Abstract
This study describes a multidimensional measure of successful aging (SA) and examines the relationship with chronic disease status and self-reported health. Using data from the 2015 Cebu Longitudinal Health and Nutrition Survey of 1568 Filipino women, we created a four domain measure of SA (physiological, mental health, cognitive, sociological). We explored age-stratified associations of each domain and total SA with various health behaviors, chronic disease status, and correlations with self-reported health measures. Both age groups reported aging well, but younger women had higher mean SA scores. Association patterns between domain and total SA and sociodemographic and health behaviors were similar across age groups. Physiological score was associated with hypertension for all ages, and with diabetes in younger women. Total SA was moderately correlated with self-reported health measures. Participants reported aging successfully despite chronic disease status. Future studies should use a multidimensional definition of SA which incorporates elders’ perspective.
Highlights
The world’s population is aging at a rapid pace, with the number of people over 60 years expected to more than double by 2050 [1]
We further develop the Young model into four components, separating the psychological domain into distinct mental health and cognitive function domains, to describe successful aging (SA) in a cohort of older Filipino women
Data come from the Cebu Longitudinal Health and Nutrition Survey (CLHNS), a community-based study of women and their index children followed since 1983
Summary
The world’s population is aging at a rapid pace, with the number of people over 60 years expected to more than double by 2050 [1]. This demographic transition is especially relevant in low- and middle-income countries, where 80% of the world’s population over 60 years is expected to live by. In the Philippines, life expectancy is increasing and the number of adults over 50 years will increase from 20 million to 36.5 million in 2040 [3]. Identifying factors related to successful aging (SA) will be of great social and public health benefit. As the world’s age demographics evolve, so does the field of SA.
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