Do Age-Friendly Community Policy Efforts Matter in China? An Analysis Based on Five-Year Developmental Plan for Population Aging

Int J Environ Res Public Health. 2022 Oct 19;19(20):13551. doi: 10.3390/ijerph192013551.

Abstract

(1) Background: The study will examine whether local governments' policy efforts on age-friendly communities (AFC) promote older adults' social participation in China. The extensive scope of AFC makes measuring policy efforts very challenging. The study attempts to introduce the developmental planning and goal-setting theory in public policy literature to answer this question. (2) Methods: We look at the Eleventh Five-Year Developmental Plan for Population Aging in subnational governments and CHARLS (the China Health and Retirement Longitudinal Study) baseline dataset from 2011, with data on policy strength and social participation of older adults. By using multilevel linear models, we regress social participation at the individual level on the policy strength of age-friendly communities at the provincial level. (3) Results: The results show that policy strength on AFC does vary substantially among provinces within China. And the interaction between policy strength of physical environment of local governments and community infrastructures is positively associated with social participation of rural older adults in China. (4) Conclusions: We conclude that policy efforts of local governments on the physical environment of age-friendly communities have effectively promoted the social participation of rural older adults in China. Policy makers could integrate physical infrastructures into their rural revitalization strategy to improve the wellbeing of Chinese older adults.

Keywords: China; age-friendly community; older adults; physical environment; policy efforts; social participation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aging*
  • China / epidemiology
  • Humans
  • Longitudinal Studies
  • Policy
  • Residence Characteristics*

Grants and funding

This research was funded by Guangzhou Philosophy and Social Science Foundation, grant number 2022GZYB55, Guangdong Basic and Applied Basic Research Foundation, grant number 2021A1515110877, and the Department of Education of Guangdong Province, grant number 2020WQNCX020.