846

Wahl HW, Oswald F (2016) Theories of environmental gerontology: old and new avenues for person–environmental views of aging. In: Bengsten V, Settersten R (eds) Handbook of theories of ageing, 3rd edn. Springer, Switzerland, pp 621–641

Walsh K, O’Shea E, Scharf T (2020) Rural old-age social exclusion: a conceptual framework on mediators of exclusion across the lifecourse. Ageing Soc 40(11):2311–2337. https://doi.org/10.1017/S0144686X19000606

Wiles JL, Rolleston A, Pillai A, Broad J, Teh R, Gott M, Kerse N (2017) Attachment to place in advanced age: a study of the LiLACS NZ cohort. Soc Sci Med 185:27–37. https://doi.org/10.1016/j.socscimed.2017.05.006

Winterton R (2016) Organizational responsibility for age-friendly social participation: views of Australian rural community stakeholders. J Aging Soc Policy 28(4):261–276. https://doi.org/10.1080/08959420.2016.1145504

Wiseman J, Brasher K (2008) Community wellbeing in an unwell world: trends, challenges, and possibilities. J Public Health Pol 29:353–366. https://doi.org/10.1057/jphp.2008.I6

World Health Organization (2015) World report on ageing and health. https://apps.who.int/iris/handle/10665/186463 Accessed 2 July 2021

World Health Organization (2020) UN Decade of Healthy Ageing: plan of action. https://www.who.int/initiatives/decade-of-healthy-ageing Accessed 25 June 2021

World Health Organization (2021) Decade of healthy ageing: baseline report. https://www.who.int/publications/i/item/9789240017900 Accessed 25 June 2021

WHO Global Report on Ageism (2021) Global report on ageism. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO