Department of Gerontology, Simon Fraser University, Vancouver, British Columbia.
Department of Epidemiology and Biostatistics, Schulich Interfaculty Program in Public Health, Western University, London, Ontario.
Can J Aging. 2020 Sep;39(3):344-347. doi: 10.1017/S0714980820000215. Epub 2020 May 19.
The COVID-19 global crisis is reshaping Canadian society in unexpected and profound ways. The significantly higher morbidity and mortality risks by age suggest that this is largely a "gero-pandemic," which has thrust the field of aging onto center stage. This editorial emphasizes that vulnerable older adults are also those most affected by COVID-19 in terms of infection risk, negative health effects, and the potential deleterious outcomes on a range of social, psychological, and economic contexts - from ageism to social isolation. We also contend that the pathogenic analysis of this pandemic needs to be balanced with a salutogenic approach that examines the positive adaptation of people, systems and society, termed COVID-19 resilience. This begs the question: how and why do some older adults and communities adapt and thrive better than others? This examination will lead to the identification and response to research and data gaps, challenges, and innovative opportunities as we plan for a future in which COVID-19 has become another endemic infection in the growing list of emerging and re-emerging pathogens.
新冠疫情全球危机正在以出人意料且深远的方式重塑加拿大社会。年龄带来的更高发病率和死亡率意味着,这在很大程度上是一种“老年型大流行”,将老龄化领域推到了中心舞台。本社论强调,脆弱的老年人也是受新冠疫情感染风险、健康负面影响以及一系列社会、心理和经济方面潜在有害后果影响最大的人群,这些后果包括年龄歧视和社会隔离。我们还认为,需要平衡对这种大流行病的病原分析,采用健康促进方法来研究人们、系统和社会的积极适应,我们称之为新冠疫情恢复力。这就引出了一个问题:为什么有些老年人和社区比其他老年人和社区适应和繁荣得更好?通过这一研究,我们将发现并应对研究和数据差距、挑战以及创新机遇,为新冠疫情成为不断增加的新发和再发病原体中又一种地方病感染做好规划。