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Active ageing among elderly community members: structural equation modeling analysis
Nayara Gomes Nunes Oliveira1, Darlene Mara Dos Santos Tavares1
1Universidade Federal do Triângulo Mineiro. Uberaba, Minas Gerais, Brazil.
Revista Brasileira De Enfermagem
|October 28, 2020
Summary
Active ageing in the elderly is significantly influenced by social and health services, alongside personal and behavioral factors. Satisfaction with healthcare access and self-rated health are key drivers for healthy aging.
Area of Science:
- Gerontology
- Public Health
- Sociology
Background:
- The World Health Organization (WHO) provides a framework for active ageing.
- Understanding the determinants of active ageing is crucial for community-dwelling elderly populations.
Purpose of the Study:
- To propose a structural model for active ageing among community-dwelling elderly.
- To identify key determinants influencing active ageing within this population.
Main Methods:
- A cross-sectional, analytical study involving 957 elderly participants.
- Confirmatory factor analysis and structural equation modeling were employed.
Main Results:
- The final model included six determinants: behavioral (R²=0.66), personal (R²=0.74), physical environment (R²=0.70), social (R²=0.77), economic (R²=0.44), and social and health services (R²=0.95).
- Social and health services demonstrated the strongest association with active ageing (λ=0.97; p<0.001).
- The measurement model exhibited good adjustment quality.
Conclusions:
- Satisfaction with access to health services is a primary contributor to active ageing.
- Positive self-assessment of health status significantly enhances active ageing in the elderly.
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