Conceptualisation and Measurement of Healthy Ageing: Insights from a Systematic Literature Review
Social Science & Medicine,
Год журнала:
2025,
Номер
unknown, С. 117933 - 117933
Опубликована: Март 1, 2025
This
paper
enhances
the
understanding
and
measurement
of
Healthy
Ageing
(HA)
through
a
systematic
review
its
multidimensional
operationalisation.
Despite
progress
in
HA
research,
no
consensus
exists
on
constitutive
elements,
current
frameworks
often
do
not
capture
full
complexity.
Building
World
Health
Organization
(WHO)
definition,
we
organise
empirical
evidence
under
three
dimensions:
intrinsic
capacity
(IC),
functional
ability
(FA)
environment
(ENV).
To
identify
conceptual,
methodological
gaps,
provide
structured
synthesis
concepts,
measures
instruments
used
evaluating
advancement
standardisation
measurement.
Following
PRISMA
guidelines,
extract
data
from
55
quantitative,
qualitative
mixed-methods
studies
with
focus.
We
arrange
into
primary
domains
(IC,
FA
ENV;
first
order),
15
sub-domains
(second
order)
84
themes
(third
order).
operational
categories
via
thematic
analysis
inductively
determine
final
categorisation,
moving
third
to
order
based
conceptual
considerations.
Given
lack
knowledge
ENV,
generate
more
nuanced
categorisation
capturing
different
levels
contexts.
compute
mean
usage
ratio
assess
differences
application
validated
tools
across
aspects.
The
revealed
substantial
variability
conceptualisation
IC
are
most
extensively
studied
domains,
well-established
approaches
widespread
use.
Common
include
locomotion,
cognitive
capacities
status.
ENV
remains
significantly
underexplored
lacks
standardised
measurement,
as
mainstream
assessments
still
prioritise
deficit-based
over
enabling
environments.
calls
for
standardised,
model
integrating
individual
contextual
factors,
recognising
role
structural
environmental
supports
shaping
ageing
trajectories.
Future
research
should
comprehensive
pursue
an
interdisciplinary
approach
bridging
gaps
inform
policies
effectively.
Язык: Английский
Health literacy and falls among community-dwelling older people in China: is there a sex difference?
Aging Clinical and Experimental Research,
Год журнала:
2024,
Номер
36(1)
Опубликована: Июль 18, 2024
Abstract
Background
Health
literacy
is
one
of
the
important
determinants
healthy
aging,
yet
few
studies
have
focused
on
association
between
health
and
falls.
Aims
This
study
aims
to
explore
relationship
falls,
with
a
focus
sex
differences
among
older
people
in
China.
Methods
cross-sectional
enrolled
2,144
aged
≥
60
years
from
Shandong
Province,
China
2021.
We
used
general
screening
scale
assess
literacy,
collected
incidence
falls
past
year.
Logistic
regression
models
were
employed
analyze
investigated
by
subgroup
analyses.
Results
The
prevalence
adequate
was
21.7%
(95%
CI:
20.0–23.5%)
25.4%
23.6–27.3%),
respectively.
In
fully-adjusted
model,
associated
lower
adults
(OR
=
0.71,
95%CI:
0.52–0.96).
Subgroup
analysis
revealed
this
(
P
for
interaction
<0.05).
Specifically,
female
group
showed
no
significant
0.92,
95%
0.59–1.44);
however,
male
demonstrated
robust
0.58,
0.37–0.90).
Conclusions
Older
which
appears
differ
sex.
men
but
not
women.
These
findings
emphasize
need
policymakers
healthcare
providers
consider
when
designing
implementing
programs
aimed
at
improving
preventing
population.
Improving
women
could
be
strategic
component
bridging
inequality
Язык: Английский
The level of electronic health literacy among older adults: a systematic review and meta-analysis
Archives of Public Health,
Год журнала:
2024,
Номер
82(1)
Опубликована: Ноя. 7, 2024
In
the
context
of
deeper
integration
internet
and
healthcare
services,
eHealth
literacy
levels
have
become
an
important
predictor
public
health
outcomes
health-promoting
behaviors.
However,
there
is
a
lack
comprehensive
understanding
among
older
adults.
Язык: Английский
Health Literacy and Health-Related Quality of Life in Older Adults With Mild Cognitive Impairment
Journal of the American Medical Directors Association,
Год журнала:
2024,
Номер
25(11), С. 105253 - 105253
Опубликована: Сен. 10, 2024
Язык: Английский
Associations Between Digital Skill, eHealth Literacy, and Frailty Among Older Adults: Evidence From China
Journal of the American Medical Directors Association,
Год журнала:
2024,
Номер
25(11), С. 105275 - 105275
Опубликована: Сен. 19, 2024
Язык: Английский
Promoting Effective Use of Technology to Support Post-Acute and Long-Term Care Facilities
Journal of the American Medical Directors Association,
Год журнала:
2024,
Номер
25(9), С. 105131 - 105131
Опубликована: Авг. 30, 2024
Язык: Английский
A Scoping Review of Tools to Assess Digital Health Literacy Among Middle-Aged and Older Adults for Application to Dietetic Practice
Dietetics,
Год журнала:
2024,
Номер
3(4), С. 523 - 554
Опубликована: Ноя. 25, 2024
Medical
Nutrition
Therapy
(MNT)
services
have
shifted
from
only
in-person
to
digital
consultations.
This
may
present
a
challenge
older
patients
if
they
are
not
digitally
literate.
scoping
review
aimed
identify
and
analyse
tools
for
assessing
health
literacy
guide
dietetic
practice
in
screening
care
needs
training.
Publications
that
used
or
tested
tool
with
participants
aged
45
years
clinical,
community,
population
settings
were
deemed
eligible.
Five
scientific
databases,
reference
lists
of
identified
studies,
publications
key
authors
searched
peer-reviewed
articles
published
English
between
2014
March
2024.
Relevant
data
on
participant
characteristics,
design,
validation
charted.
The
generalisability
studies
applicability
assessed
using
4-point
scales.
Searches
yielded
1823
articles,
which
66
included
the
final
analysis.
Eight
identified,
electronic
Health
Literacy
Scale
(eHEALS)
was
most
frequently
used.
After
evaluating
validity
feasibility
these
tools,
adapted
eHEALS
emerged
as
applicable
delivered
MNT.
Future
should
explore
effective
educational
programmes
less
literate
populations
better
connect
them
online
MNT
healthcare
services.
Язык: Английский