The effects of age identity and attitude toward aging on the use of health promotion in late life

노인의 연령정체성과 노화에 대한 태도가 건강증진프로그램 참여에 미치는 영향

Han, Jina

  • Received : 2015.10.31
  • Accepted : 2015.12.21
  • Published : 2015.12.31


Objectives: It has been found that health promotion interventions are effective to decrease morbidity among older people. The acceptability of interventions are, however, still troublesome for achievement of efficacy of health promotion interventions. The current study examines the effects of age identity and attitude toward aging on the use of health promotion programs among older people. Methods: Data from the Survey of Living Conditions of Korean Older Persons were used. Logistic regression models were tested using a nationally representative sample of 9,461 community-dwelling older individuals who are 65 years old and over. Results: Older individuals who have younger age identity and more negative attitude toward aging were less likely to use health promotion programs, after adjusting the effects of other predisposing, enabling, and need factors such as demographic characteristics and personal health characteristics. Conclusions: Strategies for mitigating the possible effects of age identity and attitude toward aging on the acceptability of health promotion programs are also discussed.


health promotion programs;age identity;attitude toward aging;older people


  1. Levy, B. R. (2003). Mind matters: Cognitive and physical effects of aging self-stereotypes. Journal of Gerontology: Psychological Sciences, 58B(4), 203-211.
  2. Levy, B. R., & Myers, L. M. (2004). Preventive health behaviors influenced by self-perceptions of aging. Preventive Medicine, 39, 625-629.
  3. Ory, M., Hoffman, M. K., Hawkins, M., Sanner, B., & Mockenhaupt, R. (2003). Challenging aging stereotypes: Strategies for creating a more active society. American Journal of Preventive Medicine, 25, 164-171.
  4. Park, J. S. & Oh, Y. J. (2005). The Effects of a Health Promotion Program in Rural Elderly on Health Promotion Lifestyle and Health Status. Journal of Korean Academic Nursing, 35(5), 543-954.
  5. Sarkisian, C. A., Hays, R. D., & Mangione, C. M. (2002). Do older adults expect to age successfully? The association between expectations regarding aging and beliefs regarding healthcare seeking among older adults. Journal of the American Geriatrics Society, 50, 1837-1843.
  6. Seon, W., Kim, H., Ko, S., Lee, S., Kim, D., Kim, C., . . . Nam, H. (2014). Strategies for health care service by health status of elderly. Korean Institute for Health and Social Affairs.
  7. Taylor, D. H., Hasselblad, V., Henley, S. J., Thun, M. J., & Sloan, F. A. (2002). Benefits of smoking cessation for longevity. American Journal of Public Health, 92, 990-996.
  8. Whitbourne, S. K., & Sneed, J. R. (2002). The paradox of well-being, identity processes, and stereotype threat: Ageism and its potential relationships to the self in later life. In T. D. Nelson (Ed.), Ageism: Stereotyping and prejudice against older persons (pp.247-273). Cambridge: The MIT Press.
  9. World Health Organization (2005). Health Promotion International: 6th Global conference on Health promotion: The Bangkok charter for health promotion in a globalized world. World Health Organization.
  10. Korean Institute for Health and Social Affairs. (2011). 2011 Survey of living conditions and welfare needs of Korean older persons: User's guide. Korean Institute for Health and Social Affairs.
  11. Lee, D., & Park, J. (2011). A Study on the Factors for the Elderly Living Alone at Home to Determine Their Participation in a Health Promotion Activity Program: With the application of Anderson Model. Social Welfare Policy, 38, 1-23.
  12. Anderson, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1-10.
  13. Bengston, V. L., Reedy, M. N., & Gordon, C. (1985). Aging and self-conceptions: Personality processes and social contexts. In J. E. Birren & K. W. Schaie (Eds.), Handbook of The Psychology of Aging (pp. 544-593). New York, NY: Van Nostrand Reinhold Company.
  14. Bunn, F., Dickinson, A., Barnett-Page, E., Mcinnes, E., & Horton, K. (2008). A systematic review of older people's perceptions of facilitators and barriers to participation in falls-prevention interventions. Ageing & Society, 28, 449-472.
  15. Cho, M. Bae, J., Seo, K., Ham, B., Kim, J., Lee, D., & Kang, M. (1999). Validation of Geriatric Depression Scale Korean version(GDS) in the assessment of DSM-III-R Major Depression. Journal of the Korean Neuropsychiatric Association, 38(1), 48-63.
  16. Gillespie, L. D., Gillespie, W. J., Robertson, M. C., Lamb, S. E., Cumming, R. G., & Rowe, B. H. (2003). Interventions for preventing falls in elderly people. The Cochran Database Systematic Reviews, 4, CD000340.
  17. Goodwin, J. S., Black, S. A., & Satish, S. (1999). Aging versus disease: the opinions of older Black, Hispanic, and Non-Hispanic White Americans about the causes and treatment of common medical condition. Journal of the American Geriatrics Society, 47(8), 973-979.
  18. Kahana, E., Lawrence, R. H., Kahana, B., Kercher, K., Wisniewski, A., Stoller, E., . . . Stange, K.(2002). Long-term impact of preventive proactivity on quality of life of the old-old. Psychosomatic Medicine, 64, 382-394.
  19. Kim, S. (2007). The association between expectations regarding aging and health-promoting behaviors among Korean older adults. Journal of Korean Academic Nursing, 37(6), 932-940.
  20. Kim, E. S., Moored, K. D., Giasson, H. L., & Smith, J.(2014). Satisfaction with aging and use of preventive health services. Preventive Medicine, 69, 176-180.