Abstract
Objectives: This study aimed to make a chronological evaluation between physical, psychological and social health for the urban elderly dwellers.
Methods: The questionnaire survey was conducted to al l16,462 urban elderly dwellers of 65 years old or more in A City. The answer was obtained from 13,195 people(response rate of 80.2%). The follow-up survey of 8,558 members was done in September, 2004. By using Finkel's Cross- Lagged Effects Models based on the Structural Equation Models, the causal relationships were analyzed.
Results: In results of this analysis, chronological three years trend of the ADL (Activities of Daily Living) was shifted from 80.8% to 77.2%. Trend of the self-rated health with healthy was shifted from 87.6% to 76.2%. All the elderly were seen that “physical factor” (“ ” means latent variable) and “social factor” conducted on the follow-up survey in 2004 would be significantly affected by the “psychological factor” which was investigated in 2001 based on the chronological evaluation. Total number of 76% for the old elder men, 63% for the same women of the “physical factor” were explained by these model with height validity level with NFI=0.964, IFI=0.968, RMSEA=0.016.
Conclusions: Both physical health and social health would be affected by the psychological health during three years follow-up in the urban elderly dwellers. Future research is needed to make clear the research fact for the another generation with external validity of these results.
