Latent subgroups with distinct patterns of factors associated with self-rated successful aging among 1,510 community-dwelling Americans: potential role of wisdom as an implicit promoter.

Latent subgroups with distinct patterns of factors associated with self-rated successful aging among 1,510 community-dwelling Americans: potential role of wisdom as an implicit promoter.
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在 1,510 名社区居住的美国人中,具有与自评成功老龄化相关的不同因素模式的潜在亚群:智慧作为隐性促进者的潜在作用。

DOI:
10.1080/13607863.2022.2087207
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发表时间:
2023
影响因子:
3.4
通讯作者:
Lee,EllenE
Lee,EllenE
中科院分区:
医学2区
文献类型:
--
作者:
Yamada,Yasunori;Shinkawa,Kaoru;Shimmei,Keita;Kim,Ho-Cheol;Daly,Rebecca;Depp,Colin;Jeste,DilipV;Lee,EllenE

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ObjectivesTo调查是否潜在的亚组与自评成功老龄化相关的因素的不同模式可以确定在社区居住的成年人,以及如何从定量数据分析获得的这种模式与奠定成功老龄化的观点从定性results.MethodsCross-sectional数据收集了1,510社区居住的美国人年龄在21-99岁。潜类回归被用来确定亚组,解释了自评成功老龄化与身体,认知和心理健康的措施,以及与弹性和智慧相关的心理措施的关联。自然语言处理是用来提取重要的主题,从质的反应开放式的问题,包括参与者的定义成功aging.ResultsTwo潜在的亚组被确定,他们的主要区别是,智慧规模与自我评价的成功老龄化,只有一个亚组。该亚组的自我评估成功老化显著较低,所有健康和心理指标的评分均较低。在子组的定性反应,智慧的主题只提到了10.6%,这个比例是没有统计学差异的其他子组,智慧规模是没有统计学关联的自我评价的成功aging.ConclusionOur的结果显示异质模式的因素支持成功老龄化,即使在社区居住的成年人。我们发现存在一个潜在的亚组,自我评价的成功老龄化以及更差的健康和心理评分,我们建议智慧在促进成功老龄化这个亚组的潜在作用,即使个人可能没有明确认识到智慧作为成功老龄化的重要性。
ObjectivesTo investigate whether latent subgroups with distinct patterns of factors associated with self-rated successful aging can be identified in community-dwelling adults, and how such patterns obtained from analysis of quantitative data are associated with lay perspectives on successful aging obtained from qualitative responses.MethodsCross-sectional data were collected from 1,510 community-dwelling Americans aged 21–99 years. Latent class regression was used to identify subgroups that explained the associations of self-rated successful aging with measures of physical, cognitive, and mental health as well as psychological measures related to resilience and wisdom. Natural language processing was used to extract important themes from qualitative responses to open-ended questions, including the participants’ definitions of successful aging.ResultsTwo latent subgroups were identified, and their main difference was that the wisdom scale was positively associated with self-rated successful aging in only one subgroup. This subgroup had significantly lower self-rated successful aging and worse scores for all health and psychological measures. In the subgroup’s qualitative responses, the theme of wisdom was only mentioned by 10.6%; this proportion was not statistically different from the other subgroup, for which the wisdom scale was not statistically associated with the self-rated successful aging.ConclusionOur results showed heterogeneous patterns in the factors underpinning successful aging even in community-dwelling adults. We found the existence of a latent subgroup with lower self-rated successful aging as well as worse health and psychological scores, and we suggest a potential role of wisdom in promoting successful aging for this subgroup, even though individuals may not explicitly recognize wisdom as important for successful aging.