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Colocation of older adults with successful aging based on objective and subjective measures
Institution:1. Department of Community Medicine and Health Care, University of Connecticut School of Medicine, 263 Farmington Avenue, MC 6325, Farmington, CT 06030-6325, USA;2. Department of Public Health, Temple University, Health Sciences Campus 3rd Floor, Jones Hall, 1316 W. Ontario Street, Philadelphia, PA 19140, USA;3. Department of Geography and Environment, Rowan University, 201 Mullica Hill Road, Glassboro, NJ 08028, USA;4. New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine, Suite 2300 UDP, 42 E. Laurel Rd., Stratford, NJ 08084, USA;1. Instituto de Investigación en Señales, Sistemas e Inteligencia Computacional, sinc(i), FICH-UNL/CONICET, Ciudad Universitaria UNL, Santa Fe, S3000ZAA, Argentina;2. Cátedra de Química Analítica II, FBCB-UNL, Ciudad Universitaria UNL, Santa Fe, S3000ZAA, Argentina;3. Cátedra de Bromatología y Nutrición, FBCB-UNL, Ciudad Universitaria UNL, Santa Fe, S3000ZAA, Argentina;4. Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Godoy Cruz 2290, Buenos Aires, C1425FQB, Argentina;1. Spatial Pattern Analysis and Research Lab, Department of Geography, University of Victoria, P.O. Box 3060, Victoria, British Columbia, Canada V8W 3R4;2. Department of Forest Resources Management, Integrated Remote Sensing Studio (IRSS), University of British Columbia, Centre 2424 Main Mall, Vancouver, British Columbia, Canada V6T1Z4;3. Pacific Forestry Centre, Canadian Forest Service, Natural Resources Canada, 506 Burnside Road West, Victoria, British Columbia, Canada V8Z1M5;1. Neuroscience and Mental Health Institute, University of Alberta, Edmonton, Alberta, Canada;2. Centre for Prions and Protein Folding Diseases, University of Alberta, Edmonton, Alberta, Canada;3. Division of Neurology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada;4. Department of Psychology, University of Alberta, Edmonton, Alberta, Canada;1. Department of Molecular Microbiology & Immunology, University of Southern California, Los Angeles, CA, USA;2. Leiden University Medical Center, Leiden, The Netherlands;3. Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA;4. Department of Obstetrics & Gynecology, University of Southern California, Los Angeles, CA, USA
Abstract:Aging of the U.S. and world populations highlights the need to understand how and where people age successfully. Older adults with chronic conditions may rate themselves subjectively as aging successfully despite their objective limitations. A typology of successful aging combining objective and subjective criteria has been tested, but spatial patterns in these dimensions have not been widely studied. Our research explores patterns of successful and unsuccessful aging using the colocation quotient, a measure of spatial association among categories in a population. The colocation quotient assesses the degree to which older adults who age successfully are likely to live near other adults who do not age successfully. Data on 5576 participants in the ORANJ BOWLSM survey, a statewide survey of older adults in New Jersey, were geocoded to the Census block level. Each participant was scored as aging successfully or not on each of the two dimensions. Global and local patterns of colocation of successful and unsuccessful aging in individuals were calculated based on the objective and subjective measures separately and then compared. The analysis reveals a strong regional pattern. In northern New Jersey and along the southeast coast, successful older adults on both dimensions were more likely to be colocated with subjectively unsuccessful older adults. In southern New Jersey, especially in the southwest, successful older adults on both dimensions were more likely to be colocated with the objectively unsuccessful. Spatial analysis of colocation can inform needs assessment for the growing population of older adults by identifying where older people age successfully and where they are aging unsuccessfully.
Keywords:Aging  Health geography  Geographical gerontology  Colocation quotient  Spatial analysis  New Jersey
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