%0 Journal Article
%T Psychosocial Factors Associated with Longevity in the United States: Age Differences between the Old and Oldest-Old in the Health and Retirement Study
%A Jennifer A. Ailshire
%A Eileen M. Crimmins
%J Journal of Aging Research
%D 2011
%I Hindawi Publishing Corporation
%R 10.4061/2011/530534
%X Recent growth in the number of adults surviving to advanced ages raises questions about the quality of life associated with increased longevity. Psychosocial factors have received relatively little attention in research on quality of life among the oldest-old. This study uses nationally representative data on older US adults to examine how social relationships, feelings of loneliness, and satisfaction with life and the aging experience differ between the oldest-old, those who have survived to age 90 or older, and older adults in their 70s. We find that the oldest-old are able to maintain social relationships with family and friends and receive more social support than younger elderly adults. Yet, the oldest-old are more likely to feel lonely due to their greater rates of widowhood. Satisfaction with life was higher among the oldest-old, but the oldest-old had more negative perceptions of the aging experience. Psychosocial dimensions of longevity should be considered in research on quality of life among the oldest-old. 1. Introduction As a result of recent demographic changes, such as declining mortality rates among older adults, reaching advanced old age has become an increasingly common experience in the US and around the world [1¨C3]. The rapid growth in the number of very old people raises questions about the quality of additional years of life lived by those achieving exceptional longevity. The World Health Organization has declared that ¡°increased longevity without quality of life is an empty prize¡± [4]. Although much of the research thus far on longevity and quality of life has emphasized health and functioning, we argue that a more comprehensive understanding of quality of life at advanced old ages could be achieved by additionally considering psychosocial well-being. Traditional approaches to studying quality of life among those who reach advanced old age are rooted in a biomedical paradigm that emphasizes the avoidance of disease and cognitive and physical declines [5]. There is concern, for instance, that those who survive to very old age spend their remaining years in a state of poor health and functioning and, therefore, have a poor quality of life [6, 7]. Prior research on long-lived individuals indeed confirms that among individuals who survive to exceptional old age there is a high prevalence of disease and disability as well as impaired cognitive performance [8¨C12]. However, aging is a multidimensional concept, and psychosocial factors that assess psychological and social well-being should be included in conceptual frameworks used to
%U http://www.hindawi.com/journals/jar/2011/530534/