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J Gerontol B Psychol Sci Soc Sci. 2011 Nov;66(6):675-80. doi: 10.1093/geronb/gbr052. Epub 2011 Jul 20.

Self-perception of aging and vulnerability to adverse outcomes at the age of 65-70 years.

Author information

1
Institute of Social and Preventive Medicine, University Hospital Center, University of Lausanne, 52, Route de Berne, CH-1010 Lausanne, Switzerland. charlotte.moser@chuv.ch

Abstract

OBJECTIVES:

This study examines the relationship between self-perception of aging and vulnerability to adverse outcomes in adults aged 65-70 years using data from a cohort of 1,422 participants in Lausanne, Switzerland.

METHODS:

A positive or negative score of perception of aging was established using the Attitudes Toward Own Aging subscale including 5 items of the Philadelphia Geriatric Center Morale Scale. Falls, hospitalizations, and difficulties in basic and instrumental activities of daily living (ADL) collected in the first 3 years of follow-up were considered adverse outcomes. The relationship between perception and outcomes were evaluated using multiple logistic regression models adjusting for chronic medical conditions, depressive feelings, living arrangement, and socioeconomic characteristics.

RESULTS:

The strongest associations of self-perception of aging with outcomes were observed for basic and instrumental ADL. Associations with falls and hospitalizations were not constant but could be explained by health characteristics.

CONCLUSIONS:

A negative self-perception of aging is an indicator of risk for future disability in ADL. Factors such as a low-economic status, living alone, multiple chronic medical conditions, and depressive feelings contribute to a negative self-perception of aging but do not explain the relationship with incident activities of daily living disability.

PMID:
21775698
DOI:
10.1093/geronb/gbr052
[Indexed for MEDLINE]

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