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A Novel Examination of Successful Aging Trajectories at the End of Life.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Stephan, Blossom CM 
Muniz, Graciela 
Brayne, Carol 
CC75C Study Collaboration 

Abstract

A successful aging (SA) index was captured in a longitudinal population-based cohort study of individuals aged 75 and older and examined longitudinally using growth mixture modelling (GMM) to identify groups with similar trajectories using decedents' (n = 1,015) last completed interview and up to four previous data collection waves before death. GMM identified a three-class model. Classes were high-functioning, no decline (HN); high-functioning, gradual decline (HG); and low-functioning, steep decline (LS). HN class individuals were significantly younger at death (p < 0.001) and at last interview (p < 0.001), consisted of more men (p < 0.001), and more likely to be married (p < 0.001) compared to HG and LS class individuals. These results demonstrate the different ways in which individuals can experience successful aging at the end of life. This study provides the framework for future research into life-course processes of aging, with important implications for policy and practice.

Description

Keywords

aging, end of life, fin de vie, growth mixture modelling, modélisation d’un mélange de croissance, successful aging, vieillissement, vieillissement réussi, Age Factors, Aged, Aging, Death, Female, Humans, Interviews as Topic, Longitudinal Studies, Male, Marital Status

Journal Title

Can J Aging

Conference Name

Journal ISSN

0714-9808
1710-1107

Volume Title

35

Publisher

Cambridge University Press (CUP)
Sponsorship
Department of Health (via National Institute for Health Research (NIHR)) (unknown)