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Structural Equation Modeling on Successful Aging in Elders - Focused on Selection.Optimization.Compensation Strategy -

노인의 성공노화 구조모형 -선택.최적화.보상 전략을 중심으로-

  • Oh, Doo-Nam (Department of Nursing.The Research Institute for Basic Science, Hoseo University)
  • 오두남 (호서대학교 간호학과.호서대학교 기초과학연구소)
  • Received : 2011.05.02
  • Accepted : 2012.05.22
  • Published : 2012.06.30

Abstract

Purpose: This study was designed to construct and test a structural equation modeling on specific domain health status and the Selection Optimization Compensation (SOC) strategy affecting successful aging in elderly people. Methods: The model construction was based on the SOC model by Baltes and Baltes. Interviews were done with 201 elderly people aged 65 or older. Interview contents included demographics, functional health status, emotional health status, social health status, SOC strategies, and successful aging. Data were analyzed using SPSS 15.0 and AMOS 7.0. Results: Model fit indices for the modified model were GFI=.93, CFI=.94, and RMSEA=.07. Three out of 7 paths were found to have a significant effect on successful aging in this final model. Functional health status had a direct and positive effect on successful aging. Emotional health status influenced successful aging through SOC strategies. Conclusion: This study suggests that interventions for improving functional health status and for strengthening SOC strategies are critical for successful aging. Continuous development of a variety of successful aging programs using SOC strategy is suggested.

Keywords

References

  1. Ainlay, S. C., & Smith, D. R. (1984). Aging and religious participation. Journal of Gerontology, 39(3), 357-363. https://doi.org/10.1093/geronj/39.3.357
  2. Baltes, P. B., & Baltes, M. M. (Eds.). (1990). Successful aging: Perspectives from the behavioral sciences. New York: Cambridge University Press.
  3. Baltes, P. B., Baltes, M. M., Freund, A. M., & Lang, F. R. (1995). Measurement of selective optimization with compensation by questionnaire. Berlin: Max Planck Institute for Human Development and Education.
  4. Cho, S. B. (1996). Structural equation model. Seoul: Youngji Munwhasa.
  5. Crosnoe, R., & Elder, G. H. (2002). Successful adaptation in the later years: A life course approach to aging. Social Psychology Quarterly, 65(4), 309-328. http://dx.doi.org/10.2307/3090105
  6. Goldberg, D., Bridges, K., Ducan-Jones, P., & Grayson, D. (1988). Detecting anxiety and depression in general medical settings. British Medical Journal, 297, 897-899. http://dx.doi.org/10.1136/bmj.297.6653.897
  7. Ha, J. Y., & Oh, Y. J. (2003). Variables that affect Selective Optimization with Compensation (SOC) for successful aging among middle-class elderly. Journal of Korean Home Management Association, 21(2), 131-144.
  8. Holstein, M. B., & Minkler, M. (2003). Self, society and the new gerontology. The Gerontologist, 43(6), 787-796. http://dx.doi.org/10.1093/ geront/43.6.787
  9. Kee, B. S., & Lee, C. W. (1995). A preliminary study for the standardization of geriatric depression scale in Korea. Journal of Korean Neuropsychiatric Association, 34(6), 1875-1885.
  10. Kim, I. J., Suh, M. J., Kim, K. S., & Cho, N. O. (1999). The relationship between the characteristics of social support and post-stroke depression. The Korean Journal of Rehabilitation Nursing, 2(2), 206-214.
  11. Kim, M. H., Shin, K. R., Kang, I., & Kang, M. S. (2004). A study of successful aging experience of Korean elderly. Journal of the Korean Gerontological Society, 24(2), 79-95.
  12. Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: The Guilford Press.
  13. Korea Institute for Health & Social Affairs. (2005). 2004 National survey of the elderly life and welfare. Seoul: Author.
  14. Lee, J. M., Lym, Y. L., Oh, S. W., & Oh, D. N. (2009). Developing a comprehensive interdisciplinary healthcare program for the elderly in senior residence. The Middle European Journal of Medicine, 121 (Suppl 1), 75-77. http://dx.doi.org/10.1007/s00508-009-1195-6
  15. Lee, K. O. (2007). A structural analysis of successful aging factors of rural elders. Unpublished doctoral dissertation, Seoul National University, Seoul.
  16. Lim, J. Y., Lee, S. H., Cha, Y. S., & Sun, W. S. (2001). Reliability and validity of anxiety screening scale. The Journal of the Korean Academy of Family Medicine, 22(8), 1224-1232.
  17. Rowe, J. W., & Kahn, R. L. (1998). Successful aging. New York: Pantheon Books.
  18. Russell, R. D. (1973). Social health: An attempt to clarify this dimension of well-being. International Journal of Health Education, 16(2), 74-84.
  19. Seeman, T. E., Bruce, M. L., & McAvay, G. J. (1996). Social network characteristics and onset of ADL disability: MacArthur studies of successful aging. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 51(4), S191-S200. http://dx.doi.org/10.1093/ geronb/51B.4.S191
  20. Seo, E. J. (2009). Constructing the successful aging model of the older adults. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  21. Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric Depression Scale (GDS). Recent evidence and development of a shorter version. Clinical Gerontologist, 5(1-2), 165-173. http://dx.doi.org/10.1300/J018v05n01_09
  22. Shin, H. C., Kim, C. H., Cho, B. L., Won, J. W., Song, S. W., Park, Y. K., et al. (2002). The development of a Korean health status measure for the elderly. The Journal of the Korean Academy of Family Medicine, 23(4), 440-457.
  23. Song, H. J. (2009). The effects of the elderly's role performance on successful aging: Focused on SOC coping strategies as mediators. Unpublished doctoral dissertation, Cheongju University, Cheongju.
  24. Statistics Korea. (2008). Estimated population. Seoul: Author.
  25. Strawbridge, W. J., Wallhagen, M. I., & Cohen, R. D. (2002). Successful aging and well-being: Self-rated compared with Rowe and Kahn. The Gerontologist, 42(6), 727-733. http://dx.doi.org/10.1093/geront/42.6.727
  26. Tabbarah, M., Crimmins, E. M., & Seeman, T. E. (2002). The relationship between cognitive and physical performance: MacArthur studies of successful aging. The Journals of Gerontology Series A, Biological Sciences and Medical Sciences, 57(4), M228-M235. http://dx.doi. org/10.1093/gerona/57.4.M228
  27. Vaillant, G. E., & Mukamal, K. (2001). Successful aging. American Journal of Psychiatry, 158(6), 839-847. http://dx.doi.org/10.1176/appi. ajp.158.6.839

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