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Li R, Dai Y, Han Y, Zhang C, Pang J, Li J, Zhang T, Zeng P. Doing housework and having regular daily routine standing out as factors associate with physical function in the older people. Front Public Health 2023; 11:1281291. [PMID: 38089027 PMCID: PMC10715056 DOI: 10.3389/fpubh.2023.1281291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 10/27/2023] [Indexed: 12/18/2023] Open
Abstract
Background and objectives Nationwide data were used to explore factors associated with physical function in order to identify interventions that could improve and maintain physical function in the older people. Methods The physical function was assessed by gait speed (GS). We selected 2,677 male and 2,668 female older adults (aged ≥60) who could perform the GS test as study subjects. GS was measured by having subjects walk across and back a 10-m course. A gait speed less than 20% that of a reference population (<0.7 m/s) was used as the definition of slow gait speed (SGS). Co-morbidity, polypharmacy, medical expenses, need for care, and hospitalization were used to evaluate health status. A stepwise logistic regression model was used to determine factors associated with SGS. Results SGS was associated with poorer health status, higher medical cost, lower ranking on the Geriatric Depression Scale (GDS) and decreased Mini-mental State Examination (MMSE). Co-morbidity (OR = 1.81, 1.58-2.07), polypharmacy (OR = 1.47, 1.25-1.74), MMSE <24 (OR = 1.85, 1.54-2.22), and GDS ≥ 11 (OR = 1.40, 1.18-1.65) were associated with SGS. In contrast, doing housework (DHW, OR = 0.43, 0.38-0.49), having a regular daily routine (RDR, OR = 0.64, 0.45-0.91), and current alcohol consumption (OR = 0.74, 0.62-0.90) were inversely associated with SGS. DHW plus having RDR could greatly reduce the risk of SGS (OR = 0.29, 0.19-0.43). Conclusion Poor physical function is associated with poorer health status in Chinese older people. Maintaining a regular daily routine and doing some housework may be important factors that can help older people preserve their physical function.
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Affiliation(s)
- RuiQi Li
- The Key Laboratory of Geriatric Medicine, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, China
- Graduate School of Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - YaLun Dai
- The Key Laboratory of Geriatric Medicine, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, China
| | - YiWen Han
- The Key Laboratory of Geriatric Medicine, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, China
| | - Chi Zhang
- The Key Laboratory of Geriatric Medicine, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, China
| | - Jing Pang
- The Key Laboratory of Geriatric Medicine, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, China
| | - Jian Li
- The Key Laboratory of Geriatric Medicine, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, China
| | - TieMei Zhang
- The Key Laboratory of Geriatric Medicine, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, China
| | - Ping Zeng
- The Key Laboratory of Geriatric Medicine, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, China
- Graduate School of Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
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Bhattacharyya KK, Molinari V, Andel R. Longevity is not an ingredient of successful aging as self-reported by community-dwelling older adults: a scoping review. Aging Ment Health 2023; 27:217-229. [PMID: 35132879 DOI: 10.1080/13607863.2022.2033696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
OBJECTIVES There has been a long-standing debate in gerontology about what constitutes successful aging (SA). This scoping review investigated older adults' perspectives on longevity as part of SA to promote developing a standardized conceptual model. METHOD The current review followed the JBI methodological guidelines and used Rowe & Kahn's SA framework and Baltes' selection, optimization, and compensation model as the foundational theoretical framework. Five electronic databases (PubMed, Scopus, PsycInfo, CINAHL, and Web of Science) were searched using specific inclusion criteria (participants, concept, and context) to identify original studies that evaluated SA. RESULTS Eighteen studies, including 9,360 individuals (aged 60 years and older), were selected. Main indicators involved six primary domains: Psychological, physical, social, environmental, spiritual, and behavioral. Physical activity, basic aspects of wellbeing, positive outlook, satisfaction with life, interpersonal relationship, participation in meaningful activities, and financial security emerged as the most important factors. The findings suggest that older adults do not consider longevity a primary component of SA. CONCLUSION We identified multidimensional self-reported SA components without longevity being emphasized, guiding further improvement of older adults' wellbeing. The study outlines an updated conceptual framework that can be applied to real-life scenarios to test how older adults can best adapt to the challenges of aging.
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Affiliation(s)
| | - Victor Molinari
- School of Aging Studies, University of South Florida, Tampa, FL, USA
| | - Ross Andel
- School of Aging Studies, University of South Florida, Tampa, FL, USA
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A critical gerontological framing analysis of persistent ageism in NZ online news media: Don't call us “elderly”! J Aging Stud 2022; 61:101009. [DOI: 10.1016/j.jaging.2022.101009] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 02/03/2022] [Accepted: 02/10/2022] [Indexed: 11/23/2022]
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Tong P, Liang YY, Gao YL. Evaluation of the measurement properties of the self-rated successful aging inventory: A COSMIN systematic review. Geriatr Nurs 2022; 45:29-38. [PMID: 35299030 DOI: 10.1016/j.gerinurse.2022.02.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 02/24/2022] [Accepted: 02/25/2022] [Indexed: 11/04/2022]
Abstract
This study aimed to systematically review studies of the psychometric properties of the self-rated successful aging inventory (SAI). The literature was rigorously searched from July 2018 to February 2021 and relevant studies were selected and evaluated following the Consensus-based Standards for the selection of health Measurement Instruments guidelines. A total of 23 studies were included, in which 19 instruments were identified. Due to the quality of the studies, only preliminary conclusions could be drawn. Seven instruments were graded "A" and recommended for use based on the available psychometric evidence. The remaining 12 SAI instruments were graded "B" and more research is required before they can be recommended. Based on this review, seven different types of the SAI could be considered for use. To improve the quality of evidence, the SAI requires more rigorous research and precise reports. When using the SAI, it is important to consider cultural characteristics.
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Affiliation(s)
- Pei Tong
- School of Nursing, Southern Medical University, No.1023- 1064 Shatai South Road, Guangzhou, Guangdong 510515, China; Department of Nursing, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou, China
| | - Yun-Yi Liang
- School of Nursing, Southern Medical University, No.1023- 1064 Shatai South Road, Guangzhou, Guangdong 510515, China; Department of hospital infection management, Shenzhen Luohu Hospital Group - Shenzhen Luohu Traditional Chinese Medicine Hospital, Shenzhen,China
| | - Yu-Lin Gao
- School of Nursing, Southern Medical University, No.1023- 1064 Shatai South Road, Guangzhou, Guangdong 510515, China.
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Woo J, Leung D, Yu R, Lee R, Wong H. Factors Affecting Trends in Societal Indicators of Ageing Well in Hong Kong: Policies, Politics and Pandemics. J Nutr Health Aging 2021; 25:325-329. [PMID: 33575723 PMCID: PMC7552947 DOI: 10.1007/s12603-020-1488-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 09/28/2020] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To document the trend in a quality of life indicator for the older Hong Kong population as an assessment of the impact of age friendly city policies, political conflicts and the covid-19 pandemic. DESIGN Random telephone survey and collection of government data over four years (2017-2020). SETTING Community living older people. PARTICIPANTS People aged 50 years and over. MEASUREMENTS The Hong Kong Quality of Life Index covering four domains of in income security, health status, capability and enabling environment. RESULTS From 2017-9, improvements were seen in various domains in parallel with the adoption of the World Health Organization's Age Friendly City concept by government policy together with a territory wide initiative supported by a major philanthropic organization. However scores of all domains dropped markedly as a result of political conflicts as well as the onset of the pandemic. CONCLUSION The documentation of the trend in HKEQOL shows that while it may be used as a macro indicator that is able to reflect policies affecting the well-being of older people, it is also able to reflect the impact of societal unrest and pandemics, and that the latter may override the effect of existing ageing policies. It also follows that during social unrest and pandemics, specific policies targeting older people may be needed to maintain well-being.
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Affiliation(s)
- J Woo
- Prof Jean Woo, Department of Medicine and Therapeutics, Prince of Wales Hospital, Shatin, N.T. Hong Kong, Tel: 852-3505-3493, Fax: 852-2637-3852,
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Kars Fertelli T, Deliktas T. A study on the relationship between perceptions of successful aging and life satisfaction of Turkish elderly people. Perspect Psychiatr Care 2020; 56:386-392. [PMID: 31617587 DOI: 10.1111/ppc.12446] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Revised: 09/10/2019] [Accepted: 10/05/2019] [Indexed: 01/07/2023] Open
Abstract
PURPOSE In the current study, the relationship between perceptions of successful aging and the life satisfaction of Turkish elderly people was investigated. DESIGN AND METHODS This cross-sectional study was conducted with 561 elderly people at a public hospital. FINDINGS The mean scores of the participating elderly people obtained from the Successful Aging Scale (54.34 ± 11.55) and Satisfaction with Life Scale (3.46 ± 1.01) were high, and there was a significant positive correlation (r = 0.305) between them. PRACTICE IMPLICATIONS Activities to ensure successful aging in elderly people, such as training and awareness-raising, may increase their life satisfaction.
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Affiliation(s)
- Tülay Kars Fertelli
- Department of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey
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Weng Y, Li D. Are there benefits to having more children for the oldest-old elderly? A longitudinal analysis on successful aging in China. ASIAN POPULATION STUDIES 2019. [DOI: 10.1080/17441730.2019.1702768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Yulei Weng
- School of Economics and Management, Northwest University, Xi’an, People’s Republic of China
| | - Dan Li
- School of Management, Xi’an Polytechnic University, Xi’an, People’s Republic of China
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Gaugler JE, Bain LJ, Mitchell L, Finlay J, Fazio S, Jutkowitz E. Reconsidering frameworks of Alzheimer's dementia when assessing psychosocial outcomes. ALZHEIMER'S & DEMENTIA (NEW YORK, N. Y.) 2019; 5:388-397. [PMID: 31463361 PMCID: PMC6708985 DOI: 10.1016/j.trci.2019.02.008] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
The purpose of this introductory article to the special issue on psychosocial outcome measures in Alzheimer's & Dementia: Translational Research & Clinical Interventions is to outline new frameworks to more effectively capture and measure the full range of how people living with Alzheimer's dementia and their family caregivers experience the disease process. Specifically, we consider the strengths and weaknesses of alternative perspectives, including person-centered, strength-based, and resilience-focused approaches that may complement and extend the dominant deficit paradigm to reflect the entirety of the dementia experience. Our aim is to encourage innovative methods to measure psychosocial aspects of Alzheimer's dementia and caregiving that have not yet received sufficient attention, including resources (e.g., services and supports) and positive caregiver and care recipient outcomes (e.g., positive mood and adaptation).
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Affiliation(s)
- Joseph E. Gaugler
- Division of Health Policy and Management, School of Public Health, The University of Minnesota, Minneapolis, MN, USA
| | | | | | - Jessica Finlay
- Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
| | - Sam Fazio
- Care and Support, Alzheimer's Association, Chicago, IL, USA
| | - Eric Jutkowitz
- Department of Health Services, Policy & Practice, School of Public Health, Brown University, Providence, RI, USA
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Choi M, Sohn M, Moon S, Choi M. The Moderating Role of Social Activity on Age Norms and Subjective Health Status of Older Adults: A Two-Stage Cluster Korea National Survey. Osong Public Health Res Perspect 2019; 10:145-151. [PMID: 31263663 PMCID: PMC6590873 DOI: 10.24171/j.phrp.2019.10.3.05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objectives This study aimed to examine how social activity (SA) moderates the relationship between age norms (AN) and subjective health status (SHS) among older adults in Korea. Based on the theories of age-integrated structure and active aging, the proposed hypotheses were that SHS has a positive association with attitudes towards AN, and with the interactions between different types of AN and SA. Methods Cross-sectional data from a Korean national survey of older adults were analyzed. Participants were older adults N = 10,451, of whom 10,280 were used in the study sample. Multivariate linear regression including interaction terms, was used to examine the associations among SHS, AN, and SA. Results The results of multivariate linear regression examining learning (ß = 0.066, p < 0.001), working (ß = 0.063, p < 0.001), and remarriage (ß = 0.036, p < 0.001) showed that those who perceived AN more positively, were more likely to have a high SHS. With interaction terms, those who had a positive attitude towards AN for learning and volunteering (ß = 0.025, p < 0.05), and remarriage and engaged in friendship groups (ß = 0.032, p < 0.05) were more likely to have a high SHS. Conclusion SA serves as a great moderator between AN and SHS.
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Yang Y, Zhang B, Meng H, Liu D, Sun M. Mediating effect of social support on the associations between health literacy, productive aging, and self-rated health among elderly Chinese adults in a newly urbanized community. Medicine (Baltimore) 2019; 98:e15162. [PMID: 31008936 PMCID: PMC6494366 DOI: 10.1097/md.0000000000015162] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 03/10/2019] [Accepted: 03/17/2019] [Indexed: 11/26/2022] Open
Abstract
With the growing urbanization of China, which has changed older adults' living conditions, lifestyle, and the source of support, coupled with rapid population aging, the health status of the elderly should be paid attention to. In addition to objective indicators such as the decline of function, specific factors, such as social support, health literacy, and productive aging, also have an impact on the health outcomes of the elderly. However, the interrelationships among these factors and their potential mechanisms in the context of urbanization remain unclear. Thus, this study was the first to explore the interrelationships among social support, health literacy, productive aging, and self-rated health in older adults living in a newly urbanized community in China.We aimed to investigate the mediating effect of social support on the associations between health literacy, productive aging, and self-rated health among elderly Chinese adults in a newly urbanized community to provide reference data for future health interventions for the elderly.This cross-sectional study was conducted between June and August 2013. Questionnaires on social support, health literacy, productive aging, and self-rated health were administered to 992 elderly residents. Structural equation models were used to examine the relationships among these 4 variables. Statistical analyses were performed using IBM SPSS Statistics 21.0 and Mplus 7.0.The mean scores for social support, health literacy, productive aging, and self-rated health were 34.5 ± 5.8, 13.6 ± 4.4, 11.3 ± 3.0, and 3.4 ± 0.7, respectively. Social support was directly related to self-rated health (β=0.119, 95% confidence interval [CI]: 0.041-0.198), while productive aging and health literacy had indirect associations with self-rated health via social support (β=0.071, 95% CI: 0.054-0.216; β=0.049, 95% CI: 0.066-0.183). Both productive aging (β=0.214, 95% CI: 0.047-0.381) and health literacy had direct associations with social support (β=0.327, 95% CI: 0.175-0.479), while health literacy had a direct association with productive aging (β=0.676, 95% CI: 0.604-0.748). Productive aging mediated the relationship between health literacy and social support.Overall, improving health outcomes among older adults requires enhancement of social support, along with consideration of productive aging and health literacy.
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Affiliation(s)
- Yikai Yang
- West China School of Public Health, Sichuan University, Chengdu, China
| | - Baiyang Zhang
- West China School of Public Health, Sichuan University, Chengdu, China
| | - Hongdao Meng
- School of Aging Studies, College of Behavioral and Community Sciences, University of South Florida
| | - Danping Liu
- West China School of Public Health, Sichuan University, Chengdu, China
| | - Min Sun
- No. 4 West China Teaching Hospital, Sichuan University, Chengdu, China
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Chui CHK, Chan OF, Tang JYM, Lum TYS. Fostering Civic Awareness and Participation Among Older Adults in Hong Kong: An Empowerment-Based Participatory Photo-Voice Training Model. J Appl Gerontol 2019; 39:1008-1015. [PMID: 30895866 DOI: 10.1177/0733464819838448] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Social and civic participation are important tenets for both the age-friendly city and active aging frameworks promoted by the World Health Organization. Yet older adults are often under-represented in civic affairs. This study examines the effects of using photo-voice as a method in facilitating older adults' civic participation. Specifically, an empowerment-based participatory photo-voice training model was implemented among older adults with limited formal education in Hong Kong. We conducted three focus groups comprising 12 older adults and one in-depth interview with a social worker. Findings revealed that photo-voice is an effective tool in capturing older adults' views that would have otherwise been difficult to articulate in words or in writing, and in enhancing older adults' ability and willingness to participate in community and civic affairs. These findings underscore the importance of using novel techniques to build a more inclusive society that incorporates the views of older adults.
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Affiliation(s)
- Cheryl Hiu-Kwan Chui
- Department of Social Work & Social Administration, The University of Hong Kong, Pokfulam, Hong Kong
| | - On Fung Chan
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong
| | - Jennifer Y M Tang
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong
| | - Terry Yat Sang Lum
- Department of Social Work & Social Administration, The University of Hong Kong, Pokfulam, Hong Kong
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Zhang W, Lacanienta J, Liu S, Wu B. Successful ageing or resilient ageing: perceptions from elderly Chinese in Hawai’i. ACTA ACUST UNITED AC 2019. [DOI: 10.1080/17525098.2018.1550863] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Wei Zhang
- Department of Sociology, University of Hawaiʻi at Mānoa, Honolulu, HI, USA
| | - Joy Lacanienta
- Department of Sociology, University of Hawaiʻi at Mānoa, Honolulu, HI, USA
| | - Sizhe Liu
- Department of Sociology, University of Hawaiʻi at Mānoa, Honolulu, HI, USA
| | - Bei Wu
- Rory Meyers College of Nursing, New York University, New York, NY, USA
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Tzioumis E, Avila J, Adair LS. Determinants of Successful Aging in a Cohort of Filipino Women. Geriatrics (Basel) 2019; 4:geriatrics4010012. [PMID: 31023980 PMCID: PMC6473400 DOI: 10.3390/geriatrics4010012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2018] [Revised: 01/04/2019] [Accepted: 01/06/2019] [Indexed: 11/27/2022] Open
Abstract
This study describes a multidimensional measure of successful aging (SA) and examines the relationship with chronic disease status and self-reported health. Using data from the 2015 Cebu Longitudinal Health and Nutrition Survey of 1568 Filipino women, we created a four domain measure of SA (physiological, mental health, cognitive, sociological). We explored age-stratified associations of each domain and total SA with various health behaviors, chronic disease status, and correlations with self-reported health measures. Both age groups reported aging well, but younger women had higher mean SA scores. Association patterns between domain and total SA and sociodemographic and health behaviors were similar across age groups. Physiological score was associated with hypertension for all ages, and with diabetes in younger women. Total SA was moderately correlated with self-reported health measures. Participants reported aging successfully despite chronic disease status. Future studies should use a multidimensional definition of SA which incorporates elders’ perspective.
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Affiliation(s)
- Emma Tzioumis
- Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
| | - Josephine Avila
- Office of Population Studies Foundation, Inc., University of San Carlos, Cebu City 6000, Philippines.
- Department of Graduate Architecture, School of Architecture, Fine Arts and Design, University of San Carlos, Cebu City 6000, Philippines.
| | - Linda S Adair
- Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
- Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27516, USA.
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Marks R. Successful Aging and Chronic Osteoarthritis. MEDICINES (BASEL, SWITZERLAND) 2018; 5:medicines5030105. [PMID: 30235816 PMCID: PMC6163800 DOI: 10.3390/medicines5030105] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Revised: 09/12/2018] [Accepted: 09/14/2018] [Indexed: 04/11/2023]
Abstract
Background: Aging is commonly accepted as a time period of declining heath in most cases. This review aimed to examine the research base concerning the use of the term 'successful aging', a process and outcome deemed desirable, but challenging to attain. A second was to provide related information to demonstrate how health professionals as well as individuals can aim for a 'successful aging' process and outcome, despite the presence of disabling osteoarthritis. Methods: Information specifically focusing on 'successful aging' and the concept of improving opportunities for advancing 'successful aging' despite osteoarthritis was sought. Results: Among the many articles on 'successful aging', several authors highlight the need to include, a broader array of older adults into the conceptual framework. Moreover, conditions such as osteoarthritis should not necessarily preclude the individual from attaining a personally valued successful aging outcome. Conclusions: Pursuing more inclusive research and research designs, and not neglecting to include people with chronic osteoarthritis can potentially heighten the life quality of all aging individuals, while reducing pain and depression, among other adverse aging and disability correlates among those with osteoarthritis.
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Affiliation(s)
- Ray Marks
- Department of Health and Behavior Studies, Columbia University, Teachers College, New York, NY 10027, USA.
- Department of Health, Physical Education & Gerontological Studies and Services, City University of New York, York College, New York, NY 11451, USA.
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Chen SN, Riner ME, Stocker JF, Hsu MT. Uses and Perspectives of Aging Well Terminology in Taiwanese and International Literature: A Systematic Review. J Transcult Nurs 2018; 30:64-74. [PMID: 29808712 DOI: 10.1177/1043659618776353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The aim of this study is to examine aging well (AW) terminology in Taiwan in its local and global contexts, and to suggest ways of communication by Taiwanese professionals that is sensitive to the lay public's preferences. Researchers conducted a systematic review using Khan et al.'s strategy, and Harden and Thomas' method, to sift through seven databases and synthesize diverse studies on AW. Primary aging well terms used in English and Chinese, their usage frequency in Taiwanese academia, and one term uniquely used by lay people in Taiwan were identified. The synthesized literature illustrated commonality as well as diversity in use and interpretation of aging well terms within Taiwanese society and compared with the Western-based research. More qualitative research is needed to explore how AW is experienced, interpreted, and expected from lay perspectives in Taiwan and other countries have primarily relied on translation and adaptation of Western terms in their scientific research.
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Affiliation(s)
- Shih-Ni Chen
- 1 Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Mary Elizabeth Riner
- 2 Indiana University-Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA
| | | | - Min-Tao Hsu
- 1 Kaohsiung Medical University, Kaohsiung, Taiwan
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Perceptions of Successful Aging among Older Adults in Bangladesh: An Exploratory Study. J Cross Cult Gerontol 2018; 32:191-207. [PMID: 28523474 DOI: 10.1007/s10823-017-9319-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
To analyze older adults' definitions of successful aging in Bangladesh. The purposively selected study sample comprised twelve participants who were aged over 60. Interviews using in-depth semi-structured questionnaires were conducted based on participants' chosen mode, either face-to-face, or by phone. Findings of this study support that successful aging is multidimensional - that is - for Bangladeshis successful aging encompasses dimensions such as adaptation to an aging body, financial security, family and intergenerational care, and social participation. Older adults' emphases on all these dimensions were qualitatively different from those relevant in western societies. Bangladeshis see disease and disability as a normal part of aging and do not emphasize freedom from disease or longevity as much as North Americans and the US-focused successful aging discourses do. Family care is a key component of successful aging in Bangladesh. While in western models functional independence has been emphasized, for Bangladeshi older adults' adaptations to changing body, co-residing with children, being financially, physically, and emotionally dependent on family and receiving their care are viewed as normal and appropriate. Cross-cultural comparisons in this study suggest that what it means and entails to age well differ across cultures. This study highlights the need among health professionals to understand Bangladeshi culture, with its specific beliefs and values, as it relates to the views of aging well.
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Aw S, Koh G, Oh YJ, Wong ML, Vrijhoef HJM, Harding SC, Geronimo MAB, Lai CYF, Hildon ZJL. Explaining the continuum of social participation among older adults in Singapore: from 'closed doors' to active ageing in multi-ethnic community settings. J Aging Stud 2017; 42:46-55. [PMID: 28918821 DOI: 10.1016/j.jaging.2017.07.002] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Accepted: 07/23/2017] [Indexed: 11/17/2022]
Abstract
OBJECTIVES This study aims to identify and explain the continuum in which older people in Singapore participate in community and social life, highlighting the influence of culture and policy context on social participation. METHODS Using an ethnographic approach in a neighbourhood (n=109), we conducted focus groups with older adults of different ethnicities, exploring experiences of social participation. Next, participants took 50 photographs relating to 'lives of elders', showcasing the socio-ecological context that influenced social participation. Lastly, go-along interviews were conducted in various precincts with community leaders. RESULTS A continuum of social participation emerged among older adults, ranging from (1) marginalization and exclusion, to (2) 'comfort-zoning' alone (3) seeking consistent social interactions, (4) expansion of social network, and (5) giving back to society. Seeking consistent social interactions was shaped by a preference for cultural grouping and ethnic values, but also a desire for emotional safety. Attitudes about expanding one's social network depended on the psychosocial adjustment of the older person to the prospect of gossip and 'trouble' of managing social relations. Despite the societal desirability of an active ageing lifestyle, cultural scripts emphasizing family meant older adults organized participation in social and community life, around family responsibilities. Institutionalizing family reliance in Singapore's welfare approach penalized lower-income older adults with little family support from accessing subsidies, and left some living on the margins. DISCUSSION To promote inclusiveness, ageing programs should address preferences for social participation, overcoming barriers at the individual, ethnic culture and policy level.
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Affiliation(s)
- Su Aw
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
| | - Gerald Koh
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
| | - Yeon Ju Oh
- National Information Society Agency, Seoul, Republic of Korea.
| | - Mee Lian Wong
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
| | - Hubertus J M Vrijhoef
- Department of Patient and Care, Maastricht University Medical Centre, The Netherlands; Department of Family Medicine, Vrije Universiteit Brussel, Belgium.
| | | | | | | | - Zoe J L Hildon
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore; London School of Hygiene and Tropical Medicine, Faculty of Public Health & Policy, Department of Global Health and Development, United Kingdom; Johns Hopkins Center for Communication Programs, Bloomberg School of Public Health, United States.
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18
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Zhang W, Wu YY. Individual educational attainment, neighborhood-socioeconomic contexts, and self-rated health of middle-aged and elderly Chinese: Exploring the mediating role of social engagement. Health Place 2017; 44:8-17. [PMID: 28103493 DOI: 10.1016/j.healthplace.2016.12.006] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Revised: 12/21/2016] [Accepted: 12/28/2016] [Indexed: 10/20/2022]
Abstract
Analyzing the 2011-2013 China Health and Retirement Longitudinal Study with 14,507 respondents from 393 neighborhoods, and applying generalized linear mixed-effects model, this study examines how individual-level education and neighborhood-socioeconomic contexts affect health through social engagement. Findings reveal that measures of social engagement-social activity and productive activity-are significantly related to self-rated health and partially mediate the effects of individual-level education. Neighborhood-socioeconomic contexts have independent effects on self-rated health beyond individual socio-demographics, and social activity mediates the effects of neighborhood recreational facilities. This study is among the first to simultaneously explore the health effects of individual and neighborhood-level socioeconomic conditions.
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Affiliation(s)
- Wei Zhang
- Department of Sociology, College of Social Sciences, University of Hawaii at Mānoa, 2424 Maile Way, Saunders Hall 239, Honolulu, HI 96822, USA.
| | - Yan Yan Wu
- Office of Public Health Studies, University of Hawai'i at Mānoa, United States.
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Cheung KSL, Lau BHP. Successful aging among Chinese near-centenarians and centenarians in Hong Kong: a multidimensional and interdisciplinary approach. Aging Ment Health 2016; 20:1314-1326. [PMID: 26313933 DOI: 10.1080/13607863.2015.1078281] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVES This study applied a multidimensional model on a continuum to examine successful aging (SA) and investigated whether SA is associated with biomedical and psychosocial-demographic factors among Hong Kong Chinese near-centenarians and centenarians. METHOD A cross-sectional data analysis was performed on a geographically representative sample of 120 near-centenarians and centenarians with an age range of 95-108 years. We developed an integrated and cumulative Successful Aging Index (SAI) based on participants' performance in four dimensions: (1) physical and functional health (PF), (2) psychological well-being and cognition (PC), (3) social engagement and family support (SF), (4) economic resources and financial security (EF). To examine the criterion validity of SAI, we conducted a multiple binary logistic regression with interviewer-rated health. A multiple regression model was ran to investigate the independent biomedical and psychosocial-demographic correlates of SAI. RESULTS Results show that only 5.8% of participants attained SA in all four dimensions. PF had the least achievers, whereas the proportion was the highest in PC. SAI was significantly associated with interviewer-rated health and a high level of high-density lipoprotein cholesterol. Living with family or friends, high level of optimism, fewer diseases, and barriers to social activities were independent predictors of SAI score. CONCLUSION In the light of the lack of consensus on the constituents and assessment of SA especially among very old adults, our findings add to the extant literature by underscoring the importance of the multidimensional nature and the utility of an integrated and cumulative-based assessment of SA at the extreme of longevity.
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Affiliation(s)
- Karen Siu-Lan Cheung
- a Department of Social Work and Social Administration and Sau Po Centre on Ageing , The University of Hong Kong , Hong Kong SAR , China
| | - Bobo Hi-Po Lau
- a Department of Social Work and Social Administration and Sau Po Centre on Ageing , The University of Hong Kong , Hong Kong SAR , China
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20
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Abstract
OBJECTIVES Successful aging continues to be applied in a variety of contexts and is defined using a number of different constructs. Although previous reviews highlight the multidimensionality of successful aging, a few have focused exclusively on non-biomedical factors, as was done here. METHODS This scoping review searched Ovid Medline database for peer-reviewed English-language articles published between 2006 and 2015, offering a model of successful aging and involving research with older adults. RESULTS Seventy-two articles were reviewed. Thirty-five articles met the inclusion criteria. Common non-biomedical constructs associated with successful aging included engagement, optimism and/or positive attitude, resilience, spirituality and/or religiosity, self-efficacy and/or self-esteem, and gerotranscendence. DISCUSSION Successful aging is a complex process best described using a multidimensional model. Given that the majority of elders will experience illness and/or disease during the life course, public health initiatives that promote successful aging need to employ non-biomedical constructs, facilitating the inclusion of elders living with disease and/or disability.
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Affiliation(s)
- Lisa F Carver
- Department of Sociology, Queen's University Kingston, ON, Canada
| | - Diane Buchanan
- School of Nursing, Queen's University Kingston, ON, Canada
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21
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Woo J, Leung J, Zhang T. Successful Aging and Frailty: Opposite Sides of the Same Coin? J Am Med Dir Assoc 2016; 17:797-801. [DOI: 10.1016/j.jamda.2016.04.015] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2016] [Accepted: 04/15/2016] [Indexed: 12/25/2022]
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22
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Cross-cultural comparison of successful aging definitions between Chinese and Hmong elders in the United States. J Cross Cult Gerontol 2015; 29:153-71. [PMID: 24710950 DOI: 10.1007/s10823-014-9231-z] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The purpose of the study was to elicit the definitions of successful aging according to Chinese and Hmong elders living in Milwaukee, WI. In-depth semi-structured interviews were conducted with 44 elders (Hmong n = 21 and Chinese n = 23). Findings show some similarities in the Chinese and Hmong elders' definitions though specific cultural differences exist. Chinese elders emphasized physical health and mobility, mental health, positive attitudes, shedding responsibilities, positive family relationships, financial stability, social engagement, religious faith, and accomplishments and volunteer work. Hmong elders emphasized physical health and mobility, mental health, harmonious relationships, positive family relationships, tangible family support, financial stability, social engagement, and religious faith. Cross-cultural comparisons of the findings highlight the cultural heterogeneity between these two subgroups. Implications for practice are discussed.
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Ji H, Ling J, McCarthy VL. Successful aging in the United States and China: a theoretical basis to guide nursing research, practice, and policy. J Transcult Nurs 2014; 26:129-36. [PMID: 24841471 DOI: 10.1177/1043659614526257] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Successful aging is gaining increasing attention given the growth in the older adult population. Criteria and definitions within multiple disciplines vary greatly in Western literature, with no consensus on its meaning. Sociocultural, economic, and political differences between the Western view of successful aging and its view in China add to the confusion. Similarities and differences in the meaning of successful aging in the United States and China are examined, and potential for a common definition useful to nursing in both countries is explored. Using concept analysis, shared criteria for successful aging were the following: decreased incidence of disease and disability, life satisfaction, meaning and purpose in life, and ability to cope effectively to achieve goals based on personal values and priorities. A comprehensive, multidimensional definition of successful aging for nursing and a midrange nursing theory of successful aging were identified that may be useful to guide nursing research, practice, and policy.
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Affiliation(s)
- Hong Ji
- Shandong Provincial Qianfoshan Hospital, Jinan, China
| | - Jiying Ling
- University of Louisville School of Nursing, Louisville, KY, USA
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Martinson M, Berridge C. Successful aging and its discontents: a systematic review of the social gerontology literature. THE GERONTOLOGIST 2014; 55:58-69. [PMID: 24814830 DOI: 10.1093/geront/gnu037] [Citation(s) in RCA: 199] [Impact Index Per Article: 19.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2014] [Accepted: 03/28/2014] [Indexed: 11/12/2022] Open
Abstract
PURPOSE OF THE STUDY The purpose of this study was to analyze the range of critiques of successful aging models and the suggestions for improvement as expressed in the social gerontology literature. DESIGN AND METHODS We conducted a systematic literature review using the following criteria: journal articles retrieved in the Abstracts in Social Gerontology, published 1987-2013, successful aging/ageing in the title or text (n = 453), a critique of successful aging models as a key component of the article. Sixty-seven articles met the criteria. Qualitative methods were used to identify key themes and inductively configure meanings across the range of critiques. RESULTS The critiques and remedies fell into 4 categories. The Add and Stir group suggested a multidimensional expansion of successful aging criteria and offered an array of additions. The Missing Voices group advocated for adding older adults' subjective meanings of successful aging to established objective measures. The Hard Hitting Critiques group called for more just and inclusive frameworks that embrace diversity, avoid stigma and discrimination, and intervene at structural contexts of aging. The New Frames and Names group presented alternative ideal models often grounded in Eastern philosophies. IMPLICATIONS The vast array of criteria that gerontologists collectively offered to expand Rowe and Kahn's original successful model is symptomatic of the problem that a normative model is by definition exclusionary. Greater reflexivity about gerontology's use of "successful aging" and other normative models is needed.
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Affiliation(s)
- Marty Martinson
- Department of Health Education, San Francisco State University, California.
| | - Clara Berridge
- School of Social Welfare, University of California, Berkeley
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25
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Chong AML, Rochelle TL, Liu S. Volunteerism and positive aging in Hong Kong: a cultural perspective. Int J Aging Hum Dev 2013; 77:211-31. [PMID: 24340873 DOI: 10.2190/ag.77.3.c] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
This study aims to examine factors related to volunteerism and explore the relationship between volunteerism and positive aging across three age groups. A total of 1,170 Hong Kong Chinese respondents aged between 15 years and 79 years were recruited for the study via a random household survey. Results found that age was negatively related to participation in voluntary work. Older adults aged 60 years to 75 years demonstrated the lowest volunteer participation rate compared with younger adults (aged 15 years to 39 years) and midlife adults (aged 40 years to 59 years). Paradoxically, older volunteers exhibited the highest frequency of volunteering, operationalized as spending 10 hours or more on volunteer work in the past month. Compared with younger and midlife adults, older adults were motivated to volunteer by societal concern and esteem enhancement. Participation in voluntary work was associated with three positive aging outcomes: good health, caring engagement with significant others, and productive engagement in the community. The findings suggest great potential in promoting volunteering in old age because older volunteers tend to contribute more hours than younger volunteers do, and volunteering is associated with positive aging.
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Affiliation(s)
| | | | - Susu Liu
- City University of Hong Kong, China
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26
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Johnson KJ, Mutchler JE. The emergence of a positive gerontology: from disengagement to social involvement. THE GERONTOLOGIST 2013; 54:93-100. [PMID: 24009172 DOI: 10.1093/geront/gnt099] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
The latter part of the 20th century was a period characterized by a fundamental transition in scholarship on activity and the aging process. Theory emphasizing the inevitable decline of human capacity was gradually replaced with concepts stressing positive, multidimensional views of aging. In this article, we highlight the key contributors and trace the origins and overlapping themes of successful aging, productive aging, and civic engagement in later life: 3 examples of scholarship representing a "positive" gerontology. Rowe and Kahn's model of successful aging highlights the interplay between social engagement with life, health, and functioning for a positive aging experience. Productive aging, led by Robert Butler, recognizes the previously underappreciated participation of older adults in activities such as volunteering, paid work, and caregiving, and generates interest in the individual and societal barriers to and benefits of participation. Civic engagement in later life raises public awareness about the need to involve older adults in the community, creates opportunities for participation, and generates further interest in the mutual benefit of participation for community beneficiaries and participants. Successful aging, productive aging, and civic engagement represent important contributions to the field of gerontology through applications to policy, advocacy, and theory development.
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Affiliation(s)
- Kimberly J Johnson
- *Address correspondence to Jan E. Mutchler, Department of Gerontology, University of Massachusetts Boston, 100 Morrissey Blvd., Boston, MA 02125. E-mail:
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Abstract
ABSTRACTThis paper provides an introduction to a special issue focusing on diverse examples of policy practice in social inclusion and ageing across different regions of the world. These examples illustrate the multifaceted nature of the concept of social inclusion, and how it is applied in the context of global demographic ageing. The paper begins with an exploration of the history and development of the concept of social inclusion, as applied to ageing policy, and how the concept has emerged following its initial association with economic disadvantage. Now commonly defined as relating to social participation in key activities of the society in which people live, a social inclusionary approach highlights the risks of social exclusion and isolation faced by older people. Social inclusion thus incorporates core issues in ageing such as civil engagement, an ageing workforce, age-friendly communities, and civic involvement. There are some particular challenges to implementing social inclusion policies within the current environment, which are addressed within this special issue, and these include the impact of social and cultural change, particularly across some of the East Asian countries, and the impact of global financial crises on work and retirement.
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Chong AML, Cheung CK, Woo J, Kwan AYH. Availability, use, and cultivation of support networks as predictors of the well-being of middle-aged and older Chinese: a panel study. ScientificWorldJournal 2012; 2012:978036. [PMID: 22645494 PMCID: PMC3354748 DOI: 10.1100/2012/978036] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2011] [Accepted: 12/17/2011] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES To examine the impact of the availability, use, and cultivation of a support network on the well-being of community-dwelling, middle-aged, and older Chinese. METHODS A total of 2,970 Hong Kong Chinese aged 40-74 years were interviewed using a structured questionnaire in 2004. Out of the original group of interviewees, 2,120 (71.4%) were interviewed again in 2005. RESULTS Structural equation modeling revealed a good fit of the model employing Wave 1 support network data and demographic characteristics to predict Wave 2 well-being. As hypothesized, the availability of important social ties and the cultivation of one's support networks were found to predict well-being one year later, but not the use of support networks to meet emotional, financial, or companion needs after controlling for demographic variables and baseline well-being. DISCUSSION Cultivating support networks can be interpreted as positive and active coping. Such cultivation is in line with what socioemotional selectivity theory predicts; specifically, when people age, they become more selective and concentrate on strengthening their relationship with those they are emotionally close to. We argue that network cultivation deserves more attention in theory, practice, and research to strengthen the resilience and adaptability of individuals approaching and experiencing old age.
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Affiliation(s)
- Alice Ming Lin Chong
- Department of Applied Social Studies, City University of Hong Kong, Tatchee Avenue, Hong Kong.
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