Shafiee Mohsen, Hazrati Maryam, Motalebi Seyedeh Ameneh, Gholamzade Sakineh, Ghaem Haleh, Ashari Asmidawati
Department of Nursing Geriatric, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of nursing, Abadan University of Medical Sciences, Abadan, Iran.
Med J Islam Repub Iran. 2020 Oct 19;34:139. doi: 10.34171/mjiri.34.139. eCollection 2020.
Successful aging is a prominent and worldwide theme in gerontology. However, until recently, only few studies were conducted about successful aging in Iran. This study examined whether a healthy lifestyle could predict successful aging among older Iranians. This cross sectional and descriptive study included 975 older Iranians who were selected through a multistage cluster-quota method from the health centers of Shiraz, Iran. A 5-part questionnaire, including demographic characteristics, the Seniors' Healthy Lifestyle, Barthel Index, the Diner Life Satisfaction and Quality of Life, was used to collect the data. A logistic regression analysis was used in data analysis; data were analyzed using SPSS 21; and significance level was set at α = 0.05. The prevalence of successful aging among older Iranians was calculated at 24.0%. Results of multiple logistic regression analysis revealed that age (95% CI = 1.129- 1.702 and OR = 1.352), gender (95% CI = 0.412-0.764 and OR = 0.687), education level (95% CI = 1.443 - 1.699 and OR = 1.454), job (95% CI = 1.063-1.413 and OR = 1.185), monthly income (95% CI = 1.355-4.055 and OR = 2.272), insurance (95% CI = 0.344-0.842 and OR = 0.540), source of income (95% CI = 1.014-1.298 and OR = 1.145), and healthy lifestyle (95% CI = 0.772 - 0.858 and OR = 0.814) were predictors for successful aging. Findings indicated that successful agers were mostly younger men, with higher education level and monthly income, who had insurance and a job and a healthy lifestyle. Thus, to age successfully, one must maintain and improve healthy lifestyle to prolong one's health.
成功老龄化是老年学领域一个突出且全球性的主题。然而,直到最近,伊朗关于成功老龄化的研究仍寥寥无几。本研究探讨了健康的生活方式是否能够预测伊朗老年人的成功老龄化。这项横断面描述性研究纳入了975名伊朗老年人,他们是通过多阶段整群配额抽样法从伊朗设拉子的健康中心选取的。使用一份包含人口统计学特征、老年人健康生活方式、巴氏指数、饮食生活满意度和生活质量的五部分问卷来收集数据。数据分析采用逻辑回归分析;数据使用SPSS 21进行分析;显著性水平设定为α = 0.05。伊朗老年人成功老龄化的患病率经计算为24.0%。多元逻辑回归分析结果显示,年龄(95%置信区间 = 1.129 - 1.702,比值比 = 1.352)、性别(95%置信区间 = 0.412 - 0.764,比值比 = 0.687)、教育水平(95%置信区间 = 1.443 - 1.699,比值比 = 1.454)、工作(95%置信区间 = 1.063 - 1.413,比值比 = 1.185)、月收入(95%置信区间 = 1.355 - 4.055,比值比 = 2.272)、保险(95%置信区间 = 0.344 - 0.842,比值比 = 0.540)、收入来源(95%置信区间 = 1.014 - 1.298,比值比 = 1.145)以及健康生活方式(95%置信区间 = 0.772 - 0.858,比值比 = 0.814)是成功老龄化的预测因素。研究结果表明,成功老龄化的人群大多是较年轻的男性,具有较高的教育水平和月收入,拥有保险、工作以及健康的生活方式。因此,为了成功老龄化,人们必须保持并改善健康的生活方式以延长健康寿命。