Active policies to promote active aging and address demographic challenges in Bulgaria

Authors

DOI:

https://doi.org/10.26641/2307-0404.2025.1.325454

Keywords:

aging, active aging, healthcare, social integration, economic growth, demographic changes, healthcare management

Abstract

 The article explores the concept of active aging in Bulgaria, emphasizing the economic, social, and health benefits of implementing policies aimed at older adults. In light of the rapid population aging, Bulgaria faces significant demographic challenges impacting its economic, social, and health systems. The primary objective of the research is to analyze the strategic framework and active aging policies at both national and regional levels, focusing on their effects on the quality of life, health status, and social integration of the elderly. This study uses a mixed methods approach integrating both quantitative and qualitative analysis to assess the economic and social impact of active aging policies in Bulgaria. This approach combines quantitative data that provide objective measurements of current status with qualitative analyzes that provide an in-depth understanding of the context and impact of existing programs. Through this approach, the research aims to provide a basis for formulating specific and effective recommendations to improve policies and programs in the field of active aging and healthy living of the elderly. This multi-layered approach will provide a basis for future research and policies aimed at improving the quality of life of older people, emphasizing the importance of active aging and healthy lifestyles in the context of dynamically changing social and economic conditions in Bulgaria. Active aging is linked to numerous benefits, such as improved health outcomes, increased social engagement, reduced poverty, and enhanced economic productivity. By fostering an active lifestyle and improving access to health and social services, the pressure on Bulgaria's healthcare system is alleviated. However, challenges persist, notably insufficient coordination among institutions and a lack of integrated policies. The article concludes with specific recommendations for enhancing existing programs, including the establishment of a central coordinating body for active aging policies, ensuring sustainable funding for health and social services, and implementing innovative strategies such as digital learning for promoting healthy lifestyles and chronic disease prevention. These measures aim to enhance the socio-economic and health conditions of the elderly in Bulgaria while supporting overall economic growth.

References

Dogra S, Dunstan DW, Sugiyama T, Stathi A, Gardiner PA, Owen N. Active Aging and Public Health: Evidence, Implications, and Opportunities. Annual Review of Public Health. 2022 Apr 5;43(1):439-59. doi: https://doi.org/10.1146/annurev-publhealth-052620-091107

Eckstrom E, Neukam S, Kalin L, Wright J. Physical Activity and Healthy Aging. Clinics in Geriatric Medicine. 2020 Nov;36(4):671-83. doi: https://doi.org/10.1016/j.cger.2020.06.009

Gabor VR, Iftimoaei C, Baciu IC. Population Ageing. Romania in a European Context. Romanian Journal of Population Studies. 2023 Jan 30;16(2):81-110. doi: https://doi.org/10.24193/rjps.2022.2.04

Mihajlović V, Miladinov G. Impact of Population Ageing on Economic Growth in Emerging EU Countries. Ekonomický časopis/Journal of Economics [Internet]. 2024 Sep 10;72(1-2):50-71. doi: https://doi.org/10.31577/ekoncas.2024.01-02.03

Sowa-Kofta A. Establishing healthy and active ageing policies in Poland, the Czech Republic and Bulgaria. Polityka Społeczna. 2020 Jul 31;556(7):18-26. doi: https://doi.org/10.5604/01.3001.0014.3366

Krupskyi OP, Kuzmytska Y. Organizational Cul-ture and Business Strategy: Connection and Role for a Company Survival. Central European Business Review. 2020 Sep 30;9(4):1-26. doi: https://doi.org/10.18267/j.cebr.241

Rangachev A, Marinov GK, Mladenov M. The demographic and geographic impact of the COVID pan-demic in Bulgaria and Eastern Europe in 2020. Scientific reports. 2022 Apr 15;12(1):6333. doi: https://doi.org/10.1038/s41598-022-09790-w

Socci M, Clarke D, Principi A. Active Aging: Social Entrepreneuring in Local Communities of Five Euro-pean Countries. International Journal of Environmental Research and Public Health. 2020 Apr 3;17(7):2440. doi: https://doi.org/10.3390/ijerph17072440

Savova ZA. Policies for preserving the work acti-vity of people in retirement age in higher education institutions in Bulgaria. Innovation in Aging. 2019 Nov;3(Suppl 1):S647-S647. doi: https://doi.org/10.1093/geroni/igz038.2402

Terziev V, Stanchev S. Development of active social policies in Bulgaria. Journal of Innovations and Sustainability. 2016 Dec 1;2(4):9-22. doi: https://doi.org/10.51599/is.2016.02.04.09

Terziev V. Impacts of Active Social Programs on Labor Market (November 10, 2016). Contemporary Science and Education in Americas, Africa and Eurasia [Internet]. 2016 Nov 10 [cited 2024 Aug 1]. Available from: https://ssrn.com/abstract=3155430

Bogodistov Y, Moormann J, Sibbel R, Krupskyi OP, Hromtseva O. Process maturity and patient orientation in times of a health system reform. Business Process Management Journal. 2021 Nov 30;28(1):258-72. doi: https://doi.org/10.1108/bpmj-09-2020-0428

Zaidi A. Active Aging and Active Aging Index. In: Encyclopedia of Gerontology and Population Aging; 2021. p. 32-36. doi: https://doi.org/10.1007/978-3-030-22009-9_208

Arnett JJ. Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist. 2000;55(5):469-80. doi: https://doi.org/10.1037/0003-066x.55.5.469

Levinson DJ. A conception of adult development. American Psychologist. 1986 Jan;41(1):3-13. doi: https://doi.org/10.1037/0003-066x.41.1.3

UN [United Nations Population Division]. Personal correspondence with Marybeth Weinberger, Chief, Population and Development Section. 2021 Jan [Internet]. [cited 2024 Aug 1]. Available from: https://www.un.org/development/desa/pd/

Code of Social Insurance [Internet]. [cited 2024 Aug 1]. Available from:

https://nssi.bg/wp-content/uploads/SIC_2019.pdf

National plan for employment promotion in 2024 [Internet]. [cited 2024 Aug 1]. Available from: https://www.mlsp.government.bg/natsionalni-planove-za-deystvie-po-zaetostta

Riley MW, Riley JW. Structural lag: Past and future. In: MW Riley, RL Kahn, A Foner, eds. Age and structural lag: Society’s failure to provide meaningful opportunities in work, family and leisure. New York: Wiley; 1994. p. 15-36.

Walker A. A strategy for active ageing. International social security review. 2002;55(1):121-39. doi: https://doi.org/10.1111/1468-246X.00118

Walker A. The emergence of active ageing in Europe. Journal of Ageing and Social Policy. 2009;21(1):75-93. doi: https://doi.org/10.1080/08959420802529986

Hristova A. People in old age – focus of all sectoral policies. In: Collection of articles, Discrimination against the elderly in Bulgaria. Sofia; 2019. p. 14.

Naydenova P. Aging and depreciation of human capital. The elderly generation of Bulgaria – socio-demographic profile, positions and values. Centre for Demo-graphic Research and Training; 2021. p. 283.

National Social Security Institute (NSSI) [Inter-net]. [cited 2024 Aug 1]. Available from: https://nssi.bg/news-15022024/

Constitution of the Republic of Bulgaria [Internet]. [cited 2024 Aug 1]. Available from: https://www.parliament.bg/en/const

Health Act [Internet]. [cited 2024 Aug 1]. Available from: https://www.ncpr.bg/images/EU_zakonodatelstvo/2018/14.03.2018/2019/17.04.2019/HEALTH_ACT.pdf

National Health Strategy 2030. [Internet]. [cited 2024 Aug 1]; 2023. Available from: https://www.strategy.bg/StrategicDocuments/View.aspx?lang=bg-BG&Id=1604

Social Services Act [Internet]. [cited 2024 Aug 1]; 2019. Available from: https://www.mlsp.government.bg/uploads/37/politiki/trud/zakonodatelstvo/eng/social-services-act.pdf

National Strategy for Long-Term Care and Action Plan for the period [Internet]. [cited 2024 Aug 1]. Available from: https://www.strategy.bg/strategicdocuments/View.aspx?lang=bg-BG&Id=882

National Employment Action Plan [Internet]. [cited 2024 Aug 1]. Available from: https://www.mlsp.government.bg/natsionalni-planove-za-deystvie-po-zaetostta

Employment Strategy 2021-2030 [Internet]. [cited 2024 Aug 1]. Available from: https://www.navet.government.bg/bg/strategiya-po-zaetostta-na-republika-balgariya-2021-2030-g/

Milenkova V, Nakova A, Manolov K. Policy Measures as a Pathway to Improve the Quality of Life of the Elderly Population. Postmodernism Problems [Internet]. 2024 Apr 5;14(1):1-16. doi: https://doi.org//10.46324/pmp2401001

Social Insurance Code [Internet]. [cited 2024 Aug 1]. Available from: https://www.mlsp.government.bg/uploads/37/politiki/trud/zakonodatelstvo/eng/social-insurance-code-title-amended-sg-no-672003.pdf

National Strategy for Active Living (2019-2030) [Internet]. [cited 2024 Aug 1]. Available from: https://www.mlsp.government.bg/uploads/1/national-agieng-strategy-2019-2030.pdf

Dimitrov G. Organization and financing of the health care system. Challenges and solutions. "St. Gregory the Theologian" University of Applied Sciences; 2014.

Bulgaria: Health profile for the country 2023 [Internet]. [cited 2024 Aug 1]. Available from: https://www.oecd.org/bg/publications/2023_12bffa71-bg.html

National Programme for Prevention and Control of Non Communicable Diseases (NP-NCD) 2021-2025 [Internet]. [cited 2024 Aug 1]. Available from: https://www.strategy.bg

Juopperi S, Sund R, Rikkonen T, Kröger H, Sirola J. Cardiovascular and musculoskeletal health disor-ders associate with greater decreases in physical capability in older women. BMC Musculoskeletal Disorders [Internet]. 2021 Feb 16;22(1). doi: https://doi.org/10.1186/s12891-021-04056-4

Ianakiev Y. Stress and mental health: a university textbook. Paisii Hilendarski University Publishing House [Internet]. 2021 [cited 2024 Aug 1]. Available from: https://press.uni-plovdiv.net/index.php?route=product/product&path=33_72&product_id=239

Martínez Heredia N, Santaella Rodríguez E, Rodríguez-García AM. Benefits of physical activity for the promotion of active aging in elderly. Bibliographic review. Retos. 2020 Mar 23;(39):829-34. Spanish. doi: https://doi.org/10.47197/retos.v0i39.74537

National Strategy for the Development of Physical Education and Sport (2012-2022) [Internet]. [cited 2024 Aug 1]. Available from: https://www.strategy.bg/strategicdocuments/View.aspx?lang=bg-BG&Id=713

National program for the improvement of atmospheric air (2018-2024) [Internet]. [cited 2024 Aug 1]. Available from: https://www.moew.government.bg/bg/vuzduh/strategicheski-dokumenti/

National Statistical Institute (NSI) [Internet]. [cited 2024 Aug 1]. Available from: https://infostat.nsi.bg/infostat/pages/reports/query.jsf?x_2=189

Annual reports of the Agency for Social Assistance 2019, 2020, 2021, 2022 [Internet]. [cited 2024 Aug 1]. Available from: https://asp.government.bg/bg/za-agentsiyata/misiya-i-tseli/otcheti-i-dokladi/

Vazov R, Kanazireva R, Grynko TV, Krup-skyi OP. Strategies for Healthcare Disaster Management in the Context of Technology Innovation: the Case of Bul¬garia. Medicni perspektivi. 2024 Jun 28;29(2):215-28. doi: https://doi.org/10.26641/2307-0404.2024.2.307703

Sardak S, Britchenko I, Vazov R, Krupskyi OP. Life cycle: formation, structure, management. Economic Studies. 2021 Aug 25 [cited 2024 Aug 1];30(6):126-42. Available from: https://www.iki.bas.bg/Journals/EconomicStudies/2021/2021-6/7_Krupskyi_f_f.pdf

Downloads

Published

2025-03-28

How to Cite

1.
Vazova T, Stasiuk Y. Active policies to promote active aging and address demographic challenges in Bulgaria. Med. perspekt. [Internet]. 2025Mar.28 [cited 2025Apr.12];30(1):150-65. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/325454

Issue

Section

PREVENTIVE MEDICINE