Associated factors of successful aging among community-dwelling older adults in a rural area of Indonesia: a cross-sectional study
TL;DR
Successful aging among rural older adults is influenced by working status and proximity to healthcare facilities, and promoting productive activity and maintaining accessible, independent, and supportive health services are essential for aging well in rural communities.
Abstract
ABSTRACT Objective: To identify the factors associated with successful aging among community-dwelling older adults in rural Indonesia. Method: This analytical cross-sectional study involved 104 older adults aged ≥60 years living in Lamongan Regency, Indonesia. Data were collected through structured face-to-face interviews assessing sociodemographic characteristics, health status, and five indicators of successful aging: physical function, cognitive function, psychological well-being, social engagement, and active engagement with life. Multiple linear regression analysis was performed to determine significant predictors. Results: Half of the respondents demonstrated moderate levels of successful aging. Working status (β = 0.383; 95% CI: 0.201–0.565; p < 0.001) and distance to health facilities (β = 0.588; 95% CI: 0.242–0.935; p = 0.001) were significant determinants. Older adults who were still working and those living 1–5 km from health facilities had higher successful aging scores. Conclusion: Successful aging among rural older adults is influenced by working status and proximity to healthcare facilities. Promoting productive activity and maintaining accessible, independent, and supportive health services are essential for aging well in rural communities.