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Multifaceted changes and mortality in older people: A longitudinal study in Taiwan
Huei-Jia Tzeng1,2, Miaw-Chwen Lee1
1Department of Social Welfare, National Chung Cheng University, Chia-Yi, Taiwan.
Geriatrics & Gerontology International
|June 16, 2016
Summary
Positive changes in health, life satisfaction, and social engagement are linked to lower mortality in older adults. Focusing on these multifaceted changes is key for successful aging and improved quality of life in later years.
Area of Science:
- Gerontology and Public Health
- Sociology of Aging
Background:
- Global life expectancy has risen, increasing the focus on healthy aging and independence in older populations.
- Resilience in aging is crucial for maintaining quality of life and autonomy in later years.
Purpose of the Study:
- To investigate multifaceted changes in older adults in Taiwan.
- To examine the association between these changes and mortality risk.
Main Methods:
- Utilized data from the Survey of Health and Living Status of the Elderly in Taiwan (1989 and 1993).
- Analyzed changes in chronic conditions, self-rated health, daily activities, depression, life satisfaction, social engagement, and religious activity.
- Employed logistic regressions and Cox proportional hazard models to assess associations with mortality.
Main Results:
- Positive changes observed in 47-78% of indicators, with religious activity being the highest.
- Lower probabilities of positive changes were noted in men, singles, less educated, and older individuals.
- Positive changes in self-rated health, daily activities, life satisfaction, and religious activity were associated with significantly lower mortality rates.
Conclusions:
- Multifaceted changes are significant predictors of mortality in old age.
- All aspects of change, including health, social, and psychological factors, are important for designing effective aging policies.
- Promoting well-being across various domains supports active and successful aging.
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