Çevresel Gerontoloji Bağlamında ‘Yerinde Yaşlanma’nın Temel Belirleyicileri ve Aktif Yaşlanma Süreciyle İlişkisi

'Yerinde Yaşlanma' kavramı, genellikle, yaşlanırken evde kalabilmek için ideal olan politikayı ifade etmek için kullanılır. Yerinde yaşlanmanın felsefesi, evde yaşam ortamının sürekliliğini, toplumda bağımsızlığın korunmasını ve sosyal içermeyi kapsamaktadır. Çevresel gerontoloji alanında çalışan bilim insanları, bireylerin yaşlandıkça, yaşadıkları mekânın fiziksel ve sosyal ortamına daha fazla bağlandıklarını iddia etmektedir. Söz konusu çevresel bağlam ile kişisel kimlik arasındaki etkileşimin yansımaları, çeşitli sosyal, psikolojik ve fiziksel konular bağlamında gözlemlenebilmektedir. Sağlık ve sosyal bakım maliyetlerini sınırlandırmaya yönelik finansal zorunluluklar tarafından bakımevinde kalmaya yönlendirilmelerine rağmen, yaşlı insanlar da, genellikle, yerinde yaşlanmayı tercih etmektedir. Yaşadığı çevredeki sivil faaliyetlere katılım, yaşlıların sosyal ilişkilerini sürdürmelerini, mahalle etkinliklerine ve politikalarına katılmaya devam etmelerini sağlayarak, yerinde yaşlanmanın önemli bir belirleyicisi olmaktadır. Bu çerçevede, makalemizde, öncelikle, çevresel gerontoloji literatüründeki kuramsal tartışma ve bulgulardan hareketle “yerinde yaşlanma” olgusunun temel belirleyicileri üzerinde durulacaktır. Makalemizin ikinci kısmında ise, yerinde yaşlanma olgusunun aktif yaşlanma süreciyle ilişkisi tartışılacak ve sosyal etkileri değerlendirilecektir.

Anahtar Kelimeler:

Yerinde Yaşlanma, Çevresel Gerontoloji, Mekân, Sosyal Bağlılık, Aktif Yaşlanma.

Basic Determinants of ‘Aging in Place’ in the Context of Environmental Gerontology and Its Correlation with the Process of Active Aging

The concept ‘aging in place’ is often used to denote the ideal policy of being able to remain at home while aging. The philosophy of aging in place involves the continuity of the home life environment, preservation of independence in society and social inclusion. Scientists working in the field of environmental gerontology claim that as individuals get older, they become more connected to the physical and social environment of the space they live in. Reflections of the interaction between the environmental context in question and the personal identity can be observed in the context of various social, psychological and physical issues. Elderly people generally prefer aging in place, although they are directed to stay in nursing homes by financial obligations aiming to limit both healthcare and social care costs. Participation in civic activities in the surrounding area continues to be an important determinant of aging in place, enabling the elderly to maintain their social relations and continue to participate in neighborhood activities and policies. In this context, our article will primarily focus on the main determinants of the phenomenon of “aging in place” on the basis of theoretical discussions and findings in the environmental gerontology literature. In the second part of the article, the correlation between the phenomenon of aging in place and active aging will be discussed and its social effects will be evaluated.

Keywords:

Aging in Place, Environmental Gerontology, Place, Social Adherence, Active Aging.,

PDF

___

Alders, P., & Schut, F. (2019). Trends in ageing and ageing-in-place and the future market for institutional care: Scenarios and policy implications. Health Economics, Policy and Law, 14(1), 82-100.
Alidoust, S., Bosman, C., & Holden, G. (2019). Planning for healthy ageing: How the use of third places contributes to the social health of older populations. Ageing and Society, 39(7), 1459-1484.
Antonietti, A., Balconi, M., Catellani, P., & Marchetti, A. (2014). Empowering Skills for an Active Ageing and Healthy Living. In C. Grassi, P. A. Marsan, & G. Riva (eds.), Active Ageing and Healthy Living : A Human Centered Approach in Research and Innovation As Source of Quality of Life. Amsterdam, Netherlands: IOS Press, 157-171.
Barrett, P., Hale, B., & Gauld, R. (2012). Social inclusion through ageing-in-place with care? Ageing and Society, 32(3), 361-378.
Dahlberg, L. (2019). Ageing in a changing place: A qualitative study of neighbourhood exclusion. Ageing and Society, 1-19.
Dupuis-Blanchard, S.,& Gould, O. (2018). Nursing Homes Without Walls for Aging in Place. Canadian Journal on Aging / La Revue Canadienne Du Vieillissement, 37(4), 442-449.
Gorczyca, K.,& Grabinski, T. (2018). Ageing in place: Residential satisfaction in Polish housing-estate communities. Ageing and Society, 38(12), 2410-2434.
Grassi, C., Marsan, P. A., & Riva, G. (2014). Active Ageing and Healthy Living : A Human Centered Approach in Research and Innovation As Source of Quality of Life. Amsterdam, Netherlands: IOS Press.
Hillcoat-Nalletamby, S.,& Ogg, J. (2014). Moving beyond ‘ageing in place’: Older people's dislikes about their home and neighbourhood environments as a motive for wishing to move. Ageing and Society, 34(10), 1771-1796.
Johansson, K., Josephsson, S., & Lilja, M. (2009). Creating possibilities for action in the presence of environmental barriers in the process of ‘ageing in place’. Ageing and Society, 29(1), 49-70.
Peace, S., Holland, C., & Kellaher, L. (2011). ‘Option recognition’ in later life: Variations in ageing in place. Ageing and Society, 31(5), 734-757.
Ricciardi, W., Specchia M. L., & Marino, M. (2014). Health of the Elderlies and Healthy Ageing: A Challenge for Europe. In C. Grassi, P. A. Marsan, & G. Riva (eds.), Active Ageing and Healthy Living : A Human Centered Approach in Research and Innovation As Source of Quality of Life. Amsterdam, Netherlands: IOS Press, 1-9.
Riva, G., Gaggioli, A., Villani, D., Cipresso, P., Repetto, C., Serino, S., Triberti, S., Brivio, E., Galimberti, C,, & Graffigna, G. (2014). Positive Technology for Healthy Living and Active Ageing. In C. Grassi, P. A. Marsan, & G. Riva (eds.), Active Ageing and Healthy Living : A Human Centered Approach in Research and Innovation As Source of Quality of Life. Amsterdam, Netherlands: IOS Press, 44-56.
Rossi, G., Boccacin, L., Bramanti, D., & Meda, S. G. (2014). Active Ageing: Intergenerational Relationships and Social Generativity. In C. Grassi, P. A. Marsan, & G. Riva (eds.), Active Ageing and Healthy Living : A Human Centered Approach in Research and Innovation As Source of Quality of Life. Amsterdam, Netherlands: IOS Press, 57-68.
Rossini, P. M. & Marra, C. (2014). Demographic Changes and the Challenge for a Healthy Ageing. In C. Grassi, P. A. Marsan, & G. Riva (eds.), Active Ageing and Healthy Living : A Human Centered Approach in Research and Innovation As Source of Quality of Life. Amsterdam, Netherlands: IOS Press, 23-31.
Scharlach, A. E. & Moore, K. D. (2016). Aging in Place. In V. L. Bengtson, R. A. Settersten, B. K. Kennedy, N. Morrow-Howell, & J. Smith (eds.), Handbook of Theories of Aging, Third Edition (Vol. Third edition). New York, NY: Springer Publishing Company, 239-249.
Van Dijk, H., Cramm, J., Van Exel, J., & Nieboer, A. (2015). The ideal neighbourhood for ageing in place as perceived by frail and non-frail community-dwelling older people. Ageing and Society, 35(8), 1771-1795.
Wadu Mesthrige, J.,& Cheung, S. (2019). Critical evaluation of ‘ageing in place’ in redeveloped public rental housing estates in Hong Kong. Ageing and Society, 1-34.
Yung, E. H. K., Conejos, S., & Chan, E. H. W. (2016). Social needs of the elderly and active aging in public open spaces in urban renewal. Cities, 52 (2016), 114–122.