Li Chunbo, Wu Wenyuan, Jin Hua, Zhang Xu, Xue Haibo, He Yanling, Xiao Shifu, Jeste Dilip V, Zhang Mingyuan
Department of Psychiatry, Tongji Hospital of Tongji University, Shanghai, China.
Int Psychogeriatr. 2006 Sep;18(3):551-63. doi: 10.1017/S1041610205002966. Epub 2006 Feb 15.
There are few studies of successful aging in China. This study was designed to investigate the distribution, and related factors, of successful aging in an elderly Chinese population.
A cross-sectional, community-dwelling elderly population was surveyed in Shanghai, China. We defined successful aging based on a multi-dimensional model. Correlates of successful aging were explored through the Shanghai Successful Aging Project Questionnaire, which includes sociodemographic questions, and a battery of standardized instruments, including the Chinese version of the Mini-mental State Examination, activities of daily living, and the Life Satisfaction Index A (LSIA).
The rate of successful aging was 46.2% [95% confidence interval (CI) 43.6-48.7] among people aged 65 or above, and the rate for males was higher than that for females. The rate was much lower for those aged 85 years or over (9.4%). Logistic regression analysis suggested that female gender and older age were unfavorable factors for successful aging. A higher score on the LSIA, more leisure activities and being currently married related to successful aging.
The rate of successful aging in Shanghai, China is similar to that found in studies from western countries. There are some potentially modifiable factors that may relate to successful aging.
中国关于成功老龄化的研究较少。本研究旨在调查中国老年人群中成功老龄化的分布情况及相关因素。
在中国上海对一个居住在社区的老年人群进行了横断面调查。我们基于多维模型定义成功老龄化。通过上海成功老龄化项目问卷探索成功老龄化的相关因素，该问卷包括社会人口学问题以及一系列标准化工具，包括中文版简易精神状态检查表、日常生活活动能力和生活满意度指数A（LSIA）。
65岁及以上人群中成功老龄化的比例为46.2%[95%置信区间（CI）43.6 - 48.7]，男性比例高于女性。85岁及以上人群的比例则低得多（9.4%）。逻辑回归分析表明，女性和高龄是成功老龄化的不利因素。LSIA得分较高、休闲活动较多以及当前已婚与成功老龄化相关。
中国上海的成功老龄化比例与西方国家的研究结果相似。存在一些可能与成功老龄化相关的潜在可改变因素。
