Public views towards lifespan, healthspan, and Healthy Longevity Medicine in Singapore: a qualitative study from the HEalthy LOngevity (HELO) initiatives.

IF 3 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Gerontology Pub Date : 2025-10-17 DOI:10.1159/000548994
Belinda Wang, Anna Szücs, Elena Sandalova, Zhi Meng Lim, E J Horberg, Paul A O'Keefe, Louis Island, Sonny Rosenthal, Andrea B Maier
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引用次数: 0

Abstract

Background: Healthy Longevity Medicine (HLM) offers a strategy to reduce the healthspan-lifespan gap, yet public perspectives remain unclear. This study refines the HEalthy LOngevity (HELO) framework through a qualitative exploration of public views towards lifespan, healthspan, and HLM.

Methods: Individuals living in Singapore participated in semi-structured group or individual discussions to explore (a) their understanding of lifespan and healthspan, (b) motivational factors for health behaviours, and (c) their awareness of HLM. Sampling maximised variation across age, sex, and ethnicity. Data obtained through 13 discussions were analysed with a mixed, inductive-deductive approach employing the HELO framework.

Results: Thirty-six participants (mean age= 49.4 years, SD=15.9, 19 males, 15 ethnic Chinese) were generally familiar with the definitions of lifespan and healthspan, emphasising the importance of quality of life. Health was defined comprehensively, and autonomy over behaviours was highly valued during ageing and in adopting health behaviours. Community resources and government health initiatives were deemed useful, recognising the potential to enhance social, mental, and physical health. Singapore's busy, achievement-oriented culture was identified as a barrier to healthy behaviours. Participants expressed enthusiasm for HLM's potential to extend healthspan yet voiced concerns about lifestyle changes and potentially losing autonomy.

Conclusion: Personal values and priorities were central to motivations towards healthy longevity. HLM should assess and align diagnostic and treatment plans with individual preferences to support sustainable health behaviours. The Singapore public's alignment with government policies presents an opportunity to promote HLM adoption.

新加坡公众对寿命、健康寿命和健康长寿医学的看法:来自健康长寿(HELO)倡议的定性研究。
背景:健康长寿医学(HLM)提供了一种减少健康寿命差距的策略,但公众的观点仍不清楚。本研究通过对公众对寿命、健康跨度和HLM的看法进行定性探讨,完善了健康寿命(HELO)框架。方法:居住在新加坡的个人参加了半结构化的小组或个人讨论,以探讨(a)他们对寿命和健康寿命的理解,(b)健康行为的动机因素,以及(c)他们对HLM的认识。抽样最大限度地提高了年龄、性别和种族之间的差异。通过13次讨论获得的数据,采用HELO框架,采用混合的归纳-演绎方法进行分析。结果:36名参与者(平均年龄49.4岁,SD=15.9,男性19名,华裔15名)对寿命和健康期的定义基本熟悉,强调生活质量的重要性。健康的定义是全面的,在老龄化和采取健康行为时高度重视行为自主权。社区资源和政府卫生倡议被认为是有用的,认识到有可能增进社会、心理和身体健康。新加坡忙碌、追求成就的文化被认为是健康行为的障碍。参与者对HLM延长健康寿命的潜力表示了热情,但也表达了对生活方式改变和可能失去自主权的担忧。结论:个人价值观和优先事项是健康长寿的核心动机。HLM应评估诊断和治疗计划,并使其与个人偏好保持一致,以支持可持续的健康行为。新加坡公众与政府政策的一致为促进HLM的采用提供了机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Gerontology
Gerontology 医学-老年医学
CiteScore
6.00
自引率
0.00%
发文量
94
审稿时长
6-12 weeks
期刊介绍: In view of the ever-increasing fraction of elderly people, understanding the mechanisms of aging and age-related diseases has become a matter of urgent necessity. ''Gerontology'', the oldest journal in the field, responds to this need by drawing topical contributions from multiple disciplines to support the fundamental goals of extending active life and enhancing its quality. The range of papers is classified into four sections. In the Clinical Section, the aetiology, pathogenesis, prevention and treatment of agerelated diseases are discussed from a gerontological rather than a geriatric viewpoint. The Experimental Section contains up-to-date contributions from basic gerontological research. Papers dealing with behavioural development and related topics are placed in the Behavioural Science Section. Basic aspects of regeneration in different experimental biological systems as well as in the context of medical applications are dealt with in a special section that also contains information on technological advances for the elderly. Providing a primary source of high-quality papers covering all aspects of aging in humans and animals, ''Gerontology'' serves as an ideal information tool for all readers interested in the topic of aging from a broad perspective.
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