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Trajectories of positive aging: observations from the women's health initiative study
Journal article   Open access   Peer reviewed

Trajectories of positive aging: observations from the women's health initiative study

Oleg Zaslavsky, Barbara B Cochrane, Nancy Fugate Woods, Andrea Z LaCroix, Jingmin Liu, Jerald R Herting, Joseph S Goveas, Karen C Johnson, Lewis H Kuller, Lisa W Martin, …
International psychogeriatrics, v 26(8), pp 1351-1362
Aug 2014
DOI: https://doi.org/10.1017/S1041610214000593
PMID: 24739218
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1017/s1041610214000593View
Published, Version of Record (VoR)CC BY-NC-ND V4.0,  Open
url
https://doi.org/10.1017/S1041610214000593View
Published, Version of Record (VoR) Open

Abstract

Aged Aging - physiology Aging - psychology Depression - diagnosis Depression - epidemiology Female Health Status Disparities Health Status Indicators Humans Middle Aged Models, Theoretical Outcome Assessment (Health Care) Pain - diagnosis Pain - epidemiology Postmenopause - physiology Postmenopause - psychology Quality of Life Self Report Social Skills Social Support United States Women's Health - statistics & numerical data
The purpose of this study was to describe the longitudinal trajectories and bidirectional relationships of the physical-social and emotional functioning (EF) dimensions of positive aging and to identify their baseline characteristics. Women age 65 and older who enrolled in one or more Women's Health Initiative clinical trials (WHI CTs) and who had positive aging indicators measured at baseline and years 1, 3, 6, and 9 were included in these analyses (N = 2281). Analytic strategies included latent class growth modeling to identify longitudinal trajectories and multinomial logistic regression to examine the effects of baseline predictors on these trajectories. A five-trajectory model was chosen to best represent the data. For Physical-Social Functioning (PSF), trajectory groups included Low Maintainer (8.3%), Mid-Low Improver (10.4%), Medium Decliner (10.7%), Mid-High Maintainer (31.2%), and High Maintainer (39.4%); for EF, trajectories included Low Maintainer (3%), Mid-Low Improver (9%), Medium Decliner (7.7%), Mid-High Maintainer (22.8%), and High Maintainer (57.5%). Cross-classification of the groups of trajectories demonstrated that the impact of a high and stable EF on PSF might be greater than the reverse. Low depression symptoms, low pain, and high social support were the most consistent predictors of high EF trajectories. Aging women are heterogeneous in terms of positive aging indicators for up to 9 years of follow-up. Interventions aimed at promoting sustainable EF might have diffused effects on other domains of healthy aging.

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6 Record Views
10 citations in Web of Science
11 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Geriatrics & Gerontology
Gerontology
Psychiatry
Psychology
Psychology, Clinical
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