| Objective:In this study,the regional healthy aging level assessment indexes is established from the perspective of individual internal capacity and external environmental support,according to the theoretical framework of healthy aging of the World Health Organization.The comprehensive evaluation was used to combine subjective and objective to determine the weights of relevant indices,and then calculate the regional intrinsic capacity,environmental support,and healthy aging level,which to the regional distribution of regional healthy aging level and propose a strategy to coordinate the development of regional healthy aging.Method:(1)This study clarifies the current situation of regional development of healthy aging and the latest research progress of the conceptual framework and evaluation index system of healthy aging at home and abroad by reviewing the literature,and at the same time,by referring to the current research results combined with the characteristics of Chinese elderly people themselves,we screen out alternative indicators for constructing the evaluation of healthy aging degree with local characteristics.(2)Through two rounds of expert consultation method,the index system was improved,and the index index and degree evaluation formula were obtained in combination with the entropy weight method.(3)The degree of healthy aging was analyzed by descriptive analysis using four studies of the CHARLS database from 2011-2018,comparing provinces,urban and rural areas,and east,central and western regions,respectively.(4)This study constructs a multi-level analysis model of the influencing factors of healthy aging to accurately locate its key influencing factors and propose continuous improvement strategies.Result:(1)This study constructs a healthy aging degree evaluation index system based on the perspective of individual intrinsic ability and environmental support,including mobility,physical health,mental health,perceived function,adaptive capacity,economic capital,family support,community support,and social support.(2)The degree of healthy aging in various regions of my country is generally at a relatively low level,and the regional differences are relatively large,showing a downward trend.Generally,it is characterized by high in the east and low in the west,and the urban and rural gaps are significantly higher than in the countryside,and the gap between urban and rural areas is narrowing year by year.(3)The individual’s intrinsic ability in various regions of my country shows a downward trend,and the change trend is mainly reflected in the physical health status of individuals with a larger decline and the economic level of individuals with a larger increase.In contrast,the activity ability,mental health,perception function,and adaptability of intrinsic ability developed relatively steadily.The differences in individual intrinsic ability in the eastern,central and western regions were mainly reflected in the mental health of individuals with better mental health in the eastern region,urban and rural areas.The differences in the intrinsic abilities of regional individuals are mainly reflected in the better mental health and economic capital of urban individuals.(4)The level of environmental support in different regions of my country varies greatly,but the overall fluctuation is relatively stable,and there is no obvious trend.In contrast,the level of social support for environmental support has increased significantly,and the level of family support and community support for environmental support has developed relatively steadily.(5)Healthy aging is influenced by the individual’s intrinsic ability and external environmental factors while interacting with the individual’s sociodemographic characteristics,intergenerational support style,and physical condition,which are mainly focused on the individual’s education level,gender,age,intergenerational support,and physical condition.Conclusion:(1)It is suggested to enhance the intrinsic abilities of older adults to promote their functional performance.The different periods of development of intrinsic abilities of older adults should be taken into consideration when developing health promotion strategies.It’s also suggested to establish a rapid assessment system for intrinsic ability thereby improving the ability of older individuals to identify early signals of intrinsic ability decline.(2)In the promotion strategy of healthy aging,it is suggested to strengthen the construction of an age-friendly environment,which is mainly through the joint efforts of family,community and society to build a friendly living environment for the elderly and promote a positive exchange between the individual abilities of the elderly and the support of the social environment,and help the realization of healthy aging.(3)To improve the quality of life of the elderly in their old age by strengthening intergenerational support,it is mainly through increasing communication between children and the elderly,actively paying attention to the physical and spiritual health of the elderly,and providing more material care and spiritual comfort to alleviate the physical and mental effects caused by loneliness and other negative psychological factors.(4)In order to improve the overall level of healthy aging,it is mainly necessary to synchronize the development speed of each region and promote the joint development of urban and rural areas as well as the eastern,central and western regions.At the individual level,we will improve the health literacy of the rural elderly and improve their health status;At the community level,we will advocate the elderly to participate more in collective community activities,enrich their material and cultural life and maintain the stability of their inner capacity;At the social level,we will improve the elderly pension service system to ensure that the elderly have a sense of security and a sense of security,and actively build an age-friendly environment. |
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