progress in active aging: examples from asia and the usiaa.apss.polyu.edu.hk/pdf/3-7-2015b.pdf ·...
TRANSCRIPT
Kathryn L. Braun, DrPH University of Hawaii
and Active Aging Consortium Asia Pacific
Progress in Active Aging: Examples from Asia
and the US
0 10 20 30 40 50
World
US
Europe
China
Hong Kong
Korea
Japan
20122050
Percent of population 60+ will double or triple in many regions
By 2050, 1 in 3 people
(35%) in East Asia
will be age 60+
Purpose
Why is the population aging so rapidly?
What is the “Active Aging?”
What are best practices
for families, communities, and government?
Birth and death rates are decreasing.
Consequences
1. Aging population
2. Stabilizing global population
3. Shrinking population in some countries 1. Germany 2. Italy 3. Korea 4. Japan
Aging Speed Years to go from 7% to 20% age 65+
6%
8%
10%
12%
14%
16%
18%
20%
1940 1950 1960 1970 1980 1990 2000 2010 2020 2030 2040
US
Japan Korea
China
The US got old slowly, but countries in Asia are getting old quickly.
Number of working-age people (age 15-64) for every person 65+ is decreasing.
2012
US 5
Japan 3
Korea 6
Hong Kong
6
Number of working-age people (age 15-64) for every person 65+ is decreasing.
2012 2050
US 5 3
Japan 3 1
Korea 6 2
Hong Kong
6
2
Question
In an aging society, should older people be encouraged to retire
and relax? Many nations are
realizing that we cannot afford this view.
Active Aging
World Health Organization
2002 Policy Framework
Active Aging is the process of optimizing opportunities for
health, participation, & security over the life course.
as people age.
Tenets of Active Aging
Individuals and families Must prepare for old age and
adopt positive health practices for long life.
Social policy Must make healthy choices easy choices. Must recognize, encourage, and reward participation
of elders in work, education, volunteering and family life.
Recommendations for Social Policy to Achieve Active Aging
1. Support healthy aging.
2. Build age-friendly communities.
3. Promote lifelong learning for and participation of older adults.
4. Favor home and community care over institutional care.
1. Support healthy aging. We must stay healthy until we die.
“Die with your boots on.”
We are learning from centenarians.
• Eat right • Exercise • Avoid or manage
chronic disease
Physical activity can optimize aging. EXERCISE Aerobic capacity Strength Balance Flexibility
Unfortunately, individual effort is not enough. Obesity is increasing in many OECD countries.
Fat adults
Fat children
Fat pets
Social policy Taxing cigarettes has raised revenue while decreasing smoking in the US
Albert Lea, Minnesota (USA)
Modifications to the FOOD
environment
Modifications to the PHYSICAL environment
After one year: Residents lost 12,000 pounds (together) Healthcare costs of city workers were 40% lower.
2. Build age-friendly communities.
Initiatives to: Increase accessibility and
supportiveness of physical environments Increase participation of all
ages in community life and decision making.
Universal Design
Ramps, curb cuts, and kneeling buses make the physical environment accessible to all: People in wheelchairs Mothers with strollers Adults with luggage.
“Complete Streets” movement to promote walking and biking
Universal Design
Ramps, curb cuts, and kneeling buses make the physical environment accessible to all: People in wheelchairs Mothers with strollers Adults with luggage.
Singapore – City for All Ages (CFAA)
Initiatives Retrofit housing units
Neighborhood model Extending “green” lights, installing rest
stops, leveling walking areas Co-locating health, social, educational,
and volunteer services
Goals: Make neighborhoods more age friendly
Increase capacity to allow elders to age in place
Reduce falls
3. Promote life-long learning & participation
These include initiatives that increase access to education, re-training, culture & arts, and intergenerational exchange.
Old Age Middle Age Youth
Increasing education and participation rates of older adults Raise retirement age. Increase other
opportunities to participate in: Work Education Civic affairs
• AARP national job creation program • Skills assessment • Re-training • Career locator • National Employer Team (Businesses
pledging to hire older workers)
Re-training for Older Adults
Korea - Internet Navigators
Young people teaching elders about cell phones
and Internet games.
Older people teach other elders to use computers, e-mail, and
Photoshop,
• Leaves and flowers used to decorate food
• Seniors employed to: • Pick • Package • Sell
.
Employees: Average age = 70
Oldest employee=94
“Irodori” of Kamikatsu, Japan
University Programs for Older People France UK Australia China Hong Kong
Polytechnic University
Sample courses • Art
• Conversation
• Computers
• Crafts
• Current Affairs
• Drama
• History
• Languages
• Literature
• Music
• Philosophy
• Social Sciences
Retraining in Retirement “Men in the Kitchen”
Training in how to: Shop Cook Clean Say “I love you”
Retired Husband Syndrome. Some wives become sick under the stress of demanding spouses.
October 18, 2005|By Anthony Faiola, Washington Post
4. Favor home and community-based care over institutional care.
Despite our best efforts, some older adults will lose function and need help.
COST OF CARE
Japan & Korea are supporting home care with Family Resource Centers
Family Resource Centers: Loan and sell equipment Provide education to family caregivers Provide counseling
Home- and community-based services are less expensive and preferred by older people.
Home-delivered meals
Personal care and bathing services
Senior centers and Adult day care
Residential (multi-level) care for those that can pay.
Still, long term care is costly, even in-home care.
We need more ideas for saving money.
Time Banking
Time Banking A system where members
earn "time dollars" by providing services, and
then spend “time dollars” for services they want. No
money changes hands.
Our Role in an Aging Society
Individuals and families Must prepare for old age and
adopt positive health practices for long life.
Social policy Must make healthy choices easy choices. Must recognize, encourage, and reward
participation of elders in work, education, volunteering and family life.
Immediate Directions for Social Policy
1. Support healthy aging 2. Build age-friendly communities 3. Promote lifelong learning and
participation 4. Favor home and community care over
institutional care.
Active Aging Consortium Asia Pacific (ACAP)
Japan
S. Korea
China
Hawaii
Indonesia Singapore
Mongolia
Malaysia
Canada
Nepal USA
Hong Kong
Australia
New Zealand
Philippines
Mission To provide a forum in Asia
Pacific for the sharing of: Research Policy ideas Best practices
Conferences
Exchange
Benefits
No dues! (no staff)
Bi-monthly bulletin
To join: Give me your business card,
or email [email protected]
5-Year Anniversary!!
Congratulations