Social determinants and disparities in active aging among older Taiwanese

Hui Chuan Hsu, Jersey Liang, Dih Ling Luh, Chen Fen Chen, Ying Wei Wang

Research output: Contribution to journalArticle

Abstract

This study assesses equity in active aging across social determinants among older Taiwanese. The data were collected from face-to-face interviews with adults aged 55 years or more in Taiwan in 2017 (n = 738). A total of 30 individual-level Taiwan active aging indicators were chosen, and the relationship between social determinants and active aging indicators were analyzed by logistic regression models. Women were more likely to participate in volunteering and other social groups and in lifelong learning activities, whereas men were more likely to be employed, to engage in physical activity, to feel safe from violence, and to use preventive care. Higher education was related to higher employment, social participation, independent living, lifelong learning, and a lower likelihood of poverty and severe cognitive impairment. Those living in rural areas were more likely to be employed, perform physical activity, feel physically safe, have better mental well-being, and have higher social respect and social integration ratings, whereas living in urban areas was related to greater access to medical care, owning assets, less severe cognitive impairment, greater likelihood of using information and communications technology, higher level of education, and higher access to convenient transportation. The significant disparities that exist in active aging may suggest inequality.

Original languageEnglish
Article number3005
JournalInternational Journal of Environmental Research and Public Health
Volume16
Issue number16
DOIs
Publication statusPublished - Aug 1 2019

Fingerprint

Taiwan
Logistic Models
Learning
Exercise
Social Participation
Independent Living
Education
Preventive Medicine
Poverty
Violence
Communication
Interviews
Technology
Cognitive Dysfunction

Keywords

  • Active aging
  • Equity
  • Health inequality
  • Old-age policy
  • Older adults

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

Social determinants and disparities in active aging among older Taiwanese. / Hsu, Hui Chuan; Liang, Jersey; Luh, Dih Ling; Chen, Chen Fen; Wang, Ying Wei.

In: International Journal of Environmental Research and Public Health, Vol. 16, No. 16, 3005, 01.08.2019.

Research output: Contribution to journalArticle

@article{eb22929bbe544cf398d3eed414072bfa,
title = "Social determinants and disparities in active aging among older Taiwanese",
abstract = "This study assesses equity in active aging across social determinants among older Taiwanese. The data were collected from face-to-face interviews with adults aged 55 years or more in Taiwan in 2017 (n = 738). A total of 30 individual-level Taiwan active aging indicators were chosen, and the relationship between social determinants and active aging indicators were analyzed by logistic regression models. Women were more likely to participate in volunteering and other social groups and in lifelong learning activities, whereas men were more likely to be employed, to engage in physical activity, to feel safe from violence, and to use preventive care. Higher education was related to higher employment, social participation, independent living, lifelong learning, and a lower likelihood of poverty and severe cognitive impairment. Those living in rural areas were more likely to be employed, perform physical activity, feel physically safe, have better mental well-being, and have higher social respect and social integration ratings, whereas living in urban areas was related to greater access to medical care, owning assets, less severe cognitive impairment, greater likelihood of using information and communications technology, higher level of education, and higher access to convenient transportation. The significant disparities that exist in active aging may suggest inequality.",
keywords = "Active aging, Equity, Health inequality, Old-age policy, Older adults",
author = "Hsu, {Hui Chuan} and Jersey Liang and Luh, {Dih Ling} and Chen, {Chen Fen} and Wang, {Ying Wei}",
year = "2019",
month = "8",
day = "1",
doi = "10.3390/ijerph16163005",
language = "English",
volume = "16",
journal = "International Journal of Environmental Research and Public Health",
issn = "1661-7827",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "16",

}

TY - JOUR

T1 - Social determinants and disparities in active aging among older Taiwanese

AU - Hsu, Hui Chuan

AU - Liang, Jersey

AU - Luh, Dih Ling

AU - Chen, Chen Fen

AU - Wang, Ying Wei

PY - 2019/8/1

Y1 - 2019/8/1

N2 - This study assesses equity in active aging across social determinants among older Taiwanese. The data were collected from face-to-face interviews with adults aged 55 years or more in Taiwan in 2017 (n = 738). A total of 30 individual-level Taiwan active aging indicators were chosen, and the relationship between social determinants and active aging indicators were analyzed by logistic regression models. Women were more likely to participate in volunteering and other social groups and in lifelong learning activities, whereas men were more likely to be employed, to engage in physical activity, to feel safe from violence, and to use preventive care. Higher education was related to higher employment, social participation, independent living, lifelong learning, and a lower likelihood of poverty and severe cognitive impairment. Those living in rural areas were more likely to be employed, perform physical activity, feel physically safe, have better mental well-being, and have higher social respect and social integration ratings, whereas living in urban areas was related to greater access to medical care, owning assets, less severe cognitive impairment, greater likelihood of using information and communications technology, higher level of education, and higher access to convenient transportation. The significant disparities that exist in active aging may suggest inequality.

AB - This study assesses equity in active aging across social determinants among older Taiwanese. The data were collected from face-to-face interviews with adults aged 55 years or more in Taiwan in 2017 (n = 738). A total of 30 individual-level Taiwan active aging indicators were chosen, and the relationship between social determinants and active aging indicators were analyzed by logistic regression models. Women were more likely to participate in volunteering and other social groups and in lifelong learning activities, whereas men were more likely to be employed, to engage in physical activity, to feel safe from violence, and to use preventive care. Higher education was related to higher employment, social participation, independent living, lifelong learning, and a lower likelihood of poverty and severe cognitive impairment. Those living in rural areas were more likely to be employed, perform physical activity, feel physically safe, have better mental well-being, and have higher social respect and social integration ratings, whereas living in urban areas was related to greater access to medical care, owning assets, less severe cognitive impairment, greater likelihood of using information and communications technology, higher level of education, and higher access to convenient transportation. The significant disparities that exist in active aging may suggest inequality.

KW - Active aging

KW - Equity

KW - Health inequality

KW - Old-age policy

KW - Older adults

UR - http://www.scopus.com/inward/record.url?scp=85071552760&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071552760&partnerID=8YFLogxK

U2 - 10.3390/ijerph16163005

DO - 10.3390/ijerph16163005

M3 - Article

C2 - 31434349

AN - SCOPUS:85071552760

VL - 16

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1661-7827

IS - 16

M1 - 3005

ER -