Skip to main content

Healthy and Active Aging. Social Determinants and Policies

  • Chapter
  • First Online:
Decisions and Trends in Social Systems

Part of the book series: Lecture Notes in Networks and Systems ((LNNS,volume 189))

  • 331 Accesses

Abstract

Romania faces a series of profound socioeconomic transformations due to demographic change, among which we mention the population aging process seen as a result of constant improvement in terms of life expectancy, but also the decrease in fertility rates and an increase in emigration among younger age groups. According to Eurostat [7], Romania will experience one of the most accelerated declines in the working age population in the European Union, so the working age population from 20 to 64 years old in Romania is expected to decline by 30% by 2060. In the absence of policies for healthy and active aging, all these processes will result in an increased demand for long-term health and care services, higher poverty rates, greater social exclusion, and addiction among the elderly [30, 31]. The paper aims to bring into focus active policies to involve the elderly on the labour market, to valorise seniors as an active part of civil society more after retirement, and analyze social determinants to prevent premature physical aging.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Abrams D, Russell PS, Vauclair CM, Swift H (2011) Ageism in Europe: findings from the European Social Survey. https://www.ageuk.org.uk/documents/en-gb/id10704%20ageism%20across%20europe%20report%20interactive.pdf?dtrk=true

  2. Alber J, Köhler U (2004) Health and care in an enlarged Europe. Office for Official Publications of the European Commission, Luxembourg. http://www.eurofound.europa.eu/pubdocs/2003/107/en/1/ef03107en.pdf

  3. Anderson R, Mikuliç B, Vermeylen G, Lyly-Yrjanainen M, Zigante V (2009) Second European quality of life survey: overview. Office for Official Publications of the European Commission, Luxembourg. http://www.eurofound.europa.eu/pubdocs/2009/02/en/1/EF0902EN.pdf

  4. Bircher J (2005) Towards a dynamic definition of health and disease. Med Health Care Philos 8:335–341

    Google Scholar 

  5. Bowling A (1997) Research methods in health: investigating health and health services. OUP, Buckingham

    Google Scholar 

  6. Doboş C (2003) Accesul populaţiei la serviciile publice de sănătate. The quality of life, nr. 3–4, pp 3–14

    Google Scholar 

  7. EUROSTAT (2018) Population structure and aging. http://ec.europa.eu/eurostat/statistics-explained/index.php?title=Population_structure_and_ageing/ro

  8. Evans RG, Barer ML, Marmor TR (eds) (1994) Why are some people healthy and others not? The determinants of health of populations. Aldine de Gruyter, New York

    Google Scholar 

  9. Ewles L, Simnett I (1999) Promoting health: a practical guide, 4th edn. Bailliere Tindall, London

    Google Scholar 

  10. Ferrarini T, Nelson K, Sjöberg O (2014) Decomposing the effect of social policies on population health and inequalities: an empirical example of unemployment benefits. Scand J Public Health 42(7):635–642

    Article  Google Scholar 

  11. Lundberg O, Åberg Yngwe M, Bergqvist K, Sjöberg O (2014) DRIVERS final scientific report: the role of income and social protection for inequalities in health, evidence and policy implications. Report produced as part of the ‘DRIVERS for Health Equity’ project. Centre for Health Equity Studies, Stockholm. http://health-gradient.eu/

  12. Lupu AL (2015) Migraţia internaţională a persoanelor în vârstă din Regiunea de Dezvoltare Nord-Est. Pro Universitaria, Bucharest

    Google Scholar 

  13. MacDonald G (2000) Redesigning the evidence base for health promotion. Internet J Public Health Health Educ 2(B):9–17

    Google Scholar 

  14. Man GM (2017) Psihologia vârstei a treia şi a patra. Editura Trei, Bucharest

    Google Scholar 

  15. Mărginean I, Precupeţu I, Tsanov V, Preoteasa AM, Voicu B (2006) First European quality of life survey: quality of life in Bulgaria and Romania. Office for Official Publications European Communities, Luxembourg. http://www.eurofound.europa.eu/pubdocs/2006/67/en/1/ef0667en.pdf

  16. Ministry of Labour and Social Justice (2014) Strategia naţională privind incluziunea socială şi reducerea sărăciei (2014–2020). http://www.mmuncii.ro/j33/images/Documente/Familie/2015-DPS/2015-sn-is-rs.pdf

  17. National Institute of Statistics (2013) Life expectancy. http://www.insse.ro/cms/files/publicatii/pliante%20statistice/07Speranta%20de%20viata_n.pdf

  18. Nelson K, Fritzell J (2014) Welfare states and public health: the role of minimum income benefits for mortality. Soc Sci Med 2014(112):63–71

    Article  Google Scholar 

  19. Papalia DE, Olds SW, Feldman RD (2010) Dezvoltarea umană. Editura Trei, Bucharest

    Google Scholar 

  20. Precupeţu I (2008) Evaluări ale protecţiei sociale şi îngrijirii sănătăţii. In: Mărginean I, Precupeţu I (eds) Calitatea vieţii şi dezvoltarea durabilă. Politici de întărire a coeziunii sociale. Editura Expert—CIDE, Bucharest, pp 137–146

    Google Scholar 

  21. Raportul Comisiei prezidenţiale pentru analiza şi elaborarea politicilor din domeniul sănătăţii publice din România (2008) Un sistem sanitar centrat pe nevoile cetăţeanului. http://www.presidency.ro/static/ordine/COMISIASANATATE/UN_SISTEM_SANITAR_CENTRAT_PE_NEVOILE_CETATEANULUI.pdf

  22. Rechel B, Doyle Y et al. (2009) World Health Organization. Regional Office for Europe, Health Evidence Network, European Observatory on Health Systems and Policies. How can health systems respond to population ageing? https://apps.who.int/iris/handle/10665/107941

  23. Saracci R (1997) The World Health Organization needs to reconsider its definition of Health. BMJ 314:1409–1410

    Article  Google Scholar 

  24. Şoitu D, Rebeleanu A (2012) Echitatea în sănătate. Studia UBB Bioethica, LVII 2:19–27

    Google Scholar 

  25. Şoitu D, Rebeleanu A (ed) (2016) Noi perspective asupra cursului vieţii. Editura Universităţii “Alexandru Ioan Cuza”, Iaşi

    Google Scholar 

  26. Solar O, Irwin A (2006) Social determinants, political contexts and civil society action: a historical perspective on the Commission on Social Determinants of Health. Health Promot J Austr 17(3):180–185

    Google Scholar 

  27. Solar O, Irwin A (2007) A conceptual framework for action on the social determinants of health. Discussion paper for the Commission on Social Determinants of Health, World Health Organization, Geneva

    Google Scholar 

  28. Svarcova I, Hoskova-Mayerova S, Navratil J (2016) Crisis management and education in health. Eur Proc Soc Behav Sci EpSBS XVI:255–261. http://dx.doi.org/10.15405/epsbs.2016.11.26

  29. The European Commission (2012) EU contribution to active aging and to solidarity between generations

    Google Scholar 

  30. The European Commission (2012) Special Eurobarometer 378 “Active ageing”. http://ec.europa.eu/public_opinion/archives/ebs/ebs_378_fact_ro_ro.pdf

  31. The European Commission (2015) The ageing report. Underlying assumptions and projection methodologies. http://ec.europa.eu/economy_finance/publications/european_economy/2014/pdf/ee8_en.pdf

  32. United Nations (2013) World populations prospects. Revised edition 2012. ONU, NY

    Google Scholar 

  33. United Nations, Department of Economic and Social Affairs, Population Division (2013). World populations prospects. http://esa.un.org/unpd/wpp/

  34. Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, Fatusi A, Curri C (2012) Adolescence and the social determinants of health. Lancet 379:1641. http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673612601494.pdf?id=3d35b1b5aa0ec416:58d1b5c9:13be60db275:-3781356778794886

  35. Voicu B (2005). Penuria Pseudo-Modernă a Postcomunismului Românesc. Volumul II: Resursele. Expert Projects, Iaşi

    Google Scholar 

  36. WHO (1998) The world health report. Life in the 21st century. A vision for all. Report of the Director-General, WHO, Geneva. http://www.who.int/whr/1998/en/whr98_en.pdf

  37. WHO (2000) The world health report 2000—health systems: improving performance. WHO, Geneva. http://www.who.int/whr/2000/en/

  38. WHO (2002) Active ageing: a policy framework (active aging: cadru de politici). WHO, Geneva. http://www.who.int/ageing/publications/active_ageing/en/

  39. WHO (2006) Preventing disease through healthy environments. Towards an estimate of the environmental burden of disease. WHO, Geneva. http://www.who.int/quantifying_ehimpacts/publications/preventingdisease.pdf?ua=1

  40. WHO (2009) Definition of an older or elderly person. WHO, Geneva. http://www.who.int/healthinfo/survey/ageingdefnolder/en/

  41. Wahrendorf M, Siegrist J (2014) Proximal and distal determinants of stressful work: framework and analysis of retrospective European data. BMC Public Health 14:849

    Google Scholar 

  42. Wilkinson RG (1996) Unhealthy societies: the afflictions of inequality. Routledge, London

    Google Scholar 

  43. World Bank (2014) ECA regional flagship on ageing. In print World Bank. Viaţă lungă, activă şi în forţă. Promovarea îmbătrânirii active în România. http://www.seniorinet.ro/library/files/raport_banca_mondiala_viata_lunga,_activa_si_in_forta.pdf

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rădoi, M., Irimescu, G., Lupu, A.L. (2021). Healthy and Active Aging. Social Determinants and Policies. In: Soitu, D., Hošková-Mayerová, Š., Maturo, F. (eds) Decisions and Trends in Social Systems. Lecture Notes in Networks and Systems, vol 189. Springer, Cham. https://doi.org/10.1007/978-3-030-69094-6_7

Download citation

Publish with us

Policies and ethics