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Abstract：
In Russia, initiatives for healthy ageing have been growing over the last two decades; however, none use an evidence-based (EB) approach. It is proposed that Kazan, a city with a population of over a million in the European part of Russia, has good chances of moving towards age-friendliness and contributing to raising awareness about healthy ageing through Cochrane evidence. One of the eight essential features of age-friendly cities by the World Health Organisation (WHO) directly points to health services. This exploratory study assesses the health information needs of the ageing population of Kazan and the challenges people face in improving their health and longevity. Survey data were used from 134 participants, patients, caregivers and healthcare providers of the Interregional Clinical Diagnostic Centre (ICDC), aged from 30 to over 80 years, and potential associations of the studied parameters with age, gender, quality of life and other characteristics were analysed. Older people (60+) were less positive about their quality of life, took medicines more often on a daily basis (10/16 compared to 29/117 of people under 60), encountered problems with ageing (9/16 compared to 21/117 of people under 60) and rated their quality of life as unsatisfactory (4/14 compared to 9/107 of people under 60). Awareness of EB approaches and Cochrane was higher within health professions (evidence-based medicine: 42/86 vs. 13/48; Cochrane: 32/86 vs. 2/48), and health information needs did not differ between age or gender groups or people with a satisfactory and unsatisfactory quality of life. The minority (10%-13/134) were aware of ageism without age or gender differences. The low awareness calls for the need of Cochrane intervention both for consumers and those in the health profession to raise awareness to contribute to Kazan moving towards an age-friendly city.
摘要：
在俄罗斯,在过去的二十年里，健康老龄化的倡议一直在增长；然而，没有人使用循证(EB)方法。建议喀山,俄罗斯欧洲部分人口超过一百万的城市，通过Cochrane证据，有很好的机会朝着年龄友好的方向发展，并有助于提高人们对健康老龄化的认识。世界卫生组织（WHO）对老年人友好型城市的八个基本特征之一直接指向卫生服务。这项探索性研究评估了喀山人口老龄化的健康信息需求以及人们在改善健康和长寿方面面临的挑战。调查数据来自134名参与者，病人,区域间临床诊断中心（ICDC）的护理人员和医疗保健提供者，年龄从30岁到80岁以上，以及所研究参数与年龄的潜在关联，性别,分析了生活质量和其他特征。老年人（60岁以上）对他们的生活质量不太乐观，每天服用药物的频率更高（10/16，而60岁以下的人为29/117），遇到了老龄化问题（60岁以下的人中有9/16与21/117相比），并将他们的生活质量评为不满意（60岁以下的人中有4/14与9/107相比）。卫生专业人员对EB方法和Cochrane的认识更高(循证医学：42/86vs.13/48；科克伦：32/86vs.2/48),健康信息需求在不同年龄或性别群体或生活质量令人满意和不令人满意的人群之间没有差异。少数人（10％-13/134）意识到年龄歧视，没有年龄或性别差异。意识低下要求消费者和健康专业人士都需要Cochrane干预，以提高认识，为喀山迈向年龄友好型城市做出贡献。
