关键词: aging population caregiver support chronic disease gerontology health promotion mental health preventive health public health social determinants technology in health

来  源:   DOI:10.7759/cureus.65896   PDF(Pubmed)

Abstract:
The intersection of gerontology and public health is increasingly vital due to the global aging population and its implications for health systems. This scoping review aims to map existing literature on gerontology within public health, identify current perspectives, and evaluate interventions tailored to the needs of older adults. A systematic search was performed using predefined keywords across multiple databases, including PubMed, Google Scholar, Scopus, and Web of Science. The review included 42 studies that employed various designs, all focusing on public health interventions targeting the aging population.  Key findings indicate a pressing need to integrate gerontological principles into public health practice, recognizing the heterogeneous nature of older adults and the significance of social determinants of health. Interventions ranged from preventive health measures and chronic disease management programs to health promotion activities and caregiver support, including the application of technology to improve health outcomes. However, there was a notable lack of research on diverse populations and mental health interventions. The review also uncovered critical gaps in the literature, such as economic barriers to care access and the necessity for comprehensive policies addressing the aging population\'s diverse needs. In conclusion, this review emphasizes the importance of a multidimensional approach to effectively addressing older adults\' health needs. While several effective interventions exist, there is an urgent need to tackle identified gaps, particularly concerning diverse populations and mental health, to enhance overall health strategies for the aging demographic.
摘要:
由于全球人口老龄化及其对卫生系统的影响,老年学和公共卫生的交叉越来越重要。这项范围审查旨在绘制公共卫生中关于老年学的现有文献,确定当前的观点,并评估适合老年人需求的干预措施。在多个数据库中使用预定义的关键字进行了系统的搜索,包括PubMed,谷歌学者,Scopus,和WebofScience。审查包括42项采用各种设计的研究,所有这些都侧重于针对老龄人口的公共卫生干预措施。主要研究结果表明,迫切需要将老年学原则纳入公共卫生实践,认识到老年人的异质性和健康的社会决定因素的重要性。干预措施包括预防性健康措施和慢性病管理计划,健康促进活动和护理人员支持,包括应用技术来改善健康结果。然而,明显缺乏对不同人群和心理健康干预措施的研究.这篇评论还发现了文献中的关键差距,如获得护理的经济障碍和应对老龄化人口多样化需求的全面政策的必要性。总之,这篇综述强调了多维度方法对有效满足老年人健康需求的重要性.虽然存在一些有效的干预措施,迫切需要解决已确定的差距,特别是关于不同的人群和心理健康,加强老龄化人口的整体健康战略。
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