Building Evidence for Active Ageing Policies - Active Ageing Index and its Potential

Building Evidence for Active Ageing Policies - Active Ageing Index and its Potential

von: Asghar Zaidi, Sarah Harper, Kenneth Howse, Giovanni Lamura, Jolanta Perek-Białas

Palgrave Macmillan, 2018

ISBN: 9789811060175

Sprache: Englisch

471 Seiten, Download: 7281 KB

 
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Building Evidence for Active Ageing Policies - Active Ageing Index and its Potential



  Contents 5  
  List of Figures 9  
  List of Tables 15  
  1: Towards an Evidence-Based Active Ageing Strategy 20  
     1.1 Introduction 20  
     1.2 Use of AAI for Policymaking 23  
     1.3 Subnational Adaptations of the AAI 25  
     1.4 Comparative Analysis of Active Ageing 27  
     1.5 Methodological Improvements in Measuring Active Ageing 28  
     1.6 Use of Active Ageing Index in Non-EU Countries 30  
     References 32  
  Part I: Building Evidence for Active Ageing Policies Active Ageing Index and its Potential 35  
     2: Are Societies with a High Value on the Active Ageing Index More Age Integrated? 36  
        2.1 Background 36  
        2.2 Conditions for Cross-age Interaction 38  
           2.2.1 Laws and Policies 38  
           2.2.2 Settings 39  
           2.2.3 Controls 40  
        2.3 Cross-age Interaction and Ageism 40  
        2.4 Method 41  
           2.4.1 Data 41  
           2.4.2 Measures 41  
           2.4.3 Analytical Strategy 43  
        2.5 Results 44  
           2.5.1 AAI and Settings Enabling Cross-age Interactions 44  
           2.5.2 Determinants of Cross-age Friendships 46  
           2.5.3 Cross-age Friendship and Ageism 50  
        2.6 Conclusion 50  
        References 53  
     3: The Expected, Evaluated, Perceived, Valued and Prevalent Social Roles of Older People: Are They by Consent? 55  
        3.1 Introduction 55  
        3.2 The Demography-Related Context and Roles Older People Are Expected to Play in Actively Ageing Societies 56  
        3.3 Social Roles in Higher Age 57  
           3.3.1 The Active Ageing Index as an Evaluation of Role Performance on the National Level 57  
           3.3.2 Roles to Play: As “Society” Sees It 58  
           3.3.3 Preferred Roles: From the Perspective of Older People Themselves 61  
        3.4 Expected, Evaluated, Perceived and Valued Roles: Are They by Consent? 62  
        3.5 Roles Played 64  
        3.6 Conclusions and Discussion 64  
        References 69  
     4: The Active Ageing Index (AAI) and its Relation to the Quality of Life of Older Adults 71  
        4.1 Introduction 71  
        4.2 Methods, Data and Variables 74  
        4.3 Results 76  
        4.4 Discussion 84  
        References 87  
     5: Complementing AAI at the Meso Level: The Silver Work Index 91  
        5.1 Introduction 91  
        5.2 Theoretical Background 93  
        5.3 Method 95  
           5.3.1 Procedure and Participants 95  
           5.3.2 Qualitative Data Analysis 96  
        5.4 Results 97  
        5.5 Discussion and Implications 104  
           5.5.1 Implications 106  
           5.5.2 Limitations and Future Research 107  
        References 108  
  Part II: Subnational Adaptations of the AAI 111  
     6: The Active Ageing Index in a Southern European Region (Biscay): Main Results and Potentials for Policymaking 112  
        6.1 Introduction 112  
        6.2 Methodology 113  
           6.2.1 Calculation of the AAI Through a Combined Methodology: Primary and Secondary Data 114  
        6.3 Results 115  
        6.4 Conclusions 121  
           6.4.1 What Is the Position of Biscay in Relation to Other Countries in the European Union? 121  
           6.4.2 What Are the Methodological Challenges and Limitations for the Calculation of AAI at Subregional Level? 122  
           6.4.3 Current Limitations and Future Proposals for Advancing with the AAI 123  
        Appendix 1. Data Sources, Years and Sample Sizes for Each Indicator of the AAI (2012–2014) 124  
        Appendix 2. Results in Biscay, EU28 Average and Each EU Country by Domain 127  
           Employment 127  
           Participation in Society 127  
           Independent and Secure Living 128  
           Capacity for Active Ageing 128  
        References 129  
     7: Evaluating Socio-economic Impact of Age-Friendly Environments 131  
        7.1 Introduction 131  
        7.2 Methodology 134  
        7.3 Results: The SEE-IT 135  
           7.3.1 Step 1: Aim of the SEE-IT 137  
           7.3.2 Step 2: Scope of the SEE-IT 138  
           7.3.3 Step 3: Assessing Impacts 140  
           7.3.4 Step 4: Interpreting/Conclusions 144  
           7.3.5 Step 5: Presenting Results 144  
        7.4 Discussion and Conclusions 144  
        References 149  
     8: The Active Ageing Index: A Tool to Develop the Strategy of Active Ageing in the Basque Country (Spain) 153  
        8.1 Introduction 153  
        8.2 Research Context 155  
        8.3 Objectives 157  
        8.4 Methodology 158  
        8.5 Results 161  
        8.6 Discussion 168  
        8.7 Conclusions 174  
        Scores of the Active Ageing Index (AAI) and its domains in the Basque Country, Spain, and the 28 countries of the European Union (EU-28) 175  
         References 176  
     9: Greying Italy Across Time, Space, and Gender 180  
        9.1 Introduction 180  
        9.2 Results 182  
           9.2.1 Domain 1: Employment 182  
           9.2.2 Domain 2: Participation in Society 186  
           9.2.3 Domain 3: Independent, Healthy, and Secure Living 189  
           9.2.4 Domain 4: Capacity for Active Ageing 189  
        9.3 Overall Value of AAI 194  
        9.4 Conclusions 198  
        References 201  
  Part III: Comparative Analysis of Active Ageing 203  
     10: Differences in Active Ageing Index in Eastern European Countries: A Comparison of Poland and the Czech Republic 204  
        10.1 Introduction 204  
        10.2 Background Information 207  
           10.2.1 Demographic Situation in Poland and the Czech Republic 207  
           10.2.2 Active Aging Policies in Poland and the Czech Republic 208  
        10.3 Active Ageing Index 208  
        10.4 Results 209  
           10.4.1 Difference in the AAI in the Czech Republic and Poland 209  
           10.4.2 Economic Performance 211  
           10.4.3 Employment 211  
           10.4.4 Participation in Society 213  
           10.4.5 Independent, Healthy and Secure Living 215  
        10.5 Discussion and Policy Implications 216  
        References 218  
     11: Ageing in a Multicultural Europe: Perspectives and Challenges 221  
        11.1 Introduction 221  
        11.2 Methodology 224  
        11.3 Results 225  
           11.3.1 First Domain: Employment 225  
           11.3.2 Second Domain: Participation in Society 227  
           11.3.3 Third Domain: Independent, Healthy and Secure Living 230  
           11.3.4 Fourth Domain: Capacity and Enabling Environment for Active Ageing 232  
           11.3.5 Overall Index 234  
        11.4 Conclusion and Discussion 236  
        Appendix 238  
        References 245  
     12: Estimating Weights for the Active Ageing Index (AAI) from Stated Preferences: Proposal for a Discrete Choice Experiment (DCE) 248  
        12.1 Introduction 248  
        12.2 Estimating Preference-based Weights for the AAI 250  
        12.3 Designing a DCE to Estimate Preference-­based AAI Weights 253  
           12.3.1 Problem Definition: Characterising the Choice Decision 254  
           12.3.2 Identifying Attributes and Attribute Levels 255  
           12.3.3 Experimental Design and Construction of Choice Sets 256  
           12.3.4 Questionnaire Development and Model Estimation 259  
        12.4 Discussion and Conclusion 260  
        References 262  
  Part IV: Methodological Improvements in Measuring Active Ageing 268  
     13: A Cross-country and Cohort Analysis of Active Ageing Differences Among the Elderly in Europe 269  
        13.1 Introduction 269  
        13.2 The Active Ageing Index 271  
        13.3 Analysis of Cohorts 278  
           13.3.1 Disentangling the AAI 278  
           13.3.2 Explaining Country Differences 286  
        13.4 Conclusions 295  
        Appendix 296  
        References 301  
     14: Active Ageing Typologies: A Latent Class Analysis of the Older Europeans 303  
        14.1 Introduction 303  
        14.2 Data 306  
        14.3 Method 308  
        14.4 Results 309  
           14.4.1 Descriptive Results 309  
           14.4.2 LCA Analysis 310  
        14.5 Concluding Remarks 314  
        Appendix 316  
        References 317  
     15: How Relevant is Active Ageing? Evidence from Portugal 320  
        15.1 Introduction 320  
        15.2 Literature Review 322  
        15.3 Data Source and Methodology 324  
        15.4 The Individual Active Ageing Index 327  
           15.4.1 The Determinants of Active Ageing 332  
        15.5 Conclusions 333  
        Annex 1 335  
        Annex 2 337  
        Annex 3 340  
        Annex 4 341  
        References 346  
     16: Study on Active Ageing at Individual Level Based on Active Ageing Index 349  
        16.1 Introduction 349  
        16.2 Method 352  
           16.2.1 Design 352  
           16.2.2 Participants 352  
           16.2.3 Variables and Instrument 352  
           16.2.4 Procedure 356  
        16.3 Results 356  
        16.4 Discussion 363  
        References 365  
  Part V: Use of Active Ageing Index in Non-EU Countries 368  
     17: Comparative Study of Active Ageing in China and the EU Countries 369  
        17.1 Introduction 369  
        17.2 Data: China Health and Retirement Longitudinal Study 371  
        17.3 AAI and Four Domains in China 373  
           17.3.1 Employment 376  
           17.3.2 Participation in Society 377  
           17.3.3 Independent, Healthy and Secure Living 378  
           17.3.4 Capacity and Enabling Environment for Active Ageing 379  
        17.4 Policy Implications 381  
           17.4.1 Employment of the Older Population in China 382  
           17.4.2 The Old-Age Security System in China 383  
           17.4.3 Challenges and Policy Recommendations 384  
        17.5 Conclusion and Future Work 385  
        References 386  
     18: Quality of Life of the Elderly and Applicability of the Active Ageing Index to Latin American Countries 389  
        18.1 Introduction 389  
        18.2 Methods 391  
           18.2.1 Data Sources 391  
           18.2.2 Quality of Life of the Elderly Index 392  
           18.2.3 Active Ageing Index 397  
        18.3 Results 397  
           18.3.1 Quality of Life of the Elderly Index 397  
           18.3.2 Applicability of the AAI to Latin America 400  
              18.3.2.1 First Domain: Employment 400  
              18.3.2.2 Second Domain: Participation in Society 401  
              18.3.2.3 Third Domain: Independent, Healthy and Secure Living 402  
              18.3.2.4 Fourth Domain: Capacity and Enabling Environment for Active Ageing 403  
        18.4 Discussion 404  
        Appendix 1 406  
         Appendix 2 408  
        References 410  
     19: Active Ageing Index: A Russian Study 412  
        19.1 Introduction 412  
        19.2 Method 415  
        19.3 Results 415  
           19.3.1 Employment of Older People 420  
           19.3.2 Participation in Society 421  
           19.3.3 Independent and Secure Living of Older People 424  
           19.3.4 Capacity and Enabling Environment for Active Ageing 426  
        19.4 Russian Regions 427  
        19.5 Discussion and Conclusion 433  
        References 436  
     20: Active Ageing Index (AAI) in India: Is the Approach Used in European Countries Applicable to Developing Countries? 439  
        20.1 Introduction 439  
        20.2 Background and Context of Ageing in India 441  
           20.2.1 Ageing and Ageism in India 441  
           20.2.2 Ageism in India 443  
        20.3 The Active Ageing Framework and Index 445  
           20.3.1 The WHO Active Ageing Framework and the Emergence of the AAI 445  
           20.3.2 Domains of Active Ageing Index in the Indian Context 447  
           20.3.3 Critical Evaluation of the Construction of the Active Ageing Index 448  
        20.4 Data Source and Methodology 448  
        20.5 Results and Discussion 451  
           20.5.1 Overall and Domain-Specific AAI by State and Gender 451  
           20.5.2 Comparison of the AAI Indian Score with European Scores 454  
           20.5.3 Applicability of the AAI in Indian Setting 456  
              20.5.3.1 Employment in Later Life in India and Its Contribution to the AAI 456  
              20.5.3.2 Intergenerational Support in India 458  
              20.5.3.3 Unmet Need for Health Care in Later Life 460  
        20.6 Summary and Conclusion 461  
        References 462  
  Index 466  

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