2026/11/06 []

台灣高齡者活躍老化之多維度影響因素與 整合實務策略：基於健康老化理論之系統性論述

台灣已於2025年邁入超高齡社會，65歲以上人口占20.06%。本文旨在系統性整合台灣高 齡者活躍老化之多維度影響因素，並提出適合本土脈絡之整合實務策略。採敘事性系統文獻回 顧，整合健康老化理論框架及近期實證研究，涵蓋生理健康、心理認知、社會參與、環境脈絡 及政策制度五大維度。結果發現規律運動與身體活動可顯著延長無失能預期壽命；社會參與 對憂鬱症具緩衝效果，並與認知功能維持密切相關；城鄉差距與性別差異持續影響活躍老化 指標；長照2.0至3.0之政策轉型為預防性健康照顧奠定制度基礎。活躍老化之促進需個體、社 區、系統及政策四層次之整合協作，兼顧實證效益與社會公平，以實現尊嚴、健康、參與之銀 髮新時代。

  • 預定刊載卷期：台灣衛誌 2026；45(5)
  • 綜論  Review Article
  •  
  • 蕭世榮
    Shih-Jung Hsiao
  • Multidimensional determinants and integrated practice strategies
    for active aging among older adults in Taiwan: a systematic
    discourse based on healthy aging theory comparative health systems, voluntary health insurance, universal health coverage
  • 台灣已於2025年邁入超高齡社會，65歲以上人口占20.06%。本文旨在系統性整合台灣高齡者活躍老化之多維度影響因素，並提出適合本土脈絡之整合實務策略。採敘事性系統文獻回顧，整合健康老化理論框架及近期實證研究，涵蓋生理健康、心理認知、社會參與、環境脈絡及政策制度五大維度。結果發現規律運動與身體活動可顯著延長無失能預期壽命；社會參與對憂鬱症具緩衝效果，並與認知功能維持密切相關；城鄉差距與性別差異持續影響活躍老化指標；長照2.0至3.0之政策轉型為預防性健康照顧奠定制度基礎。活躍老化之促進需個體、社區、系統及政策四層次之整合協作，兼顧實證效益與社會公平，以實現尊嚴、健康、參與之銀髮新時代。
  • In 2025, Taiwan became a superaged society, with 20.06% of the population aged ≥65 years. This study systematically integrated multidimensional determinants of active aging among older adults in Taiwan and proposed context-appropriate integrated practice strategies. A narrative systematic review was conducted. This review integrated healthy aging theoretical frameworks and recent empirical evidence across five dimensions: physical health, mental health and cognitive function, social participation, environmental context, and policy systems. The findings indicate that regular physical activity significantly extends disability-free life expectancy, that social participation buffers against depression and is associated with better maintenance of cognitive function, that rural–urban disparities and gender differences persistently affect active aging indicators, and that transitioning from Long-Term Care 2.0 to 3.0 can establish an institutional foundation for preventive health care. Overall, promoting active aging requires integrated collaboration across individual, community, system, and policy levels and necessitates a balance between evidence-based effectiveness and social equity to realize a dignified, healthy, and participatory aging era.
  • 366-377
  • http://bit.ly/3r4HS9R