Trend Of Population Aging Research Articles

Chinese guideline for the clinical management of patients with unruptured intracranial aneurysms (2024)

Unruptured intracranial aneurysm (UIA) has an estimated prevalence of about 7% among adults aged 35-75 in China. With the aging population trend, the detection rate of UIA is increasing. Most UIA are incidentally discovered and typically asymptomatic. There has been ongoing debate regarding the choice between aggressive treatment and conservative management. Although UIA has a low annual risk of rupture, once rupture occurs, the mortality and disability rates are high. Based on evidence-based medicine, this clinical management guideline provides 44 recommendations on population screening, clinical imaging diagnosis, risk assessment of growth and rupture, treatment strategies and selection, postoperative follow-up, and management of special populations with UIA. Aiming to provide clinical guidance for clinical doenrs and relevant professionals.

Type 2 diabetes mellitus related sarcopenia: a type of muscle loss distinct from sarcopenia and disuse muscle atrophy

Muscle loss is a significant health concern, particularly with the increasing trend of population aging, and sarcopenia has emerged as a common pathological process of muscle loss in the elderly. Currently, there has been significant progress in the research on sarcopenia, including in-depth analysis of the mechanisms underlying sarcopenia caused by aging and the development of corresponding diagnostic criteria, forming a relatively complete system. However, as research on sarcopenia progresses, the concept of secondary sarcopenia has also been proposed. Due to the incomplete understanding of muscle loss caused by chronic diseases, there are various limitations in epidemiological, basic, and clinical research. As a result, a comprehensive concept and diagnostic system have not yet been established, which greatly hinders the prevention and treatment of the disease. This review focuses on Type 2 Diabetes Mellitus (T2DM)-related sarcopenia, comparing its similarities and differences with sarcopenia and disuse muscle atrophy. The review show significant differences between the three muscle-related issues in terms of pathological changes, epidemiology and clinical manifestations, etiology, and preventive and therapeutic strategies. Unlike sarcopenia, T2DM-related sarcopenia is characterized by a reduction in type I fibers, and it differs from disuse muscle atrophy as well. The mechanism involving insulin resistance, inflammatory status, and oxidative stress remains unclear. Therefore, future research should further explore the etiology, disease progression, and prognosis of T2DM-related sarcopenia, and develop targeted diagnostic criteria and effective preventive and therapeutic strategies to better address the muscle-related issues faced by T2DM patients and improve their quality of life and overall health.

Research on the Evaluation Index System for High Quality Development of Health and Wellness Industry in Shaanxi Province under the New Normal

The trend of aging population is intensifying, and the popularization of sub-health is constantly deepening people's health concepts. The health industry is emerging globally, and its importance in China is also becoming increasingly prominent. Shaanxi Province is a key province in northwest China, which is not only a densely populated area but also a suitable place for living and elderly care. Its health and wellness industry has enormous potential for development. This article combines the current development status of the health and wellness industry in Shaanxi Province, based on policy interpretation and the research results of relevant scholars, constructs an overall target layer with the attractiveness (A), management ability (M), and influence (I) of the health and wellness industry as the main line. Specifically, it includes five key areas including human and cultural environment, and eight levels including infrastructure, natural environment, investment environment, and aging level as the specific operation layer. It mainly covers 40 operational target layers including bread, health and wellness agriculture, health and wellness manufacturing, and health and wellness services. Based on this, a comprehensive evaluation index system for the high-quality development of the health and wellness industry in Shaanxi Province under the new normal is constructed. The aim is to use this index system to intuitively reflect the development of the health and wellness industry in various cities in Shaanxi Province, and promote the development of the health and wellness industry. The development of related industrial chains promotes the optimization and upgrading of economic structure.

Professional attractiveness among long-term care workers in nursing homes in China: a cross-sectional study

BackgroundThe population aging trend and the shortage of elderly care workers require the long-term care profession to become more attractive. However, the professional attractiveness among long-term care workers has yet to be extensively studied. This study aims to identify the factors that influence the attractiveness of the long-term care profession for nursing home (NH) care workers..MethodsA cross-sectional study was conducted in more than 50 NHs. Perception of professional attractiveness among long-term care workers and potential associated factors were measured using the Attractive Work Questionnaire (AWQ) and structural instruments including the Fraboni Scale of Ageism (FSA) and the Maslach Burnout Inventory (MBI). A multiple linear regression method was employed to explore the influence of potential independent variables on professional attractiveness.ResultsThe overall response rate was 99%. The results showed the score of professional attractiveness (185.37 ± 20.034), as well as the scores of each component (99.26 ± 11.258 for work condition, 30.13 ± 3.583 for work content, and 55.99 ± 7.074 for job satisfaction). Findings of multiple linear regression analysis indicated that age(β = 0.129, p<.05), years of work(β = 0.156, p<.05), 12-hour shifts(β = 0.185, p<.05), and training times per year(β = 0.148, p<.05) positively associated with long-term care workers perceived professional attractiveness. Whereas only ageism(β=-0.267, p<.05) significantly and negatively influenced professional attractiveness.ConclusionsThe perceived professional attractiveness of long-term care workers in NHs was acceptable. Age, years of work, shifts, training opportunities, and ageism contributed to the professional attractiveness of nursing home care workers in China. Target intervention measures should be taken to enhance the attractiveness of long-term care careers so as to avoid the shortage of long-term care workers.

Analysis of the Impact of Population Aging on the Economy and Countermeasures —— Take China as an Example

Since the reform and opening up, China's population aging has gradually deepened, and nowadays, population aging has become one of the most concerned issues for China's economic development. Therefore, the research theme of this paper is the current situation and development trend of population aging in China and specifically analyzes the impact of population aging on economic development in terms of labor supply, employment, and investment. The research methods of this paper are literature analysis and data analysis. It is found that the proportion of China's aging population in the total population is already greater than 16.7%, and it will accelerate in the future. And the rise of the aging population has different degrees of negative impacts on labor supply, employment, and investment, and has an inhibitory effect on economic development. Therefore, this paper suggests that in the face of the challenge of population aging, the state can increase the investment in human capital, encourage enterprises to innovate, and improve production performance through new technologies. Rational use of the demand generated by aging, and the development of the service industry to increase employment.

THE CONSEQUENCES OF RECEIVING SOCIAL INSURANCE ONCE IN VIETNAM

Objective: Social insurance policies have played a crucial role as a cornerstone in the social security system, contributing positively to social stability and the realization of goals for a prosperous, strong, fair, democratic, and civilized society. The current legal framework on social insurance in Vietnam stipulates provisions to ensure the rights of workers in all cases, including regulations regarding one-time social insurance cases. Although the significance of receiving one-time social insurance aligns with the legal provisions for each case, the lack of understanding among workers regarding the significance of social insurance policies or their deliberate acceptance of one-time social insurance can have unpredictable consequences for society, the social insurance system, and the workers themselves... The study builds on the situation of receiving social insurance in Vietnam and makes a case study of consequences for once workers receive social insurance suggesting solutions to mitigate the situation. Method: The study is based on a method to collect secondary data on the status of social insurance once received in Vietnam through data channels. This data is presented and analyzed by the descriptive statistical method (mainly in the form of tables and charts) that will see the situation for receiving social insurance once in Vietnam over time. In order to conduct the research, the method applied in this article is a qualitative method including: The systematic approach to the research materials, legal regulations related to the research; The integrated analysis method is used to analyze and synthesize the situation of receiving social insurance once in Vietnam; The objective methodology is used by the author to argue, the views of the individual, along with the combination of perspectives of other studies of nature to make a broad consensus about a particular problem. Results: The results of the study show that although social insurance policies were established to protect workers from income risk, they can lead a stable future life. Rules on one-off social insurance regimes can help resolve many special cases of workers. However, research shows that the number of people who choose to receive social insurance in Vietnam in the period of 2014-2023 has increased greatly. The increase of the number of people who receive social insurance once means the increase in the number of people leaving the system, making it difficult to achieve the goal of universal social insurance coverage in the spirit of resolution No. 28-NQ/TW of the XII Central Committee. Actual data suggest that on average 1 new person is entering social insurance, there is 1 old person leaving the system. The number of people withdrawn the following year was always higher than the previous year with an average annual increase of about 10%. The proportion of workers that have returned from social insurance benefits to continue their low participation in social insurance. In the period of 2016-2022, the country had more than 4.8 million workers requesting and resolving social insurance once. After receiving social insurance coverage once, approximately 1.3 million people returned to continue the social insurance penetration. Thus, the proportion of workers who have been remarried to social insurance benefits is 26%, and the remaining 74% of those who have received social insurance benefits once, corresponding to about 3.5 million who do not return to social insurance contributions, meaning that they are not guaranteed short-term benefits in the process of continuing labor such as sickness, maternity, occupational accidents, unemployment and long-term retirement. Conclusion: Receiving one-time social insurance benefits of workers will have some consequences for the social insurance system, for Society and Workers in the current context of Vietnam population aging trends lead to the number of people who do not have a monthly pension in Vietnam accounting for a large proportion of approximately 10 million people, this shows that the lack of sustainability of the Social Security system in general creates pressure for the community and the workers themselves will not be protected from the immediate benefits and long-term social insurance system.

From ‘demographic bomb’ to ‘silver tsunami’: Navigating global population shifts

Just six decades ago, the world was experiencing remarkably high population growth rates, which led to the coining of the term ‘demographic bomb’ to describe concerns associated with population size. At the time, the global population was three billion. Since then, an extra billion people have been added every 12 years. However, the pre-eminent demographic challenge of the twenty-first century is population ageing, a global, irreversible and unprecedented trend. The number of people aged 65 and over has almost doubled since the turn of the century and currently accounts for 10% of the global population. An extra billion people are expected to age into the older category within the next 35 years. In Europe, half of the population is above 45 years of age, and the number of those above 65 years old is greater than the number of children under 15. Commonly referred to as the ‘silver tsunami’, it is feared that the increasing number of older people will have a destructive impact on economies and social systems. Never before have our lives been longer, our families smaller and our societies more multigenerational. The new reality of longevity requires a shift in how we approach ageing. This article explores ways to cope with the challenges of the silver era we are heading towards.

Reciprocal and Dynamic Associations between Social Isolation, Loneliness, and Disability among Chinese Older Adults

ObjectivesThis study aimed to examine reciprocal and dynamic associations between Social Isolation (SI), loneliness, and disability among Chinese older adults. DesignThis is a prospective cohort study. Setting and ParticipantsThe global trend of population aging has resulted in a significant rise in the prevalence of disabilities, SI, and loneliness among older adults. These factors can severely impact the health and well-being of older adults. Therefore, it is crucial to implement more efficient interventions aimed at reducing disabilities, addressing SI, and combating loneliness among older adults in order to improve their overall health and well-being. MethodsUsing a large, nationally representative sample spanning 16 years, we employed the general cross-lagged panel model to explore the relationships among 50,348 older adults with a mean age of 81.83 at baseline. Disability was measured by a comprehensive index tool that incorporated multiple dimensions. SI was measured using an SI index, and loneliness was evaluated using a single-item measure. ResultsSI emerged as a stronger predictor of disability than loneliness. Longitudinal analysis revealed accumulative disadvantages in the association between SI and disability. Additionally, disability was found to contribute to increased SI and loneliness. However, our study did not detect any variance in the strength of the cross-lagged effects between social isolation and disability. Conclusions and ImplicationsThe findings suggest that reducing SI is crucial for reducing disability among older adults. Initiating early interventions to minimize initial SI could aid in preventing later-life disability. Additionally, addressing disabilities may positively impact the reduction of loneliness and SI within this population.

Research Progress in Data Acquisition and Intelligent Sensing Methods for Lumbar Electromyographic Signals

Population aging trend is taking place in our country, and low back pain is a symptom of neuromuscular diseases of concern in the elderly. Accurately analyzing the disease of low back pain is important for both timely intervention and rehabilitation of patients. As a kind of bioelectrical signal, the acquisition and analysis of lumbar electromyography (EMG) signal is an important direction for the study of low back pain. The study reviews the acquisition of lumbar EMG by different types of sensors, introduces the signal characteristics of needle electrodes, surface electromyography electrodes and array electrodes, describes the use of signal algorithms, points out that wireless sensors and the use of deep learning algorithms are the direction of development, and puts forward prospects for its further development.

Building nursing homes for high-income individuals/families in Vietnam

This study employs a Bayes model to examine the impact of income groups on the Nursing home usage costs across 10 provinces and cities in Vietnam: Ha Noi, Vinh Phuc, Bac Ninh, Hai Phong, Nam Dinh, Da Nang, Ho Chi Minh City, Can Tho, Dong Nai, and Binh Duong. The study utilizes 8 variables: Average population (DSTB), Average income (TNTB), Income group 1 (TN1), Income group 2 (TN2), Income group 3 (IG3), Income group 4 (TN4), Income group 5 (TN5), Cost of using nursing home (CP), with data collected annually from 2012 to 2022. The results indicate that major cities attract larger populations and a higher proportion of elderly individuals, thus attracting more investment in various forms of nursing homes, thereby improving their competitiveness. Among income groups of residents in provinces and cities, income group 5 has the highest income and shows a positive correlation with cost of using nursing home, which aligns well with reality. In recent years, affluent families have shown a preference for high-end nursing homes offering the best care services, albeit at higher costs than standard ones. However, fundamentally, Vietnamese individuals have not prioritized the choice of living in nursing homes during their elderly years. Research results show that it is necessary to focus on the quality of nursing home services because of increasing demand and the aging population trend of Vietnam in the future.

Population ageing and household risk aversion

ABSTRACT This note provides an empirical analysis on how the worldwide trend of population ageing affects household’s risk preferences and financial behaviours such as investing decisions. Using Chinese household survey data, we study how household’s risk attitudes are affected by the relative number of elderly people (age ≥ 65 ) in the family. The main empirical finding is that the rise of the relative number of aged people in the household significantly increases the conditional probability of the household’s being risk averse. When there are more aged people in the household, the household is more likely to be against any form of risks when making investments and prefer risk-free asset. We also find that the increase of the relative number of aged people in the family has a larger marginal effect on the household risk preference when the society is in transit from a younger age structure to an older one. Since household risk preferences have impacts over many economic variables, such as consumption, asset returns and long-run economic growth, our findings provide a new perspective on the potential mechanism through which population ageing affects the economy.

Assessment of the living standard of elderly people and their well-being in a changing social environment

The current scientific article presents the results of assessing the living standard of elderly people, their well-being, livelihoods in conditions of economic instability and changing social space. Global and all-Russian official statistics indicate an increase in the ageing process of the population. Besides, there is a steady growth in the share of pensioners in its structure. In recent years, in the Russian Federation in general and in the Republic of Bashkortostan in particular, there has been a real trend of ageing population, longer life expectancy (73 years), and a greater number of senior citizens in total (28.5 %). Old age is associated with a period of loss and separation from the usual way of life. The assessment found the key problems of this category: deterioration of health, narrowing of the social world, loneliness, low living standard, and financial difficulties. It is identified that the Russian pensioners belong to the main group of the poor, especially the lonely ones. Their poverty is determined by a decline in living standards and material security, rising inflation, and the high cost of medical care along with utilities. It was revealed that for an elderly person, the main income source is a pension, and in-kind income from personal subsidiary farms is an additional one. Despite the generally low level of pensions, a significant part of non-working pensioners provides financial support to their family members at the cost of personal well-being. Therefore, family values dominate in the minds of older people, and many of their needs are realised in the household.

A perspective on how to improve the quality of life of elderly people living in rural areas

Introduction: We are going to witness the demographic shift with the predictable trends of population ageing and thus need to understand healthy ageing. This study was aimed to understand factors that influence the quality of life (QOL) of the elderly. Methods: This was a qualitative study conducted in 4 selected villages including males and females of age group &gt; 60 years of age. 20 elderly individuals and 10 elderly individuals were chosen for a free listing and pile sorting exercise respectively. Smith's index was calculated for a free listing. Multidimensional scaling and cluster analysis were conducted to do pile sorting of data. Data were analyzed using Flame v1.2 and Anthropac. Result: During free-listing, 54 salient items were identified. Financial stability, healthy living, self-sufficiency, and work engagement were the most frequent responses that came from the study subjects. 25 salient items that were repeated in the free-listing exercise were included for the pile-sorting. The piles generated ranged from 3-12. Later, 25 perceived items (factors) for improving quality of life were clustered into 5 groups (Role of harmonious family, healthy ageing, daily schedule activity, leisure time and external support). Conclusion: The elderly recognized that a harmonious family, healthy ageing, daily schedule with leisure activity, and Government support can all improve their quality of life.

Research on the improvement of conventional public transportation in the context of population aging

With the aggravation of the trend of population aging, the conventional bus planning and service in Lhasa city need to be adjusted continuously to meet the needs of the elderly, so that they can enjoy convenient transportation services to better integrate into the city life, so the conventional bus improvement in the context of aging is a relevant study. According to the research characteristics of this paper, Lhasa Chengguan District is selected as the research area, and the current situation of regular bus development in the region is briefly analyzed, and based on the Gaode Map API to obtain the station and road network data, the spatial barrier model is used to assess the accessibility of regular buses, and then ArcGIS is used to visualize the data. Finally, the conventional bus improvement strategy adapted to the aging society is proposed from the three aspects of bus stops and road network, bus facilities for aging, and bus service quality, so as to provide the elderly with more convenient, comfortable, and barrier-free bus services, thus realizing the sustainable development of Lhasa City.

Research on Integrated Design of Hardware and Software for Needle-Free Insulin Injection Systems for the Elderly

With the accelerating trend of global population aging, the incidence of diabetes among the elderly continues to rise. Insulin injection, as one of the key methods for treating diabetes, has disadvantages like high operation difficulty and poor compliance among elderly patients in actual application. This research conducts in-depth investigations on the characteristics of elderly diabetic patients, identifying key difficulties they experience in using needle-free insulin injection products. On this basis, a design solution covering overall interaction reconfiguration and function optimization is proposed, with needle-free insulin injectors as the core to develop an integrated support system tailored for the elderly. Results demonstrate that this optimized design exhibits significant effectiveness in enhancing the device experience of elderly patients and improving compliance. The innovation of this research lies in approaching the needle-free injection issue from an overall medical-patient perspective, providing a new solution strategy to meet elderly diabetic patients’ device needs, with extensive potential for promotion and application.

Research on the trend and optimization path of China’s older adult service industry

With the intensification of the aging population trend, China is facing an increasingly growing demand for older adult care services. As an important field that meets the needs of the older adult, the development of the older adult care service industry is of significant importance for social stability and the well-being of the older adult. This paper examines the trends and optimization paths of the older adult care service industry in China. It aims to analyze the current situation, problems, and causes of the industry, and propose corresponding policy adjustment recommendations. Through comparative analysis of scholars’ viewpoints, the paper redefines the connotation and scope of the older adult care service industry, emphasizing the characteristics of its compound industrial system. The analysis reveals that the current Chinese older adult care service industry is characterized by a small scale, single functionality, narrow coverage, short industrial chain, and a lack of policy support and rational resource allocation. Policy adjustment recommendations are proposed, including top-level institutional design, improvement of the social security system, and the formation of a comprehensive industrial system, in order to promote the development of the older adult care service industry. These recommendations not only promote the expansion of industry scale and the expansion of functionality, but also enhance the quality and effectiveness of older adult care services to meet the diverse needs of the older adult. The value of this paper lies in its in-depth analysis of the current situation of the older adult care service industry in China and the proposal of specific and feasible policy adjustment recommendations, providing important guidance for government departments and practitioners. The research findings can provide beneficial references for the sustainable development of the older adult care service industry, further promoting the progress of the social economy and the healthy development of an aging society.

A SOCIAL PERSPECTIVE ON LAW AND POLICY FOR SENIOR CITIZENS IN THE PRESENT SCENARIO

Caring for the old: On the United Nations Population Funds India Ageing Report 2023; Indias elderly population to double by 2050, surpassing number of children, are some of the news articles that are circulating with a cautionary note on the rapid rise of old age population and its effects on society. A perusal of these stories reveals a concerning rise in the number of senior citizens, with one in five people predicted to reach the status of a senior citizen. The UN has noted that the worldwide trend of population ageing is irreversible. Globally, the population of 65 years or older is expected to more than double by 2050. The population that is 80 years of age or older is ageing much more quickly. With an alarming increase globally, it may be argued that the exceeding increase will have consequences in the sectors of health, economy, and society. To handle this situation, it is essential that this population has access to their basic rights and necessities. The paper aims to study the law and policy for senior citizens in the present scenario. It sets the backdrop with a review of the factors that contribute to the isolation of senior citizens, followed by a statistical analysis of their demographics. The problems faced by senior citizens are mentioned and the measures to dealing with the aforementioned are discussed in the form of public policies, legislations and constitutional provisions and its implementation through observations of recent judgements. KEYWORDS: Senior Citizen, Public Policy, Legislation, Judgement, Socio-legal perspective

Exploring the Lived Experiences of Caregiving for Older Family Members by Young Caregivers in Singapore: Transition, Trials, and Tribulations.

Amidst population ageing trends and epidemiological transitions, there has been a growing emergence of young family caregivers, about whom most studies have been conducted in Western countries. Their subjective experiences and perceptions toward caregiving remain underexplored in Asia. This qualitative study explored the lived experiences of caregiving for older family members by young caregivers in Singapore. Interpretative phenomenological analysis was employed to collect and analyse data from semi-structured, in-depth interviews with six young adult caregivers aged between 23 and 29. Interviews were supplemented with photo-elicitation techniques to deepen interview discussions and uncover experiential significance. Findings illustrated transitions into caregiving, challenges across role conflicts and expectations amidst developmental tasks and transitions, and navigation of intergenerational conflicts and ambivalence. Although no definitive conclusions can be reached from this small-scale study, the findings offer important insights into the convergence and intensity of young caregivers' experiences. Given that caregiving challenges are likely to continue amidst Singapore's rapidly ageing population, these necessitate further in-depth research efforts. Implications for policy and practice across multiple stakeholders interfacing with youth and older adults are presented. A whole-of-society approach is called for to enable young caregivers to realise their full potential while contributing to their ageing families and nation.

Design of lower limb rehabilitation exoskeleton with self-adaptive knee optimal force

With the increasingly serious trend of population aging in China, various diseases of the elderly are emerging in an endless stream, including hemiplegia, half limb disorder, limb numbness, hemianopia, and aphasia, with a high disability rate. The available auxiliary device cannot make a clear assistance for the patient, so that this design plans to make an exoskeleton for the patients who need effective rehabilitation alternatives and improve the rehabilitation efficiency. In this design, we would create Solid works model with some joint to fit human knees and then select sensors which are suitable to collect signs to depict kinematics features. The model, which has self-adaptation for receiving force signs from calf and knee joint, depends on the different force points of the calf lift affecting the stress state of the knee joint. Because the different stress points of the calf lift directly affect the stress state of the knee, so to find the best stress point of the calf is the research direction of this paper. In order to find the best and the most suitable force point of the human lower limb, we two methods, step-by-step process and dichotomy process, were discussed and compared in this study. Reasonable material may decide the robotic features.

Food Processing and Nutrition Strategies for Improving the Health of Elderly People with Dysphagia: A Review of Recent Developments.

Dysphagia, or swallowing difficulty, is a common morbidity affecting 10% to 33% of the elderly population. Individuals with dysphagia can experience appetite, reduction, weight loss, and malnutrition as well as even aspiration, dehydration, and long-term healthcare issues. However, current therapies to treat dysphagia can routinely cause discomfort and pain to patients. To prevent these risks, a non-traumatic and effective treatment of diet modification for safe chewing and swallowing is urgently needed for the elderly. This review mainly summarizes the chewing and swallowing changes in the elderly, as well as important risk factors and potential consequences of dysphagia. In addition, three texture-modified food processing strategies to prepare special foods for the aged, as well as the current statuses and future trends of such foods, are discussed. Nonthermal food technologies, gelation, and 3D printing techniques have been developed to prepare soft, moist, and palatable texture-modified foods for chewing and swallowing safety in elderly individuals. In addition, flavor enhancement and nutrition enrichment are also considered to compensate for the loss of sensory experience and nutrients. Given the trend of population aging, multidisciplinary cooperation for dysphagia management should be a top priority.