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Successful aging in Shanghai, China: definition, distribution and related factors

Published online by Cambridge University Press:  15 February 2006

Chunbo Li
Affiliation:
Department of Psychiatry, Tongji Hospital of Tongji University, Shanghai, China
Wenyuan Wu
Affiliation:
Department of Psychiatry, Tongji Hospital of Tongji University, Shanghai, China
Hua Jin
Affiliation:
Department of Psychiatry, University of California at San Diego, San Diego, CA, U.S.A.
Xu Zhang
Affiliation:
Department of Psychiatry, Tongji Hospital of Tongji University, Shanghai, China
Haibo Xue
Affiliation:
Department of Geriatric Psychiatry, Shanghai Mental Health Center, Shanghai, China
Yanling He
Affiliation:
Department of Clinical Epidemiology, Shanghai Mental Health Center, Shanghai, China
Shifu Xiao
Affiliation:
Department of Geriatric Psychiatry, Shanghai Mental Health Center, Shanghai, China
Dilip V. Jeste
Affiliation:
Department of Psychiatry, University of California at San Diego, San Diego, CA, U.S.A.
Mingyuan Zhang
Affiliation:
Department of Clinical Epidemiology, Shanghai Mental Health Center, Shanghai, China

Abstract

Objective: There are few studies of successful aging in China. This study was designed to investigate the distribution, and related factors, of successful aging in an elderly Chinese population.

Methods: A cross-sectional, community-dwelling elderly population was surveyed in Shanghai, China. We defined successful aging based on a multi-dimensional model. Correlates of successful aging were explored through the Shanghai Successful Aging Project Questionnaire, which includes sociodemographic questions, and a battery of standardized instruments, including the Chinese version of the Mini-mental State Examination, activities of daily living, and the Life Satisfaction Index A (LSIA).

Results: The rate of successful aging was 46.2% [95% confidence interval (CI) 43.6–48.7] among people aged 65 or above, and the rate for males was higher than that for females. The rate was much lower for those aged 85 years or over (9.4%). Logistic regression analysis suggested that female gender and older age were unfavorable factors for successful aging. A higher score on the LSIA, more leisure activities and being currently married related to successful aging.

Conclusion: The rate of successful aging in Shanghai, China is similar to that found in studies from western countries. There are some potentially modifiable factors that may relate to successful aging.

Type
Research Article
Copyright
International Psychogeriatric Association 2006

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