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成功老龄化五因素模型的跨文化适用性及影响因素分析
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Abstract:
目的:基于心理测量学的方法,对老年人进行问卷调查,检验成功老龄化五因素模型的跨文化适用性,并探讨成功老龄化现状和相关影响因素。方法:使用自编的基本人口学调查问卷、日常生活能力量表、简易智能状态评估量表、社会网络调查问卷、心理弹性量表、纽芬兰纪念大学幸福度量表和世界卫生组织生存质量量表环境分量表以随机走访的形式对杭州市社区60岁及以上的老年人进行一对一的问卷调查,总共调查1063人,其中863人完成全部的问卷调查,有效数据833份,有效率96.5%。结果:(1) 因子分析结果显示,成功老龄化五因素模型可以概括为三个因子,分别为生理因子、心理因子和社会环境因子;(2) 在833例的样本中,成功老龄化人数为144人,成功老龄化检出率17.29%,同时成功老龄化还受到性别、年龄、经济满意度和家庭情况等相关影响因素的影响。结论:(1) 在研究的样本群体中,五因素模型被检验为三个因子成分:生理因子、心理因子与社会环境因子;(2) 样本群体中成功老龄化的比例为17.29%,成功老龄化受到性别、年龄、经济满意度和家庭情况等因素的影响。
Objective: This study aimed to validate the cross-cultural applicability of the five-factor model of successful aging using psychometric methods and to investigate the current status and influencing factors of successful aging among older adults. Methods: A cross-sectional survey was conducted using a random sampling method. Community-dwelling adults aged 60 years or older in Hangzhou, China, were administered a battery of validated instruments through face-to-face interviews, including a self-designed demographic questionnaire, the Activities of Daily Living Scale (ADL), the Mini-Mental State Examination (MMSE), the Social Network Questionnaire (SNQ), the Connor-Davidson Resilience Scale (CD-RISC), the Memorial University of Newfoundland Scale of Happiness (MUNSH), and the World Health Organization Quality of Life Environment Domain (WHOQOL-ENV). Among 1063 participants approached, 863 completed all questionnaires, with 833 valid responses obtained (effective rate: 96.5%). Results: (1) Factor analysis revealed that the five-factor model of successful aging could be consolidated into three principal components: physiological factors, psychological factors, and socio-environmental factors. (2) The prevalence of successful aging was 17.29% (144/833), with significant associations observed with gender, age, economic satisfaction, and family circumstances. Conclusion: (1) The five-factor model was validated as comprising three distinct dimensions—physiological, psychological, and socio-environmental—within the study population. (2) The proportion of successful aging in the sample group was 17.29%, and successful aging was influenced by factors such as gender, age, economic satisfaction and family circumstances.
[1] | 崔淼(2003). 成功老龄化毕生控制理论研究: 控制策略、自尊与生活满意度. 硕士学位论文, 上海: 华东师范大学. |
[2] | 单玲玲, 陈国鹏(2008). 解析成功老龄化的新角度——毕生控制理论. 心理科学, 31(4), 950-952. |
[3] | 丁月萍, 施春华(2015). 心理韧性理论在成功老龄化研究中的应用. 中国老年学, (1), 259-261. |
[4] | 黄承钰(2012). 营养与成功老龄化. 见 四川省营养学会, 四川省营养学会2012年学术年会暨妇幼营养专题研讨会论文集(pp. 6-10). |
[5] | 李春波, 吴文源, 张旭, 李晨虎, 张明园, 何燕玲, 薛海波(2005). 成功老龄标准, 检出率和相关因素. 见 中国神经心理学学术, 2005年中国神经心理学学术会议论文集(pp. 63-64). |
[6] | 李德, 黄雅莲, 张熠佳(2021). 我国不同性别老年人成功老龄化与死亡的关系研究. 现代预防医学, 48(2), 201-205. |
[7] | 刘素素(2017). 正向老龄化视野下的社区老年人研究: 理论与实证. 老龄科学研究, 2(5), 31-37. |
[8] | 罗丽娟, 张艳萍, 于建春, 王磊光(2012). 成功老龄化遗传机制的研究进展. 中国老年学, 32(20), 4583-4585. |
[9] | 孙建琴, 徐丹凤(2009). 成功老龄化与老年营养. 见 中国营养学会, 中国营养学会创始人郑集教授110岁华诞暨老年营养与长寿学术研讨会资料汇编(p. 7). |
[10] | 童佩, 李婷, 周静静, 廖敏怡, 申乔乔, 梁韵仪, 高钰琳(2020). 广州市常住老年人成功老龄化现状及其影响因素. 中国公共卫生, 36(9), 1350-1354. |
[11] | 吴文源(2006). 成功老龄的研究概况. 中华全科医师杂志, 5(6), 337-339. |
[12] | 吴燕璟, 王鲁宁(2006). 高龄老人认知功能的初步研究. 中国老年学, 26(9), 1157-1158. |
[13] | 犹忆, 夏琀(2020). 我国不同地区老年人成功老龄化现状及影响因素分析——基于CHARLS数据的实证研究. 现代预防医学, 47(11), 2021-2024. |
[14] | 张小兰, 骆宏, 张欣, 许维娜(2014). 成功老龄化影响因素及其不同理论模型预测效用研究. 浙江预防医学, (8), 768-771. |
[15] | 朱建宏(2008). 成功老龄化的研究概况. 中国老年学, 28(7), 723-724. |
[16] | Cha, N. H., Ju Seo, E., & Sok, S. R. (2012). Factors Influencing the Successful Aging of Older Korean Adults. Contemporary Nurse, 41, 78-87. https://doi.org/10.5172/conu.2012.41.1.78 |
[17] | Cosco, T. D., Prina, A. M., Perales, J., Stephan, B. C. M., & Brayne, C. (2014). Operational Definitions of Successful Aging: A Systematic Review. International Psychogeriatrics, 26, 373-381. https://doi.org/10.1017/s1041610213002287 |
[18] | Depp, C., Vahia, I. V., & Jeste, D. (2010). Successful Aging: Focus on Cognitive and Emotional Health. Annual Review of Clinical Psychology, 6, 527-550. https://doi.org/10.1146/annurev.clinpsy.121208.131449 |
[19] | Garfein, A. J., & Herzog, A. R. (1995). Robust Aging among the Young-Old, Old-Old, and Oldest-Old. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 50, S77-S87. https://doi.org/10.1093/geronb/50b.2.s77 |
[20] | Hata, U., & Onodera, A. (2014). A Review of the Studies on Ego-Resiliency. Mejiro Journal of Psychology, 10, 71-92. |
[21] | Havighurst, R. J. (1961). Successful Aging1. The Gerontologist, 1, 8-13. https://doi.org/10.1093/geront/1.1.8 |
[22] | Hill, R. D. (2011). A Positive Aging Framework for Guiding Geropsychology Interventions. Behavior Therapy, 42, 66-77. https://doi.org/10.1016/j.beth.2010.04.006 |
[23] | Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social Relationships and Mortality Risk: A Meta-Analytic Review. PLOS Medicine, 7, e1000316. https://doi.org/10.1371/journal.pmed.1000316 |
[24] | Holtlunstad, J., Smith, T. B., & Layton, J. B. (2010). Social Relationships and Mortality Risk: A Meta-Analytic Review. PLOS Medicine, 7, e1000316. https://doi.org/10.1371/journal.pmed.1000316 |
[25] | House, J. S., Landis, K. R., & Umberson, D. (1988). Social Relationships and Health. Science, 241, 540-545. https://doi.org/10.1126/science.3399889 |
[26] | Jang, S., Choi, Y., & Kim, D. (2009). Association of Socioeconomic Status with Successful Ageing: Differences in the Components of Successful Ageing. Journal of Biosocial Science, 41, 207-219. https://doi.org/10.1017/s0021932008003052 |
[27] | Katzman, R., Zhang, M., Ouang-Ya-Qu,, Wang, Z., Liu, W. T., Yu, E. et al. (1988). A Chinese Version of the Mini-Mental State Examination; Impact of Illiteracy in a Shanghai Dementia Survey. Journal of Clinical Epidemiology, 41, 971-978. https://doi.org/10.1016/0895-4356(88)90034-0 |
[28] | Keith, J., Fry, C., Glascock, A., Ikels, C., Dickerson-Putman, J., Harpending, H. et al. (1994). The Aging Experience: Diversity and Commonality across Cultures. Sage Publications, Inc. https://doi.org/10.4135/9781452243382 |
[29] | Kooij, D. T. A. M., Zacher, H., Wang, M., & Heckhausen, J. (2020). Successful Aging at Work: A Process Model to Guide Future Research and Practice. Industrial and Organizational Psychology, 13, 345-365. https://doi.org/10.1017/iop.2020.1 |
[30] | Kozma, A., & Stones, M. J. (1980). The Measurement of Happiness: Development of the Memorial University of Newfoundland Scale of Happiness (MUNSH). Journal of Gerontology, 35, 906-912. https://doi.org/10.1093/geronj/35.6.906 |
[31] | Li, C., Wu, W., Jin, H., Zhang, X., Xue, H., He, Y. et al. (2006). Successful Aging in Shanghai, China: Definition, Distribution and Related Factors. International Psychogeriatrics, 18, 551-563. https://doi.org/10.1017/s1041610205002966 |
[32] | Linnane, A. W., Zhang, C., Baumer, A., & Nagley, P. (1992). Mitochondrial DNA Mutation and the Ageing Process: Bioenergy and Pharmacological Intervention. Mutation Research/DNAging, 275, 195-208. https://doi.org/10.1016/0921-8734(92)90023-i |
[33] | Lubben, J., Blozik, E., Gillmann, G., Iliffe, S., von Renteln Kruse, W., Beck, J. C. et al. (2006). Performance of an Abbreviated Version of the Lubben Social Network Scale among Three European Community-Dwelling Older Adult Populations. The Gerontologist, 46, 503-513. https://doi.org/10.1093/geront/46.4.503 |
[34] | Morley, J. E. (2009). Successful Aging or Aging Successfully. Journal of the American Medical Directors Association, 10, 85-86. https://doi.org/10.1016/j.jamda.2008.12.001 |
[35] | Prince-Embury, S. (2013). The Ego-Resiliency Scale by Block and Kremen (1996) and Trait Ego-Resiliency. In The Springer Series on Human Exceptionality (pp. 135-138). Springer. https://doi.org/10.1007/978-1-4614-4939-3_9 |
[36] | Pruchno, R. A., Wilson-Genderson, M., Rose, M., & Cartwright, F. (2010). Successful Aging: Early Influences and Contemporary Characteristics. The Gerontologist, 50, 821-833. https://doi.org/10.1093/geront/gnq041 |
[37] | Rowe, J. W., & Kahn, R. L. (1987). Human Aging: Usual and Successful. Science, 237, 143-149. https://doi.org/10.1126/science.3299702 |
[38] | Salmon, D. P. (1989). Cross-Cultural Studies of Dementia. Archives of Neurology, 46, 769-772. https://doi.org/10.1001/archneur.1989.00520430063019 |
[39] | Seeman, T. E. (1996). Social Ties and Health: The Benefits of Social Integration. Annals of Epidemiology, 6, 442-451. https://doi.org/10.1016/s1047-2797(96)00095-6 |
[40] | Steverink, N. (2014). Successful Development and Aging: Theory and Intervention. In Oxford Handbook of Clinical Geropsychology (pp. 84-103). Oxford University Press. |
[41] | Strawbridge, W. J., Cohen, R. D., Shema, S. J., & Kaplan, G. A. (1996). Successful Aging: Predictors and Associated Activities. American Journal of Epidemiology, 144, 135-141. https://doi.org/10.1093/oxfordjournals.aje.a008900 |
[42] | Suri, G., & Gross, J. J. (2012). Emotion Regulation and Successful Aging. Trends in Cognitive Sciences, 16, 409-410. https://doi.org/10.1016/j.tics.2012.06.007 |
[43] | Tong, A. Y. C., & Man, D. W. K. (2002). The Validation of the Hong Kong SAR Chinese Version of the Lawton Instrumental Activities of Daily Living Scale for Institutionalized Elderly Persons. OTJR: Occupational Therapy Journal of Research, 22, 132-142. https://doi.org/10.1177/153944920202200402 |
[44] | Von Faber, M., Bootsma–van der Wiel, A., van Exel, E., Gussekloo, J., Lagaay, A. M., van Dongen, E. et al. (2001). Successful Aging in the Oldest Old. Archives of Internal Medicine, 161, Article 2694. https://doi.org/10.1001/archinte.161.22.2694 |