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

Li, Chunbo; Wu, Wei; Jin, Hua; Zhang, Xu; Han, Xue; He, Yanling; Xiao, Shifu; Jeste, Dilip V.; Zhang, Mingyuan

doi:10.1017/s1041610205002966

Cited by 85 publications

(87 citation statements)

References 14 publications

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“…In a study of factors associated with the maintenance of exceptional good health in old age, Kaplan et al (46) found that in a 10 year follow-up “thrivers” were more likely at baseline to have: higher income, lower psychological distress, never smoked, and moderate alcohol use. Our longitudinal findings may indicate causal factors underlying the earlier cross-sectional studies reporting associations between composite measures of successful aging and lifestyle factors, particularly not smoking, as influences in aging well (47, 48). …”

Section: Discussionmentioning

confidence: 53%

Health, Lifestyle, and Gender Influences on Aging Well: An Australian Longitudinal Analysis to Guide Health Promotion

Kendig

Browning

Thomas

et al. 2014

Front. Public Health

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A primary societal goal for aging is enabling older people to continue to live well as long as possible. The evidence base around aging well (“healthy,” “active,” and “successful” aging) has been constructed mainly from academic and professional conceptualizations of mortality, morbidity, functioning, and psychological well-being with some attention to lay views. Our study aims to inform action on health promotion to achieve aging well as conceptualized by qualitative research identifying what older Australians themselves value most: continuing to live as long as possible in the community with independence in daily living, and good self-rated health and psychological well-being. Multivariate survival analyses from the Melbourne longitudinal studies on healthy aging program found that important threats to aging well for the total sample over a 12-year period were chronological age, multi-morbidity, low perceived social support, low nutritional score, and being under-weight. For men, threats to aging well were low strain, perceived inadequacy of social activity, and being a current smoker. For women, urinary incontinence, low physical activity and being under-weight were threats to aging well. The findings indicate that healthy lifestyles can assist aging well, and suggest the value of taking gender into account in health promotion strategies.

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Section: Discussionmentioning

confidence: 53%

Health, Lifestyle, and Gender Influences on Aging Well: An Australian Longitudinal Analysis to Guide Health Promotion

Kendig

Browning

Thomas

et al. 2014

Front. Public Health

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“…The MMSE correlates well with a number of cognitive screening tests and neuropsychological tests [4]. The Chinese version of the MMSE has reasonable sensitivity and specificity [15, 16]. The MMSE consists of 12 scores: a Total Score and 11 Index Scores.…”

Section: Methodsmentioning

confidence: 99%

Cinical research Reliability and validity of the Repeatable Battery for the Assessment of Neuropsychological Status in community-dwelling elderly

Cheng¹,

Wu²,

Wang³

et al. 2011

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IntroductionThe Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a widely used screening instrument in neuropsychological assessment and is a brief, individually administered measure. The present study aims to assess the reliability and validity of the Chinese version of the RBANS in community-dwelling elderly.Material and methodsAll subjects come from the community-dwelling elderly in Shanghai, China. They completed a questionnaire concerning demographic information, the mini-mental state examination (MMSE) and the Chinese version of the RBANS. To test for internal consistency, Cronbach's α was calculated for all six RBANS indices. Correlations between each of the RBANS and MMSE subtests were conducted to measure the concurrent validity. A confirmatory factor analysis (CFA) was conducted to test the construct validity.ResultsThe final sample of participants included 236 community-dwelling elderly. The mean total score on the RBANS was 86.02 (±14.19). The RBANS total score showed strong internal consistency (r = 0.806), and the coefficient α value for each of the RBANS scales ranged from 0.142 to 0.727. The total RBANS score was highly correlated with that of the MMSE (r = 0.594, p<0.001), and the RBANS subtests also demonstrated strong correlations with most of the MMSE subtests. The results of the CFA indicated an acceptable fit between the Chinese version of the RBANS and the original.ConclusionsThe Chinese version of the RBANS had relatively good reliability and validity in a community-dwelling elderly sample. It may be a useful screening instrument for conducting cognitive assessments in community-dwelling elderly.

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“…They found education, better housing, social network and support, spirituality, and nutrition to be salient factors associated with successful aging. A study using a similar definition of successful aging in a community-based sample of Chinese elders in Shanghai, China found gender, age, marital status, and engagement in leisurely activities to be associated with successful aging (Li, et al, 2006). Using a confirmatory factor analysis, Ng et al (2011) found caring and productive forms of engagement to be better predictors than illness avoidance and functioning of successful aging.…”

Section: Introductionmentioning

confidence: 99%

Cross-Cultural Comparison of Successful Aging Definitions Between Chinese and Hmong Elders in the United States

Nguyen

Seal

2014

J Cross Cult Gerontol

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The purpose of the study was to elicit the definitions of successful aging according to Chinese and Hmong elders living in Milwaukee, WI. In-depth semi-structured interviews were conducted with 44 elders (Hmong n=21 and Chinese n=23). Findings show some similarities in the Chinese and Hmong elders’ definitions though specific cultural differences exist. Chinese elders emphasized physical health and mobility, mental health, positive attitudes, shedding responsibilities, positive family relationships, financial stability, social engagement, religious faith, and accomplishments and volunteer work. Hmong elders emphasized physical health and mobility, mental health, harmonious relationships, positive family relationships, tangible family support, financial stability, social engagement, and religious faith. Cross-cultural comparisons of the findings highlight the cultural heterogeneity between these two subgroups. Implications for practice are discussed.

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

Abstract: 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.

Cited by 85 publications

References 14 publications

Health, Lifestyle, and Gender Influences on Aging Well: An Australian Longitudinal Analysis to Guide Health Promotion

Health, Lifestyle, and Gender Influences on Aging Well: An Australian Longitudinal Analysis to Guide Health Promotion

Cinical research Reliability and validity of the Repeatable Battery for the Assessment of Neuropsychological Status in community-dwelling elderly

Cross-Cultural Comparison of Successful Aging Definitions Between Chinese and Hmong Elders in the United States

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