PDF(Pubmed)
Abstract：
BACKGROUND: Most older adults wish to remain in their homes and communities as they age. Despite this widespread preference, disparities in health outcomes and access to healthcare and social support may create inequities in the ability to age in place. Our objectives were to synthesise evidence of social inequity in ageing in place among older adults using an intersectional lens and to evaluate the methods used to define and measure inequities.
METHODS: We conducted a mixed studies systematic review. We searched MEDLINE, EMBASE, PsycINFO, CINAHL and AgeLine for quantitative or qualitative literature that examined social inequities in ageing in place among adults aged 65 and older in Organisation for Economic Co-operation and Development (OECD) member countries. Results of included studies were synthesised using qualitative content analysis guided by the PROGRESS-Plus framework.
RESULTS: Of 4874 identified records, 55 studies were included. Rural residents, racial/ethnic minorities, immigrants and those with higher socioeconomic position and greater social resources are more likely to age in place. Women and those with higher educational attainment appear less likely to age in place. The influence of socioeconomic position, education and social resources differs by gender and race/ethnicity, indicating intersectional effects across social dimensions.
CONCLUSIONS: Social dimensions influence the ability to age in place in OECD settings, likely due to health inequalities across the lifespan, disparities in access to healthcare and support services, and different preferences regarding ageing in place. Our results can inform the development of policies and programmes to equitably support ageing in place in diverse populations.
METHODS: We conducted a mixed studies systematic review. We searched MEDLINE, EMBASE, PsycINFO, CINAHL and AgeLine for quantitative or qualitative literature that examined social inequities in ageing in place among adults aged 65 and older in Organisation for Economic Co-operation and Development (OECD) member countries. Results of included studies were synthesised using qualitative content analysis guided by the PROGRESS-Plus framework.
RESULTS: Of 4874 identified records, 55 studies were included. Rural residents, racial/ethnic minorities, immigrants and those with higher socioeconomic position and greater social resources are more likely to age in place. Women and those with higher educational attainment appear less likely to age in place. The influence of socioeconomic position, education and social resources differs by gender and race/ethnicity, indicating intersectional effects across social dimensions.
CONCLUSIONS: Social dimensions influence the ability to age in place in OECD settings, likely due to health inequalities across the lifespan, disparities in access to healthcare and support services, and different preferences regarding ageing in place. Our results can inform the development of policies and programmes to equitably support ageing in place in diverse populations.
摘要：
背景：大多数老年人希望随着年龄的增长留在家中和社区。尽管有这种普遍的偏好，在健康结果和获得医疗保健和社会支持方面的差异可能会造成年龄能力的不平等。我们的目标是使用交叉透镜综合老年人中老龄化社会不平等的证据，并评估用于定义和衡量不平等的方法。
方法：我们进行了一项混合研究系统综述。我们搜索了MEDLINE,EMBASE,PsycINFO,CINAHL和AgeLine提供定量或定性文献，研究了经济合作与发展组织（OECD）成员国中65岁及以上的成年人在老龄化方面的社会不平等。纳入研究的结果是在PROGRESS-Plus框架的指导下使用定性内容分析进行综合。
结果：在4874条确定的记录中，共纳入55项研究。农村居民,种族/族裔少数，移民和那些具有较高社会经济地位和更多社会资源的人更有可能在当地老化。女性和受教育程度较高的女性似乎不太可能在原地变老。社会经济地位的影响，教育和社会资源因性别和种族/民族而异，表明跨社会维度的交叉效应。
结论：社会维度影响经合组织环境中的年龄能力，可能是由于整个生命周期的健康不平等，获得医疗保健和支持服务的差距，以及对老化的不同偏好。我们的结果可以为制定政策和方案提供信息，以公平地支持不同人群的老龄化。
方法：我们进行了一项混合研究系统综述。我们搜索了MEDLINE,EMBASE,PsycINFO,CINAHL和AgeLine提供定量或定性文献，研究了经济合作与发展组织（OECD）成员国中65岁及以上的成年人在老龄化方面的社会不平等。纳入研究的结果是在PROGRESS-Plus框架的指导下使用定性内容分析进行综合。
结果：在4874条确定的记录中，共纳入55项研究。农村居民,种族/族裔少数，移民和那些具有较高社会经济地位和更多社会资源的人更有可能在当地老化。女性和受教育程度较高的女性似乎不太可能在原地变老。社会经济地位的影响，教育和社会资源因性别和种族/民族而异，表明跨社会维度的交叉效应。
结论：社会维度影响经合组织环境中的年龄能力，可能是由于整个生命周期的健康不平等，获得医疗保健和支持服务的差距，以及对老化的不同偏好。我们的结果可以为制定政策和方案提供信息，以公平地支持不同人群的老龄化。
