Evaluation of successful aging among older people in China: Results from China health and retirement longitudinal study.

Liu, H; Byles, JE; Xu, X; Zhang, M; Wu, X; Hall, JJ

Evaluation of successful aging among older people in China: Results from China health and retirement longitudinal study.

Liu, H Byles, JE Xu, X

Zhang, M Wu, X Hall, JJ

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Geriatrics and Gerontology International, 2017, 17, (8), pp. 1183-1190
Issue Date:: 2017-08

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Field	Value	Language
dc.contributor.author	Liu, H
dc.contributor.author	Byles, JE
dc.contributor.author	Xu, X https://orcid.org/0000-0003-4787-6547
dc.contributor.author	Zhang, M
dc.contributor.author	Wu, X
dc.contributor.author	Hall, JJ
dc.date.accessioned	2022-09-09T05:39:58Z
dc.date.available	2016-05-22
dc.date.available	2022-09-09T05:39:58Z
dc.date.issued	2017-08
dc.identifier.citation	Geriatrics and Gerontology International, 2017, 17, (8), pp. 1183-1190
dc.identifier.issn	1444-1586
dc.identifier.issn	1447-0594
dc.identifier.uri	http://hdl.handle.net/10453/161586
dc.description.abstract	AIM: China faces a "time-bomb" of the aging population. Successful aging has long been a goal in the field of gerontology. The present study aimed to evaluate successful aging among Chinese older adults. METHODS: Data on a total of 7102 people in the China Health and Retirement Study aged ≥60 years were analyzed in the present study. Successful aging is defined by the model of Rowe and Kahn including the following five indicators: "no major diseases," "no disability," "high cognitive functioning," "high physical functioning" and "active engagement with life." Using logistic regression analysis, crude and adjusted odds ratios with 95% confidence intervals were calculated to evaluate the relationship between sociodemographic parameters and successful aging. RESULTS: The prevalence of successful aging was 13.2% among Chinese older people. The percentage of older people with the five indicators, "no major diseases," "no disability," "high cognitive functioning," "high physical functioning," and "active engagement with life" was 41.7%, 92.1%, 54.2%, 70.2% and 46.0%, respectively. Multiple logistic regression showed people who had received education of high/vocational school or above had significantly greater odds of successful aging compared with those with less than primary school education (P < 0.05). The effect of education to college level or above on cognitive functioning was 2.51-fold higher in women than men (P = 0.006). Older people from a non-agricultural Hukou had 1.85-fold higher odds of successful aging than those from an agricultural Hukou. Older people living in the central, northeast or western regions had lower odds of successful aging relative to those living in the east coast region (0.72, 0.72 and 0.56, respectively). CONCLUSIONS: The prevalence of successful aging is low among Chinese older people, and is affected by sociodemographic factors, such as education, Hukou and regions. Geriatr Gerontol Int 2017; 17: 1183-1190.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Geriatrics and Gerontology International
dc.relation.isbasedon	10.1111/ggi.12848
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences
dc.subject.classification	Gerontology
dc.subject.mesh	Aged
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Aging
dc.subject.mesh	China
dc.subject.mesh	Cognition Disorders
dc.subject.mesh	Confidence Intervals
dc.subject.mesh	Disability Evaluation
dc.subject.mesh	Educational Status
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Logistic Models
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Multivariate Analysis
dc.subject.mesh	Needs Assessment
dc.subject.mesh	Physical Fitness
dc.subject.mesh	Quality of Life
dc.subject.mesh	Retirement
dc.subject.mesh	Risk Assessment
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Aged
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Aging
dc.subject.mesh	China
dc.subject.mesh	Cognition Disorders
dc.subject.mesh	Confidence Intervals
dc.subject.mesh	Disability Evaluation
dc.subject.mesh	Educational Status
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Logistic Models
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Multivariate Analysis
dc.subject.mesh	Needs Assessment
dc.subject.mesh	Physical Fitness
dc.subject.mesh	Quality of Life
dc.subject.mesh	Retirement
dc.subject.mesh	Risk Assessment
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Humans
dc.subject.mesh	Disability Evaluation
dc.subject.mesh	Multivariate Analysis
dc.subject.mesh	Confidence Intervals
dc.subject.mesh	Logistic Models
dc.subject.mesh	Risk Assessment
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Cognition Disorders
dc.subject.mesh	Aging
dc.subject.mesh	Quality of Life
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Needs Assessment
dc.subject.mesh	Physical Fitness
dc.subject.mesh	Retirement
dc.subject.mesh	Aged
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Middle Aged
dc.subject.mesh	Educational Status
dc.subject.mesh	China
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.title	Evaluation of successful aging among older people in China: Results from China health and retirement longitudinal study.
dc.type	Journal Article
utslib.citation.volume	17
utslib.location.activity	Japan
utslib.for	1103 Clinical Sciences
utslib.for	1103 Clinical Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-09-09T05:39:56Z
pubs.issue	8
pubs.publication-status	Published
pubs.volume	17
utslib.citation.issue	8

Abstract:

AIM: China faces a "time-bomb" of the aging population. Successful aging has long been a goal in the field of gerontology. The present study aimed to evaluate successful aging among Chinese older adults. METHODS: Data on a total of 7102 people in the China Health and Retirement Study aged ≥60 years were analyzed in the present study. Successful aging is defined by the model of Rowe and Kahn including the following five indicators: "no major diseases," "no disability," "high cognitive functioning," "high physical functioning" and "active engagement with life." Using logistic regression analysis, crude and adjusted odds ratios with 95% confidence intervals were calculated to evaluate the relationship between sociodemographic parameters and successful aging. RESULTS: The prevalence of successful aging was 13.2% among Chinese older people. The percentage of older people with the five indicators, "no major diseases," "no disability," "high cognitive functioning," "high physical functioning," and "active engagement with life" was 41.7%, 92.1%, 54.2%, 70.2% and 46.0%, respectively. Multiple logistic regression showed people who had received education of high/vocational school or above had significantly greater odds of successful aging compared with those with less than primary school education (P < 0.05). The effect of education to college level or above on cognitive functioning was 2.51-fold higher in women than men (P = 0.006). Older people from a non-agricultural Hukou had 1.85-fold higher odds of successful aging than those from an agricultural Hukou. Older people living in the central, northeast or western regions had lower odds of successful aging relative to those living in the east coast region (0.72, 0.72 and 0.56, respectively). CONCLUSIONS: The prevalence of successful aging is low among Chinese older people, and is affected by sociodemographic factors, such as education, Hukou and regions. Geriatr Gerontol Int 2017; 17: 1183-1190.

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http://hdl.handle.net/10453/161586