生态养老:养老服务中场所性的健康促进策略

老年人口占总人口比例以及提供健康服务成本的财政需求增加,正日益威胁着全球的稳定性。同时,这样的人口发展趋势也给传统的老年人健康服务供给带来挑战。本文以澳大利亚的案例为背景,论证在养老服务中运用场所性的健康促进能够给老年人创造更大的福利,缩短通常与年龄增长有关的慢性病患病率时间。提倡生态养老意味着无需像以前那样对老年人实行隔离管理,而是将他们视为整个社会生活、工作和娱乐不可缺少的一部分。文章比对了健康促进学校与养老产业等场所性的健康促进的特征,认为涵盖各种养老服务的场所是建立一个新的健康促进场所的最佳选择。场所性的健康促进策略的核心就在于为老年人的生活创造有利的环境。更广义地说,生态养老指导我们将环境与健康联系在一起,减少这一日益庞大的人口群体对环境的影响。因此,在老龄事业中应用场所性的健康促进策略有助于降低待赡养的老年人口对全球稳定性的威胁。     

“Wish you were here”? Geographies of exclusion: young people,coastal towns and marginality

ABSTRACT

Within youth studies there is a growing body of research that pays attention to the importance of place in shaping young people’s identities, life opportunities and intergenerational relationships [Cuervo, H., and J. Wyn. 2014. “Reflections on the Use of Spatial and Relational Metaphors in Youth Studies.” Journal of Youth Studies 17 (7): 901–915; Farrugia, D. 2014. “Towards a Spatialised Youth Sociology: the Rural and the Urban in Times of Change.” Journal of Youth Studies 17 (3): 293–307; Woodman, D., and J. Wyn. 2015. Youth and Generation: Rethinking Change and Inequality in the Lives of Young People. Sage Publications]. Of critical importance to these discussions is the need to explore notions of ‘belonging’ and social citizenship, interrogating the extent to which differing perceptions and experiences contribute towards variations in the outcomes and life chances of disadvantaged young people. This article draws upon ethnography, participatory arts-based research, and semi-structured interviews (n31) with young people (15–25) who live in a deprived coastal town in the North of England. The research investigated processes of marginalisation and disconnection from the perspectives of young people who were deemed as disengaged, or ‘at risk’ of disengagement, from education, employment or training. The research took place during a time of rapid change and uncertainty as Britain voted to leave the EU. The findings of this study will ‘throw light’ on the how contemporary classed subjectivities are formed, how experiences of inequality and austerity are made sense of, and how, within a turbulent political context, young people negotiate complex transitions to adulthood.