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Development and Validation of a Healthy Aging Scale: A Preliminary Study in Beijing
Haiping Chen1, Wanlin Zhao2, Minmin Luo3
1Department of Sociology, Peking University, Beijing, China.
Social Work in Public Health
|October 21, 2025
Summary
A new Healthy Aging Scale (HAS) was developed for Chinese elders, measuring physical, cognitive, daily living, psychological, and social factors. This validated scale aids in promoting healthy aging services.
Area of Science:
- Gerontology
- Psychometrics
- Public Health
Background:
- Healthy aging is a critical aspect of gerontological research.
- Assessing healthy aging requires culturally relevant and validated instruments.
- Existing scales may not fully capture the multidimensional aspects of healthy aging in diverse populations.
Purpose of the Study:
- To develop and validate a Healthy Aging Scale (HAS) specifically for Chinese elders.
- To identify the key domains contributing to healthy aging in this population.
- To provide a reliable tool for assessing healthy aging in social work practice.
Main Methods:
- Purposive sampling of 367 older adults in Beijing.
- Exploratory factor analysis (EFA) to determine scale structure.
- Reliability tests (internal consistency) and hierarchical regression (criterion-related validity).
Main Results:
- The HAS was refined from 51 to 46 items.
- A robust five-factor structure emerged: physical functioning, cognitive functioning, activities of daily living, psychological well-being, and social engagement.
- The HAS demonstrated high internal consistency reliability and criterion-related validity.
Conclusions:
- The developed Healthy Aging Scale (HAS) is a reliable and valid instrument for assessing healthy aging in Chinese elders.
- The HAS effectively measures five key dimensions of healthy aging.
- This scale can be utilized in social work services to promote healthy aging initiatives.

