农村社区的老龄化。

3区 医学
Steven A Cohen, Mary L Greaney
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引用次数: 4

摘要

综述目的:人口老龄化正在全球范围内发生,特别是在美国等发达国家。然而,在美国,农村地区的人口老龄化速度要快于城市地区。农村地区的健康老龄化提出了独特的挑战。了解和应对这些挑战对于确保健康老龄化和促进整个生命周期和所有地区的健康公平至关重要。本综述旨在介绍和评估2019-2022年关于农村老龄化的最新文献,并强调未来改善农村社区人口健康的方向和机会。最新发现:本综述首先讨论了测量乡村性时需要考虑的几个方法学问题,包括所使用的测量方法的选择、每种测量方法的组成以及每种测量方法的局限性和缺点。其次,在描述农村的含义时,本文考虑了重要的概念和背景,包括社会、文化、经济和环境条件。本综述评估了几项主要的流行病学研究,这些研究涉及老年人人口健康的城乡差异。然后在农村地区健康老龄化的背景下讨论农村地区的保健和社会服务。在讨论农村老年人和健康老龄化问题时,种族和族裔少数群体、土著人民和非正式照顾者被视为特殊人群。最后,该综述提供了证据,以支持关键的纵向、基于地点的研究,以促进跨越城乡鸿沟的健康老龄化。摘要:减少城乡人口健康差异、促进健康公平和健康老龄化的政策、规划和干预措施需要一种针对具体情况的方法。考虑城乡人口健康和健康老龄化差异的文化背景和根本原因对于支持此类计划、政策和干预措施在现实世界中的有效性至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Aging in Rural Communities.

Aging in Rural Communities.

Purpose of review: Population aging is occurring worldwide, particularly in developed countries such as the United States (US). However, in the US, the population is aging more rapidly in rural areas than in urban areas. Healthy aging in rural areas presents unique challenges. Understanding and addressing those challenges is essential to ensure healthy aging and promote health equity across the lifespan and all geographies. This review aims to present findings and evaluate recent literature (2019-2022) on rural aging and highlight future directions and opportunities to improve population health in rural communities.

Recent findings: The review first addresses several methodological considerations in measuring rurality, including the choice of measure used, the composition of each measure, and the limitations and drawbacks of each measure. Next, the review considers important concepts and context when describing what it means to be rural, including social, cultural, economic, and environmental conditions. The review assesses several key epidemiologic studies addressing rural-urban differences in population health among older adults. Health and social services in rural areas are then discussed in the context of healthy aging in rural areas. Racial and ethnic minorities, indigenous peoples, and informal caregivers are considered as special populations in the discussion of rural older adults and healthy aging. Lastly, the review provides evidence to support critical longitudinal, place-based research to promote healthy aging across the rural-urban divide is highlighted.

Summary: Policies, programs, and interventions to reduce rural-urban differences in population health and to promote health equity and healthy aging necessitate a context-specific approach. Considering the cultural context and root causes of rural-urban differences in population health and healthy aging is essential to support the real-world effectiveness of such programs, policies, and interventions.

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来源期刊
Current Epidemiology Reports
Current Epidemiology Reports OTORHINOLARYNGOLOGY-
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