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Prevalence and correlates of successful ageing: a comparative study between China and South Korea

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Abstract

Successful ageing is often defined as a later life with less disease and disease-related disability, high level of cognitive and physical functions, and an active life style. Few studies have compared successful ageing across different societies in a non-Western social context. This study aims to compare prevalence and correlates of successful ageing between China and South Korea. The data come from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) and the Korean Longitudinal Study of Ageing (KLoSA). A total of 19,346 community-dwelling elders over 65 years were included, 15,191 from China and 4,155 from Korea. A multidimensional construct of successful ageing was used, with the criteria of no major comorbidity, being free of disability, good mental health, engaging in social or productive activity, and satisfaction on life. Correlates of successful ageing included demographics (gender, age, and rural/urban residence), socioeconomic features (financial status, education, and spouse accompany), and health behaviours (smoking, alcohol-drinking, and exercising). The results showed that 18.6 % of the older adults in China was successful agers, which was less than 25.2 % in Korea. When gender and age were adjusted, older adults were 51 % less likely to be successful agers in China than Korea (p < 0.001). The association patterns between successful ageing and its correlates are similar between China and Korea. However, before the socioeconomic variables are under control, rural residence was negatively related to successful ageing in China, whereas this is not the case in Korea. And the gender gap of successful ageing was mostly explained by socioeconomic features and health behaviours in Korea, but not in China. In both countries, good financial condition was highly associated with successful ageing. The study suggests that advancement of public health system could better control progression of non-communicable diseases among old people and thus promote successful ageing.

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References

  • Andrews G, Clark M, Luszcz M (2002) Successful aging in the Australian longitudinal study of aging: applying the MacArthur model cross nationally. J Soc Issues 58:749–765

    Article  Google Scholar 

  • Berkman LF, Seeman TE, Albert M, Blazer D, Kahn R, Mohs R, Finch C, Schneider E, Cotman C, Mcclearn G, Nesselroade J, Featherman D, Garmezy N, Mckhann G, Brim G, Prager D, Rowe J (1993) High, usual and impairment functioning in community-dwelling older men and women: findings from the Macarthur Foundation Research Network on successful ageing. J Clin Epidemiol 46(10):1129–1140

    Article  Google Scholar 

  • Blazer DG (2006) Successful ageing. J Geriatr Psychiatry 14(1):2–5

    Article  Google Scholar 

  • Bowling A, Dieppe P (2005) What is successful ageing and who should define it? BMJ 331:1548–1551

    Article  Google Scholar 

  • Bowling A, Iliffe S (2006) Which model of successful ageing should be used? Baseline findings from a British longitudinal survey of ageing. Age Ageing 35(6):607–614

    Article  Google Scholar 

  • Brandt M, Deindl C, Hank K (2012) Tracing the origins of successful aging: the role of childhood conditions and social inequality in explaining later life health. Soc Sci Med 74(9):1418–1425

    Article  Google Scholar 

  • Carr D, Komp K (2011) Gerontology in the era of the third age. Springer, New York

    Google Scholar 

  • Chaves ML, Camozzato AL, Eizirik CL, Kaye J (2009) Predictors of normal and successful ageing among urban-dwelling elderly Brazilians. J Gen Physiol Sci 64(5):597–602

    Google Scholar 

  • Chodzko-Zajko W, Schwingel A, Park CH (2009) Successful ageing: the role of physical activity. Am J Lifestyle Med 3(1):20–28

    Article  Google Scholar 

  • CLHLS Research Team (2000) Weighting method. http://www.geri.duke.edu/china_study/Weighting%20method.pdf. Accessed 20 June 2010

  • Cook IG, Bummer TJB (2004) Changing health in China: re-evaluating the epidemiological transition model. Health Policy 67(3):329–343

    Article  Google Scholar 

  • Depp CA, Jeste DV (2006) Definitions and predictors of successful ageing: a comprehensive review of larger quantitative studies. Am J Geriat Psychiatry 14(1):6–20

    Article  Google Scholar 

  • Diener E, Inglehart R, Tay L (2013) Theory and validity of life satisfaction scales. Soc Indic Res 112(3):497–527

    Article  Google Scholar 

  • Dong Z, Phillips MR (2008) Evolution of China’s health care system. Lancet 372(9651):1715–1716

    Article  Google Scholar 

  • Feng Q, Helen HM, Gu D, Zeng Y, Purser JL (2010) Impact of new disability subtypes on 3-year mortality in Chinese older adults. J Am Geriatr Soc 58(10):1952–1958

    Article  Google Scholar 

  • Flaherty JH, Liu ML, Ding L, Dong B, Ding Q, Li X, Xiao S (2007) China: the ageing giant. J Am Geriatr Soc 55(8):1295–1300

    Article  Google Scholar 

  • Fries JF (1980) Aging, natural death, and the compression of morbidity. N Engl J Med 303:130–135

    Article  Google Scholar 

  • Fries JF (2002) Successful ageing: an emerging paradigm of gerontology. Clin Geriatr Med 18(3):371–382

    Article  Google Scholar 

  • Gaudreau P, Jose AM, Bryna S, Katherine GD, Abdel K et al (2007) Nutrition as a determinant of successful ageing: description of the Quebec longitudinal study Nuage and results from cross-sectional pilot studies. Rejuvenation Res 10(3):377–386

    Article  Google Scholar 

  • Glass TA (2003) Assessing the success of successful aging. Ann Intern Med 139:382–383

    Article  Google Scholar 

  • Glatt SJ, Chayavichitsilp P, Depp C, Schork NJ, Jeste DV (2007) Successful ageing: from phenotype to genotype. Biol Psychiatry 62(4):282–293

    Article  Google Scholar 

  • Gruenberg EM (1977) The failures of success. Milbank Q 83(4):779–800

    Article  Google Scholar 

  • Gu D (2008) General data assessment of the Chinese Longitudinal Healthy Longevity Survey. In: Zeng Y, Poston DL, Vlosky DA, Gu D (eds) Healthy longevity in China: demographic, socioeconomic, and psychological dimensions. Springer, The Netherlands, pp 39–59

  • Gu D, Feng Q, Sautter J (2008) Social network types, intimacy and healthy longevity among the Chinese elderly. In: Garner JB, Christiansen TC (eds) Social sciences in health care and medicine. Nova Science Publishers, New York, pp 11–49

  • Hank K (2011) How “successful” do older Europeans age? Findings from SHARE. J Gerontol Soc Sci 66(2):230–236

    Article  Google Scholar 

  • He J, Gu D, Wu X, Reynolds K, Duan X, Yao C, Wang J, Chen CS, Chen J, Wildman RP, Klag MJ, Whelton PK (2005) Major causes of death among men and women in China. N Engl J Med 353:1124–1134

    Article  Google Scholar 

  • Holstein MB, Minkler M (2003) Self, society, and the “new gerontology”. Gerontologist 43(6):787–796

    Article  Google Scholar 

  • Howe N, Jackson R, Nakashima K (2007) The ageing of Korea: demographics and retirement policy in the land of the morning calm. Metlife. http://csis.org/files/media/csis/pubs/070321_gai_ageingkorea_eng.pdf. Accessed 20 June 2010

  • Hsu HC (2005) Gender disparity of successful ageing in Taiwan. Woman Health 42(1):1–21

    Article  Google Scholar 

  • Hsu HC, Jone BL (2012) Multiple trajectories of successful aging of older and younger cohorts. Gerontologist 52(6):843–856

    Article  Google Scholar 

  • Inglehart R (1990) Culture shift in advanced industrial society. Princeton University Press, Princeton

    Google Scholar 

  • Jang SN, Choi YJ, Kim DH (2009) Association of socioeconomic status with successful ageing: differences in the components of successful ageing. J Biosoc Sci 41(2):207–219

    Article  Google Scholar 

  • Jeste DV, Depp CA, Vahia IV (2010) Successful cognitive and emotional aging. World Psychiatry 9(2):78–84

    Google Scholar 

  • Kahana E, Kahana B (2012) Interventions to promote successful aging. http://healthyandsuccessfulaging.wordpress.com/2012/11/12/paper-5-interventions-to-promote-successful-aging/. Accessed 25 June 2014

  • Kapteyn A, Smith JP, Van Soest A (2009) Life satisfaction. IZA, Bonn (discussion paper no 4015)

    Google Scholar 

  • Keith J, Fry CL, Glascock AP (1994) The ageing experience diversity and communality across cultures. Sage, London

    Google Scholar 

  • Khang YH, Lynch JW, Kaplan GA (2004) Health inequalities in Korea: age- and sex-specific educational differences in the 10 leading causes of death. Int J Epidemiol 33(2):299–308

    Article  Google Scholar 

  • Kim D (2006) The increasing tendency of the elderly population and its structural features. Statistics (Korean Statistical Association) 32:44–59

    Google Scholar 

  • Kim S, Kim DH, Kim WS (2010) Long-term care needs of the elderly in Korea and elderly long-term care insurance. Soc Work Public Health 25(2):176–184

    Article  Google Scholar 

  • Koh EK, Koh CK (2008) Caring for older adults: the parables in Confucian texts. Nurs Sci Q 21(4):365–368

    Article  Google Scholar 

  • Kwon S (2003) Payment system reform for health care providers in Korea. Health Policy Plan 18(1):84–92

    Article  Google Scholar 

  • Lamb VL, Myers GC (1999) A comparative study of successful ageing in three Asian countries. Popul Res Policy Rev 18(5):433–449

    Article  Google Scholar 

  • Lewis JP (2010) Successful aging through the eyes of Alaska natives: exploring generational differences among Alaska natives. J Cross Cult Gerontol 25:385–396

    Article  Google Scholar 

  • Liang J, Luo B (2012) Toward a discourse shift in social gerontology: from successful aging to harmonious aging. J Aging Stud 26:327–334

    Article  Google Scholar 

  • Manton KG (1982) Changing concepts of morbidity and mortality in the elderly population. Milbank Fund Q 60:183–244

    Article  Google Scholar 

  • McLaughlin SJ, Connell CM, Heeringa SG, Li LW, Roberts JS (2010) Successful ageing in the United States: prevalence estimates from a national sample of older adults. J Gerontol Soc Sci 65(2):216–226

    Article  Google Scholar 

  • Menec VH (2003) The relation between everyday activities and successful aging: a 6-year longitudinal study. J Gerontol B Psychol Sci Soc Sci 58(2):S74–82

  • Meeks S, Murrell SA (2001) Contribution of education to health and life satisfaction in older adults mediated by negative affect. J Aging Health 13(1):92–119

    Article  Google Scholar 

  • Minkler M, Fadem P (2002) “Successful aging”: a disability perspective. J Disabil Policy Stud 12(4):229–235

    Article  Google Scholar 

  • Morrow-Howell N, Hinterlong J, Sherraden M (2001) Productive aging: concepts and challenges. The John Hopkins University Press, Baltimore

    Google Scholar 

  • Myers GC, Lamb VL (1993) Theoretical perspectives on healthy life expectancy. In: Robine J-M, Mathers CD, Bone MR, Romieu I (eds) Calculation of health expectancies. John Libbey, Montrouge, pp 109–119

    Google Scholar 

  • Myers GC, Lamb VL, Agree EM (2003) Patterns of disability change associated with the epidemiologic transition. In: Robine JM, Jagger C, Materhs CD, Crimmins EM, Suzman RM (eds) Determining health expectancies. Wiley, West Sussex, pp 59–74

    Google Scholar 

  • Ng TP, Broekman BFP, Niti M, Gwee X, Kua EH (2009) Determinants of successful ageing using a multidimensional definition among Chinese elderly in Singapore. Am J Geriatr Psychiatry 17(5):407–416

    Article  Google Scholar 

  • Olshansky SJ, Ault AB (1986) The fourth stage of the epidemiologic transition: the age of delayed degenerative diseases. Milbank Q 64:355–391

    Article  Google Scholar 

  • Ouwehand C, de Ridder DTD, Bensing JM (2007) A review of successful ageing models: proposing proactive coping as an important additional strategy. Clin Psychol Rev 27(8):873–884

    Article  Google Scholar 

  • Phelan EA, Larson EB (2002) Successful aging—where next? J Am Geriatr Soc 50(7):1306–1308

    Google Scholar 

  • Phelan EA, Anderson LA, LaCroix AZ, Larson EB (2004) Older adults’ views of “successful aging”—How do they compare with researchers’ definitions? J Am Geriatr Soc 52:211–216

    Article  Google Scholar 

  • Pruchno RA, Wilson-Genderson M, Rose M, Cartwright F (2010) Successful aging: early influences and contemporary characteristics. Gerontologist 50(6):821–833

    Article  Google Scholar 

  • Raudenbush S, Bryke A, Cheong YF, Congdon R, Du Toit M (2004) HLM: hierarchical linear and nonlinear modeling. Scientific Software International Inc., Linvolneoof

    Google Scholar 

  • Robin JM, Michel JP (2004) Looking forward to a general theory on population ageing. J Gerontol 59(6):590–597

    Article  Google Scholar 

  • Rowe JW, Kahn RL (1987) Human ageing: usual and success. Science 237(4811):143–149

    Article  Google Scholar 

  • Rowe JW, Kahn RL (1997) Successful ageing. Gerontologist 37(4):433–440

    Article  Google Scholar 

  • Rowe JW, Kahn RL (1999) Successful ageing. Dell Publishing, New York

    Google Scholar 

  • Steca P, Alessandri G, Caprara GV (2010) The utility of a well-known personality typology in studying successful ageing: resilients, undercontrollers, and overcontrollers in old age. Personal Individ Differ 48:442–446

    Article  Google Scholar 

  • Strawbridge WJ, Wallhagen MI, Cohen RD (2002) Successful ageing and well-being: self-rated compared with Rowe and Kahn. Gerontologist 42(6):727–733

    Article  Google Scholar 

  • Suh I (2001) Cardiovascular mortality in Korea: a country experiencing epidemiologic transition. Acta Cardiol 56(2):75–81

    Article  Google Scholar 

  • Tang F (2014) Successful aging: multiple trajectories and population heterogeneity. Int J Soc Sci Stud 2(3):12–22

    Article  Google Scholar 

  • Tate RB, Lah L, Cuddy TE (2003) Definition of successful aging by elderly Canadian males: the Manitoba follow-up study. Gerontologist 43(5):735–744

    Article  Google Scholar 

  • KLI KLoSA Team (2007) KLoSA Wave 1 User Guide. http://www.kli.re.kr/klosa/en/about/introduce.jsp. Accessed 20 July 2014

  • Tella RD, MacCulloch RJ, Oswald AJ (2003) The macroeconomics of happiness. Rev Econ Stat 85(4):809–827

    Article  Google Scholar 

  • Thoits PA (2010) Stress and health: major findings and policy implications. J Health Soc Behav 51(1):41–53

    Article  Google Scholar 

  • Torres S (1999) A culturally-relevant theoretical framework for the study of successful ageing. Ageing Soc 19(1):33–51

    Article  Google Scholar 

  • United Nations Population Division (2009) World population prospects: the 2008 revision population database. http://esa.un.org/unpp. Accessed 20 June 2010

  • United Nations Population Fund (2007) State of world population 2007: unleashing the potential of urban growth. http://www.unfpa.org/swp/2007/english/introduction.html. Accessed 20 June 2010

  • Uotinen V, Suutama T, Ruoppila I (2003) Age identification in the framework of successful ageing: a study of older Finnish people. Int J Aging Hum Dev 56(3):173–195

    Article  Google Scholar 

  • Von Faber M, der Bootsma-van Wiel A, van Exel E, Gussekloo J, Lagaay AM, van Dongen E, Knook DL, van der Geest S, Westendorp RGJ (2001) Successful ageing in the oldest old: who can be characterized as successfully aged? Arch Intern Med 161(22):2694–2700

    Article  Google Scholar 

  • Winship C, Radbill L (1994) Sampling weights and regression analysis. Sociol Method Res 23(2):230–257

    Article  Google Scholar 

  • World Bank Group (2010) World data bank. http://databank.worldbank.org/ddp/home.do#ranking. Accessed 20 June 2010

  • World Health Organization (2002) Active ageing: a policy framework. World Health Organization, Geneva

    Google Scholar 

  • Yang GH, Kong LZ, Zhao WH, Wan X, Zhai Y, Chen LC, Koplan JP (2008) Emergence of chronic non-communicable diseases in China. Lancet 372(9650):1697–1705

    Article  Google Scholar 

  • Yeung W, Xu Z (2011) Economic stress, quality of life, and mortality for the oldest-old in China. Soc Indic Res 4:1–22

    Google Scholar 

  • Young Y, Fan MY, Parrish JM, Frick KD (2009) Validation of a novel successful ageing construct. J Am Med Dir Assoc 10(5):314–322

    Article  Google Scholar 

  • Zeng Y, Liu Y, George L (2003) Gender differentials of the oldest old in China. Res Aging 25:65–80

    Article  Google Scholar 

  • Zeng Y, Poston DL, Vlosky DA, Gu D (2008) Healthy longevity in China: demographic, socioeconomic, and psychological dimensions. Springer, The Netherlands

    Google Scholar 

  • Zeng Y, Cheng L, Zhao L, Tan Q, Feng Q, Chen H, Shen K, Li J, Zhang F, Cao H et al (2013) Interactions between social/behavioral factors and ADRB2 genotypes may be associated with health at advanced ages in China. BMC Geriatr 13:91

    Article  Google Scholar 

  • Zhang D, Unschuld PU (2008) China’s barefoot doctor: past, present, and future. Lancet 372(9653):1865–1867

    Article  Google Scholar 

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Acknowledgments

This study is supported by the Grants from National Natural Science Foundation of China (71110107025; 71233001) (YZ) and NIA/NIH (R01 AG023627) (YZ).

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Authors and Affiliations

  1. National University of Singapore, Singapore, Singapore

    Qiush Feng & Joonmo Son

  2. Duke University, Durham, USA

    Yi Zeng

  3. Peking University, Beijing, China

    Yi Zeng

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  1. Qiush Feng
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Correspondence to Qiush Feng.

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Feng, Q., Son, J. & Zeng, Y. Prevalence and correlates of successful ageing: a comparative study between China and South Korea. Eur J Ageing 12, 83–94 (2015). https://doi.org/10.1007/s10433-014-0329-5

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