Teater Barbra, Chonody Jill M
Department of Social Work, College of Staten Island, City University of New York, Staten Island, New York, USA.
School of Social Work, Boise State University, Boise, Idaho, USA.
Soc Work Health Care. 2020 Mar;59(3):161-179. doi: 10.1080/00981389.2020.1731049. Epub 2020 Feb 26.
Older adults' experiences and perspectives have been missing in the quest to develop a unified definition of successful aging. Through an online survey using convenience sampling, respondents ( = 477) were asked to report how important 25 specific attributes of successful aging, originating from published literature that examined successful aging from the perspective of older adults, were to them as they age. Over 90% of respondents reported 11 attributes as important or very important to them as they age, which included "remaining free of chronic diseases" and "feeling good about myself." A factor analysis ( = 462) resulted in four dimensions explaining 57.06% of the variance: Adaptation and Coping; Being Healthy; Self-Determination; and Social Relationships and Interactions. The findings revealed older adults' definition of what is important to them as they age is multidimensional, with having access to affordable health care and remaining alert and mentally active as critical elements followed by elements of self-determination, coping, and physical and social health. Future research should replicate the study with diverse populations to continue to refine a definition of successful aging that could influence program development and intervention approaches in health and social services.
在寻求制定成功老龄化统一定义的过程中,老年人的经历和观点一直被忽视。通过一项采用便利抽样的在线调查,要求受访者(n = 477)报告从老年人视角审视成功老龄化的已发表文献中所提及的25个成功老龄化具体属性,在他们衰老过程中对其的重要程度。超过90%的受访者报告称,有11个属性在他们衰老过程中对其来说重要或非常重要,其中包括“没有慢性病”和“自我感觉良好”。一项因素分析(n = 462)得出了四个维度,解释了57.06%的方差:适应与应对;保持健康;自我决定;以及社会关系与互动。研究结果表明,老年人对衰老过程中对自己重要之事的定义是多维度的,获得可负担的医疗保健以及保持警觉和思维活跃是关键要素,其次是自我决定、应对以及身体和社会健康等要素。未来的研究应以不同人群重复该研究,以继续完善成功老龄化的定义,这可能会影响健康和社会服务中的项目开发及干预方法。