Risk Management and Healthcare Policy (Sep 2021)
Successful Aging Among Community-Dwelling Older Adults in Urban Areas of Liaoning Province: The Crucial Effect of Visual Ability
Abstract
Li Liu,1,2 Tianjiao Zhang,3 Shuang Li,1,2 Guowei Pan,3 Lingjun Yan,3 Wei Sun3 1Institute of Preventive Medicine, China Medical University, Shenyang, Liaoning, 110122, People’s Republic of China; 2Institute of Chronic Diseases, Liaoning Provincial Center for Disease Control and Prevention, Shenyang, Liaoning, 111200, People’s Republic of China; 3Research Center for Universal Health, School of Public Health, China Medical University, Shenyang, Liaoning, 110122, People’s Republic of ChinaCorrespondence: Wei SunResearch Center for Universal Health, School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning, 110122, People’s Republic of ChinaTel +862431939406Email [email protected]: Successful aging is an effective approach to coping with population aging; however, the definition and associated factors vary due to culture and demographic distribution differences. This study was designed to assess successful aging of the older adults in China and explore the associated factors.Methods: A community-based cross-sectional study was performed in Liaoning, China. After double-cognitive function screening, 3558 older adults (1656 males and 1902 females) ≥ 65 years of age served as our subjects. Successful aging was assessed based on the following: physical disability; cognitive function; activities of daily living; and self-rated psychological/mood status.Results: The rate of successful aging was 31.7% in males and 29.4% in females. After adjustment for age, multivariate logistic regression showed that successful aging was significantly associated with, in odds ratio sequence, visual ability, self-rated chronic disease, marital status, and filial piety in males, and with visual ability, self-rated chronic disease, watching television, and ethnicity in females.Conclusion: The level of successful aging in China is lower than in other countries. Demographic characteristics, health status, individual behavior, and social-psychological factors are all associated with successful aging. Overall, visual ability had the most crucial role in successful aging for the older adults, whether males or females.Keywords: associated factors, older adults, epidemiology, successful aging, visual ability
