| Health and Quality of Life Outcomes | |
| Psychosocial factors for influencing healthy aging in adults in Korea | |
| KwuyBun Kim1  JongHee Han1  Hee Oh1  JaSung Gu1  YunJung Lee3  KyungHun Han2  | |
| [1] College of Nursing Science, Kyung Hee University Seoul, Korea, 1 Hoegi-dong, Dongdaemun-gu 130-701, Seoul, South Korea;Behavioral Science Research Center, Korea University, Seoul, South Korea, 136-701, 1, 5-ka, Anam-dong, Sungbuk-ku, Seoul, South Korea;College of Nursing, Seoul Women’s College of Nursing, 38 Ganhodae-ro, Seodaemun-gu, Seoul, South Korea | |
| 关键词: Loneliness; Leisure activities; Ego-integrity; Achievement; Self-esteem; Perceived heath status; Depression; Healthy aging; | |
| Others : 1144122 DOI : 10.1186/s12955-015-0225-5 |
|
| received in 2014-10-09, accepted in 2015-02-18, 发布年份 2015 | |
PDF
|
|
【 摘 要 】
Background
Healthy aging includes physical, psychological, social, and spiritual well-being in later years. The purpose of this study is to identify the psychosocial factors influencing healthy aging and examining their socio-demographic characteristics. Perceived health status, depression, self-esteem, self-achievement, ego-integrity, participation in leisure activities, and loneliness were identified as influential factors in healthy aging.
Methods
171 Korean adults aged between 45 and 77 years-old participated in the study. Self-reporting questionnaires were used, followed by descriptive statistics and multiple regressions as inferential statistical analyses.
Results
There were significant differences between participants’ general characteristics: age, education, religion, housing, hobby, and economic status. The factors related to healthy aging had positive correlation with perceived health status, self-esteem, self-achievements, and leisure activities, and negative correlation with depression and loneliness. The factors influencing healthy aging were depression, leisure activities, perceived health status, ego integrity, and self-achievements. These factors were able to explain 51.9%.
Conclusions
According to the results, depression is the factor with the greatest influence on healthy aging. Perceived health status, ego integrity, self-achievement, self-esteem, participation of leisure activities were also influential on healthy aging as beneficial factors.
【 授权许可】
2015 Han et al.; licensee BioMed Central.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20150330090443946.pdf | 420KB |
【 参考文献 】
- [1]Jang IH, Choe SJ: Social welfare for older persons in aging society. Seoul national University Press, Seoul; 2006.
- [2]Health Canada: Workshop on healthy aging. 2001. [http://publications.gc.ca/collections/Collection/H39-612-2002-1E.pdf]
- [3]Kim MR: Factors of successful aging affecting the life satisfaction of older women. J Korean Gerontolo Soc 2008, 28(1):33-48.
- [4]Chung SD: A comparative study on the successful aging for Korean elderly women and elderly men. J Korean Gerontol Soc 2007, 27(4):829-45.
- [5]Linda HK: A concept analysis of healthy aging. Nurs Forum 2005, 40(2):45-57.
- [6]Kim HK: Factors affecting successful aging among male elderly in Korea. J Converg Inform Technol 2013, 8(14):341-50.
- [7]Kim HK: Gender difference of the influencing factors on successful aging among rural community-dwelling Korean elders. J Korean Gerontol Soc 2012, 32(3):819-34.
- [8]Burke GL, Arnold AM, Bild DE, Cushman M, Fried LP, Newman A, et al.: Factors associated with healthy aging: the cardiovascular healthy study. J Am Geriatric Soc 2001, 49:254-62.
- [9]Mossey JM, Shapiro E: Self-rated health: a predictor of mortality among the elderly. Am J Public Health 1982, 72(8):800-8.
- [10]Orth U, Robinson RW, Widaman KF: Life-span development of self-esteem and its effects on important life outcomes. Person Processes Ind Differ 2012, 102(6):1271-88.
- [11]Cha NH, Seo EJ, Sok SR: Factors influencing the successful aging of older Korean adults. Contemp Nurse 2012, 41(1):78-87.
- [12]Pender NJ: Health promotion in nursing practice. 2nd edition. Appleton & Lange, Norwalk, CT; 1987.
- [13]Wang JJ, Zhou DH, Li J, Zhang M, Deng J, Tang M, et al.: Leisure activity and risk of cognitive impairment: the Chongqing aging study. Neurology 2006, 66(6):911-3.
- [14]Di Pietro L: Physical activity in aging: changes in patterns and their relationship to health and function. J Gerontol A Biol Sci Med Sci 2001, 56(suppl 2):13-22.
- [15]Wang HX, Karp A, Winblad B, Fratiglioni L: Late-life engagement in social and leisure activities is associated with a decreased risk of dementia: a longitudinal study from the Kungsholmen project. Am J Epidemiol 2002, 155(12):1081-7.
- [16]Demura S, Sato S: Relationships between depression, lifestyle and quality of life in the community dwelling elderly: a comparison between gender and age groups. J Physiol Anthropol Appl Hum Sci 2003, 22(3):159-66.
- [17]Beekman AT, Deega DJ, van Tilburg T, Smit JH, Hooijera C, van Tilburg W: Major and minor depression in later life: a study of prevalence and risk factors. J Affect Disord 1995, 36:65-75.
- [18]Van Der Horst RK, Mclaren S: Social relationship as predictors depression and suicidal ideation in older adults. Aging Mental Health 2005, 9:517-25.
- [19]Cacioppo JT, Hughes ME, Waite LJ, Hawkley LC, Thisted RA: Loneliness as a specific risk factor for depressive symptoms: cross-sectional and longitudinal analyses. Psychol Aging 2006, 21(1):140-51.
- [20]Erikson EH: Childhood and society. 2nd edition. Norton, New York; 1963.
- [21]Hanah MT, Domino G, Figueredo AJ, Hendrickson R: The prediction of ego integrity in older persons. Educ Psychol Meas 1996, 56(5):930-50.
- [22]Jaes JB, Zarrett N: Ego integrity in the lives of older women: a followup of mothers from the Sears, Maccoby, and Levin (1951) patterns of child rearing study. J Adults Dev 2005, 12(4):155-67.
- [23]Torges CM, Stewart AJ, Ducan LE: Achieving ego integrity: personality development in late midlife. J Res Pers 2008, 42:1004-19.
- [24]Gourinchas PO, PARKER JA: Consumption over the life cycle. Econometrica 2002, 70(1):47-89.
- [25]Faul F, Erdfelder E, Buchner A, Lang AG: Statistical power analyses using G*power 3.1: tests for correlation and regression analyses. Behav Res Methods 2009, 41(4):1149-60.
- [26]Ko DS: Development of the scale for healthy aging. J Korean Gerontol Soc 2009, 29(1):117-34.
- [27]Sung MS, Kim CN: A correlation study on spiritual wellbeing, hope and perceived health status of the elderly. J Korean Commun Nurs 1999, 10(1):53-69.
- [28]Lawston MP, Moss M, Fulcomer M, Kleban MH: A research and service oriented multilevel assessment instrument. J Geronotol 1982, 37:91-9.
- [29]Jeon BJ: Study on the self-concept and possibility of measurement. Yonsei J 1974, 11:107-29.
- [30]Kee BS: A preliminary study for the standardization of geriatric depression scale short form-Korea version. J Korean Neuropsychiatric Assoc 1996, 35(2):298-307.
- [31]Kim JS: A study of social activities and ego integrity of the aged. Nurs Sci 1989, 1:31-50.
- [32]Roh HJ. A study on the perception of self-realization through leisure dance activities of adult women. Master’s thesis, Joong-Ang University; 2001.
- [33]Seok MR. The influencing of physical ability and sociability of the aged on the participation and satisfaction of leisure. PhD thesis, Keimyung University; 2005.
- [34]Wythers MR: Loneliness among residents in homes for elderly. University of Nebraska, Lincoln; 1974.
- [35]Maeng HJ. The loneliness of old age. Master’s thesis, Sukmyung Women’s University; 1985.
- [36]Erikson EH: Life history and historical moment. Norton, New York; 1976.
- [37]Havighurst RJ, Neugarten BL, Tobin SS: Personality and patterns of aging. In Middle age and aging: a reader in social psychology. Edited by Neugarten BL. University of Chicago Press, Chicago; 1968:161-72.
- [38]Forman DE, Berman AD, McCabe CH, Baim DS, Wei JY: PTCA in the Elderly: the ‘young-old’ versus the ‘old-old’. J Am Geriatric soc 1992, 40(1):19-22.
- [39]Kim KY, Jung YJ: The study on elements of successful aging by Physical health and economic status. J Wellfare Aged 2006, 34:31-54.
- [40]Paik JE, Choi HK: Successful aging according to Korean elderly: the definition, types, and predicting variables. J Korean Home Manage Assoc 2005, 23(3):1-16.
- [41]Shin YH, Lee HJ: Factors associated with successful aging of Korean older people living in a city. J Korean Gerontol Soc 2009, 29(4):1327-40.
- [42]Vaillant GE, Mukamal K: Successful aging. Am J Psychiatr 2001, 158(6):839-47.
- [43]Kim KH, Kim JH: A structural analysis of successful aging factors for Korean elderly. J Korean Gerontological Soc 2009, 29(1):71-87.
- [44]Choi HK, Paik JE, Seo SY: The perception of successful aging among Korean elderly. J Korean Home Manage Assoc 2005, 23(2):1-10.
- [45]Lee SY: A comparative study on the perception of the successful aging between women and men. Gender Culture 2010, 3(1):99-103.
- [46]Hong HB: Successful aging and religiosity among the aged. J Korean Gerontol Soc 2002, 22(3):245-59.
- [47]Neugarten BL: The changing meanings of age. Psychogeriatrics East Hanover 1994, 2:10.
- [48]Ory M, Liles C, Lawler K: Building healthy communities for active aging: a national recognition program. J Am Soc Aging 2010, 33(4):82-4.
- [49]Johnson CL, Barer BM: Life beyond 85 years: the aura of survivorship. Springer, New York; 1997.
- [50]Rowe JW, Kahn RL: Human aging: usual and successful. Science 1987, 237:143-9.
- [51]Wagnild G: Resilience and successful aging: comparison among low and high income older adults. J Gerontol Nurs 2003, 29:42-9.
- [52]Baltes PB, Baltes MM: Successful aging: perspectives from the behavioral sciences. Cambridge University Press, New York; 1990.
- [53]Glass TA: Assessing the success of successful aging. Ann Intern Med 2003, 139:382-3.
- [54]Young Y, Frick KD, Phelan EA: Can successful aging and chronic illness coexist in the same individual? A multidimensional concept of successful aging. J Am Med Direc Assoc 2009, 10:87-92.
- [55]Chang HK, Sohn JN, Cha BK: Influencing factors on ego-integrity of the aged. J Korean Acad Psychiatric Mental Health Nurs 2004, 13(1):64-71.
- [56]Nehrke MF, Hulicka IM, Morganti JD: Age difference in life satisfaction, locus of control, and self-concept. Int J Aging Hum Dev 1984, 11(1):25-33.
- [57]Fishman S: Relationships among an older adult’s life review, ego integrity, and death anxiety. Int Psychogeriatr 1992, 4:267-77.
- [58]Wagner KD, Lorion RP, Shipley ET: Insomnia and psychosocial crisis: Two studies of Erikson’s developmental theory. J Consult Clin Psychol 1983, 51:595-603.
- [59]de Guzman AB, Shim HE, Sia CKM, Siazon WHS, Sibal MJAP, Siglos JBLC, et al.: Ego integrity of older people with physical disability and therapeutic recreation. Educ Gerontol 2011, 37:265-91.
- [60]Erikson EH, Erikson JM, Kivnick HQ: Vital involvements in old age. Norton, New York; 1980.
- [61]Ng TP, Broekman BFP, Niti M, Gwee X, Kua EH: Determinants of successful aging using a multidimensional definition among Chinese elderly in Singapore. Am J Geriatr Psychiatr 2009, 17(5):407-16.
- [62]Li C, Wu W, Jin H, Zhang X, Xue H, He Y, et al.: Successful aging in Shanghai, China: definition distribution and related factors. Int Psychogeriatr 2006, 18(3):551-63.
- [63]Cosco TD, Prina AM, Perales J, Stephan BCM, Brayne C: Operational definitions of successful aging: a systematic review. Int Psychogeriatric Assoc 2014, 26(3):373-81.
- [64]Lee YK, Chung KH, Yeom JH, Yu HY, Lee EJ: Analysis and projection of changes in the lives of elderly Koreans: a research report. The Korea Institute for Health and Social Affairs, Seoul; 2010.
- [65]Kahn EB, Ramsey LT, Brown RC, Heath GW, Howze EH, Powell KE, et al.: The effectiveness of interventions to increase physical activity. Am J Prev Med 2002, 22(4):73-107.
- [66]Strawbridge WJ, Deleger S, Roberts RE, Kaplan GA: Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol 2002, 156(4):328-34.
- [67]Guralnik JM, LaCroix AZ, Abbott RD, Berkman LF, Satterfield S, Evans DA, et al.: Maintaining mobility in late life. I. Demographic characteristics and chronic conditions. Am J Epidemiol 1993, 137(8):845-57.
- [68]Seeman TE, Lusignolo TM, Albert M, Berkman L: Social relationships, social support, and patterns of cognitive aging in healthy, high-functioning older adults: MacArthur studies of successful aging. Health Psychol 2001, 20(4):243-55.
- [69]Carlson JA, Sallis JF, Saelens BE, Frank LD, Kerr J, Cain KL, et al.: Interactions between psychosocial and built environment factors in explaining older adults’ physical activity. Prev Med 2012, 54(1):68-73.
- [70]van Cauwenberg J, de Bourdeaudhuij I, de Meester F, van Dyck D, Salmon J, Clarys P, et al.: Relationship between the physical environment and physical activity in older adults: a systematic review. Health Place 2010, 17(2):458-69.
PDF