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BMC Public Health
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Addiction | Research

Enhancing understanding of healthy aging based on time-varying dependencies among multidimensional health, life satisfaction, and health behaviors of older adults aged 60 years and over

Authors: Jianghua Zhang, Yunbao Zhang, Zhiyi Wu, Xuemei Fu

Published in: BMC Public Health | Issue 1/2024

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Abstract

Background

Healthy aging is a process of not only achieving good health but also increasing the life satisfaction of older adults aged 60 years and over, in which health behaviors play an important role. There is a lack of research on the time-varying dependencies between health, life satisfaction, and health behaviors, impeding a deeper understanding of healthy aging.

Purpose

To develop an integrated framework for modeling the interrelationships among the components of healthy aging between multiple time slices.

Methods

Based on the Chinese Longitudinal Healthy Living Survey (CLHLS) data in the three waves of 2011/2012, 2014, and 2017/2018, Bayesian network and dynamic Bayesian network are jointly employed to study the relationships among the components of healthy aging within one time slice, as well as to explore the time-varying dependencies among the components between time slices.

Results

The results of structure learning reveal the direction of effects between different dimensions of health, with mental health and social health affecting physical health and self-rated health affecting both physical and mental health. In addition, health behaviors are found to affect mental health and social health, while self-rated health can influence life satisfaction. The parameters learned from the data show the magnitude and direction of concurrent effects, one-period lagged effects and two-period lagged effects between the factors, which find that the time-varying dependencies vary but are generally positive, long-term, and accumulative over time. In addition, the results of autoregressive effects show the positive predictive effects of health and life satisfaction.

Conclusions

It confirms the influence pathway from health behaviors to multidimensional health to life satisfaction, and the time-varying dependencies among the components of healthy aging, which facilitates a deeper understanding of healthy aging. Combining the results of autoregressive effects and descriptive statistics, it further indicates that healthy aging is a comprehensive result arising from interactions of multiple factors. Policymakers should guide older adults aged 60 years and over to adopt healthier behaviors and ensure the long-term sustainability and continuity of policies.
Appendix
Available only for authorised users
Footnotes
1
Data is publicly available at the Peking University Open Research Data (http://​opendata.​pku.​edu.​cn/​dataverse/​CHADS).
 
2
Thanks for the support of GeNIe software: https://​support.​bayesfusion.​com/​docs/​GeNIe/​.
 
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Metadata
Title
Enhancing understanding of healthy aging based on time-varying dependencies among multidimensional health, life satisfaction, and health behaviors of older adults aged 60 years and over
Authors
Jianghua Zhang
Yunbao Zhang
Zhiyi Wu
Xuemei Fu
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-17752-2

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