Abstract
Background: The diverse ways of ageing in Chile, especially determined by indigenous ethnic identity, are scarcely addressed. It is necessary to account for the personal, psychosocial and health variables that promote Successful Ageing (SA). Objective: This research explores a theoretical explanatory model of successful ageing (SA) in a sample of indigenous and non-indigenous older people, considering several personal, psychosocial and health variables related to SA. It also seeks to contrast the possible effect of ethnicity - being or not being indigenous - in this model. Method: Quantitative, cross-sectional study with the participation of 232 elderly Aymara people and 545 non-indigenous people living in the extreme north of Chile. Instruments and scales previously validated in equivalent population were used to measure successful aging, religiosity and spirituality, community social support, health problems, dependence in activities of daily living and depression. Structural equation modeling (SEM) was used to estimate the adjutsment of the theoretical model to the data. Specifically, a multigroup analysis was performed to adjust the model for indignous and non-indigenous groups. Results: The results indicate that there is invariance in function of ethnicity for the SA construct. As shown in the hypothesized and subsequently contrasted model, SA is directly related to depression and spirituality. On the other hand, community integration, physical dependence and perceived social support relates indirectly with SA, through the association with depression and spirituality. Conclusions: This study support the hypothesis that SA is a multidimensional process, determining by ethnicity and that mental health plays an important role.
References
Ayalon, L. y Levkovich, I. (2018). A Systematic Review of Research on Social Networks of Older Adults. The Gerontologist, 59(3), e164-e176. https://doi.org/10.1093/geront/gnx218
Bélanger, E., Ahmed, T., Vafaei, A., Curcio, C. L., Phillips, S. P. y Zunzunegui, M. V. (2016). Sources of social support associated with health and quality of life: a cross-sectional study among Canadian and Latin American older adults. BMJ open, 6(6), e011503. https://doi.org/hbg6
Bowling, A. y 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. https://doi.org/10.1093/ageing/afl100
Boström, G., Conradsson, M., Rosendahl, E., Nordström, P., Gustafson, Y. y Littbrand, H. (2014). Functional capacity and dependency in transfer and dressing are associated with depressive symptoms in older people. Clinical interventions in aging, 9, 249–256. https://doi.org/10.2147/CIA.S57535
Bowling, A., Barber, J., Morris, R. y Ebrahim, S. (2006). Do perceptions of neighbourhood environment influence health? Baseline findings from a British survey of aging. Journal of Epidemiology and Community Health, 60(6), 476-483. https://doi.org/c3rx3p
Brink, T.L., Yesavage, J.A., Lum, O., Heersema, P.H., Adey, M. y Rose, T.L. (1982). Screening tests for geriatric depression. Clinical Gerontologist, 1(1), 37-43. https://doi.org/10.1300/J018v01n01_06
Calasanti, T. y King, N. (2021). Beyond Successful Aging 2.0: Inequalities, Ageism, and the Case for Normalizing Old Ages. The journals of gerontology. Series B, Psychological sciences and social sciences, 76(9), 1817-1827. https://doi.org/10.1093/geronb/gbaa037
Cené, C. W., Dilworth-Anderson, P., Leng, I., Garcia, L., Benavente, V., Rosal, M., Vaughan, L., Coker, L. H., Corbie-Smith, G., Kim, M., Bell, C. L., Robinson, J. G., Manson, J. A. E., & Cochrane, B. (2016). Correlates of successful aging in racial and ethnic minority women age 80 years and older: Findings from the Women’s Health initiative. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 71(Suppl 1), S87–S99. https://doi.org/f8jft8
Cheng, S.T. (2014). Defining successful aging: The need to distinguish pathways from outcomes. International Psychogeriatrics, 26(04), 527-531. https://doi.org/ghxgdw
Cosco, T.D., Prina, A.M., Perales, J., Stephan, B.C. y Brayne, C. (2014). Operational definitions of successful aging: a systematic review. International Psychogeriatrics, 26(03), 373-381. https://doi.org/10.1017/S1041610213002287
Dumitrache, C. G., Rubio, L. y Cordón-Pozo, E. (2019). Successful aging in Spanish older adults: the role of psychosocial resources. International Psychogeriatrics, 31(2), 181–191. https://doi.org/10.1017/S1041610218000388
Fernández, M. B. y Rosell, J. (2021). An Analysis of the Relationship Between Religiosity and Psychological Well-Being in Chilean Older People Using Structural Equation Modeling. Journal of religion and health, 2021, https://doi.org/10.1007/s10943-021-01442-z
Fernández, M.B. y Valenzuela, E. (2022) Religiosity and subjective wellbeing of the elderly in Chile: a mediation analysis. Journal of Religion, Spirituality & Aging 34(1), 17-38. https://doi.org/10.1080/15528030.2020.1839624
Fetzer Institute/National Institute on Aging Working Group (1999). Multidimensional measurement of religiousness/spirituality for use in health research. Kalamazoo, MI: John E. Fetzer Institute.
Fonseca, M. (2016). Importancia de los aspectos espirituales y religiosos en la atención de pacientes quirúrgicos. Revista Chilena de CirugÃa, 68(3) ,258-264. https://doi.org/hbk6
Gallardo-Peralta, L.P., Cuadra-Peralta, A., Cámara-Rojo, X., Gaspar-Delpino, B., y Sánchez-Lillo, R. (2017). Validación del inventario de envejecimiento exitoso en personas mayores chilenas. Revista médica de Chile, 145(2), 172-180. https://doi.org/hbk7
Gallardo-Peralta, L.P., Cuadra-Peralta, A. y Veloso-Besio, C. (2018). Validación de un Ãndice Breve de Religiosidad y Espiritualidad en personas mayores. Revista de psicologÃa (Santiago), 27(1), 1-13. https://dx.doi.org/10.5354/0719-0581.2018.50736
Gallardo-Peralta, L.P. y Gálvez Nieto, J.L. (2018). Validación del cuestionario de apoyo social comunitario en personas mayores chilenas. Revista Iberoamericana de diagnóstico y evaluación e avaliação psicológica, 49, 47-57. https://doi.org/10.21865/RIDEP49.4.04
Gallardo-Peralta, L.P., Sánchez-Iglesias, I., Saiz, J., Barrón, A. y Sánchez-Moreno, E. (2021). Validation of Perceived Social Support Questionnaire for a multi-ethnic population of Chilean older adults. Revista Iberoamericana de diagnóstico y evaluación e avaliação psicológica, 58(1), 79-91. https://doi.org/10.21865/RIDEP58.1.07
Gallardo-Peralta, L.P., Sánchez-Moreno, E., López De Roda, A. B. y Arias Astray, A. (2015). Ethnicity, Social Support, and Depression Among Elderly Chilean People. The Journal of psychology, 149(6), 601–629. https://doi.org/10.1080/00223980.2014.946462
Gallardo-Peralta, L.P. y Sánchez-Moreno, E. (2020). Espiritualidad, religiosidad y sÃntomas depresivos en personas mayores del norte de Chile. Terapia Psicológica, 38(2), 169-187. https://doi.org/10.4067/S0718-48082020000200169
Gallardo-Peralta, L.P., RodrÃguez-Blázquez, C., Ayala-GarcÃa, A. y Forjaz, M. J. (2020). Multi-ethnic validation of 15-item Geriatric Depression Scale in Chile. Psicologia: Reflexão e CrÃtica, 33. https://doi.org/10.1186/s41155-020-00146-9
Gavilán, V. (2015). Ser indio y ciudadano en el norte chileno: Etnicidad y estatus de pertenencia a la comunidad nacional y polÃtica. Revista de GeografÃa Norte Grande, (60), 63-77. https://doi.org/10.4067/S0718-34022015000100004
Gracia, E., Herrero, J., y Musitu, G. (2002). Evaluación de recursos y estresores psicosociales en la comunidad. Madrid: SÃntesis.
Gutiérrez-Carmona, A., Urzúa, A., Caqueo-UrÃzar, A., y Calderón Carvajal, C. (2019). La evaluación del bienestar en pueblos originarios: desarrollo de una escala para la comunidad andina Lickan-Antay. Interciencia, 44(12), 707-715. https://tinyurl.com/yc7ubh7w
Gutiérrez, M., Tomás, J. M. y Calatayud, P. (2018). Contributions of Psychosocial Factors and Physical Activity to Successful Aging. The Spanish journal of psychology, 21, E26. https://doi.org/10.1017/sjp.2018.27
Heinze, J. E., Kruger, D. J., Reischl, T. M., Cupal, S. y Zimmerman, M.A. (2015). Relationships Among Disease, Social Support, and Perceived Health: A Lifespan Approach. American journal of community psychology, 56(3-4), 268-279. https://doi.org/10.1007/s10464-015-9758-3
Herrero, J. y Gracia, E. (2007). Measuring perceived community support: Factorial structure, longitudinal invariance, and predictive validity of the PCSQ (Perceived Community Support Questionnaire). Journal of Community Psychology, 35(2), 197-217. https://doi.org/d2vvhk
Hu, L.T. y Bentler, P.M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1-55. https://doi.org/ 10.1080/10705519909540118
Kim, S-H. y Park, S. (2017). A Meta-Analysis of the Correlates of Successful Aging in Older Adults. Research on Aging, 39(5), 657- 677. https://doi.org/ 10.1177/0164027516656040
Kleineidam, L., Thoma, M. V., Maercker, A., Bickel, H., Mösch, E., Hajek, A., König, H.-H., Eisele, M., Mallon, T., Luck, T., Röhr, S., Weyerer, S., Werle, J., Pentzek, M., Fuchs, A., Wiese, B., Mamone, S., Scherer, M., Maier, W., … Wagner,, M. (2018). What is successful aging? A psychometric validation study of different construct definitions. The Gerontologist, 59(4), 738–748. https://doi.org/10.1093/geront/gny083
Kok, A.A., Aartsen, M.J., Deeg, D.J. y Huisman, M. (2017). Capturing the Diversity of Successful Aging: An Operational Definition Based on 16-Year Trajectories of Functioning. The Gerontologist, 57(2), 240-251. https://doi.org/10.1093/geront/gnv127
Lee, E. E. (2019). Aging successfully and healthfully. International Psychogeriatrics, 31(4), 439–441. https://doi.org/10.1017/S104161021900001
Lewis, J. P. (2011). Successful aging through the eyes of Alaska Native elders. What it means to be an elder in Bristol Bay, AK. The Gerontologist, 51(4), 540–549. https://doi.org/cqwvv3
Mahoney, F.I. y Barthel, D.W. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61-65.
Moloney, A. (2010). Protests highlight plight of Chile's Mapuche Indians. The Lancet, 375(9713), 449–450. https://doi.org/10.1016/s0140-6736(10)60181-x
Nakagawa, T., Cho, J. y Yeung, D. (2020). Successful Aging in East Asia: Comparison among China, Korea, and Japan. The Journals of Gerontology: Series B, gbaa042. https://doi.org/10.1093/geronb/gbaa042
Pace, J.E. y Grenier, A. (2017).Expanding the Circle of Knowledge: Reconceptualizing Successful Aging Among North American Older Indigenous Peoples. Journals of Gerontology: Social Sciences, 72(2), 248–258. https://doi.org/ 10.1093/geronb/gbw128
Phelan, E.A. y Larson, E.B. (2002). Successful aging—where next?. Journal of the American Geriatrics Society, 50(7), 1306-1308. https://doi.org/10.1046/j.1532-5415.2002.50324.x
Pontificia Universidad Católica de Chile (2007). Encuesta Nacional de Calidad de Vida.
Pruchno, R.A., Wilson-Genderson, M., Rose, M. y Cartwright, F. (2010). Successful aging: Early influences and contemporary characteristics. The Gerontologist, 50(6), 821-833. https://doi.org/10.1093/geront/gnq041
Rowe, J.W. y Kahn, R. L. (1987). Human aging: usual and successful. Science, 237(4811), 143-149. https://doi.org/10.1126/science.3299702
Rowe, J. W. y Kahn, R. L. (1997). Successful aging. The Gerontologist, 37(4), 433–440. https://doi.org/10.1093/geront/37.4.433
Sandoval, F.A., Tamiya, N., Lloyd-Sherlock, P. y Noguchi, H. (2016). Relation of depression with health behaviors and social conditions of dependent community-dwelling older persons in the Republic of Chile. International Psychogeriatrics, 28(12), 2029-2043. https://doi.org/10.1017/S1041610216001228
Steiger, J. H. (2007). Understanding the limitations of global fit assessment in structural equation modeling. Personality and Individual Differences, 42(5), 893-898. https://doi.org/10.1016/j.paid.2006.09.017
Torres, S. (2019). Ethnicity & Old Age: Expanding our Imagination. Policy Press.
Troutman, M., Nies, M.A., Small, S. y Bates, A. (2011). The development and testing of an instrument to measure successful aging. Research in Gerontological Nursing, 4(3), 221-232. https://doi.org/10.3928/19404921-20110106-02
Whitley, E., Popham, F. y Benzeval, M. (2016). Comparison of the Rowe–Kahn Model of Successful Aging With Self-rated Health and Life Satisfaction: The West of Scotland Twenty-07 Prospective Cohort Study. The Gerontologist, 56(6), 1082–1092. https://doi.org/f92xcw
Wilson-Genderson, M., Heid, A. R., Cartwright, F.y Pruchno, R. (2021). Subjective Successful Aging: Measurement Invariance Across 12-Years. The Gerontologist, gnab085. https://doi.org/gnv7kt
