Abstract
Objective: To compare levels of life satisfaction among three distinct groups of elderly individuals: those residing within the community, those in institutional care, and those engaged in an active aging program. Additionally, to explore the factors associated with this measure of well-being within each group. Methods: This cross-sectional study was conducted from September 2022 to May 2023. Participants aged 60 years or older were recruited from three groups: community-dwelling individuals, those in institutional settings, and participants in an active aging program. Data collection included sociodemographic variables, self-rated general health status, duration of sedentary behavior, levels of intrinsic religiosity, feelings of hope, and degrees of social isolation. The primary outcome assessed was life satisfaction. Results: The study included 305 elderly individuals: 115 (37.7%) from the active aging program, 119 (39.0%) from the community, and 71 (23.3%) institutionalized individuals. Institutionalized participants were older, engaged in longer durations of sedentary behavior, had lower educational attainment, and reported poorer health perceptions. Multiple linear regression analysis revealed that hope, social isolation, and self-rated health were significantly associated with life satisfaction. Conclusion: The findings highlighted the importance of hope, social support, and self-rated health as primary determinants of life satisfaction among the elderly. Contrary to the initial hypothesis, group affiliation (community, active aging program, or institutionalized) did not emerge as a significant factor, suggesting the need for personalized, person-centered approaches to optimize elderly well-being.
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