Social determinants and disparities in active aging among older Taiwanese

Hui Chuan Hsu, Jersey Liang, Dih Ling Luh, Chen Fen Chen, Ying Wei Wang

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)


This study assesses equity in active aging across social determinants among older Taiwanese. The data were collected from face-to-face interviews with adults aged 55 years or more in Taiwan in 2017 (n = 738). A total of 30 individual-level Taiwan active aging indicators were chosen, and the relationship between social determinants and active aging indicators were analyzed by logistic regression models. Women were more likely to participate in volunteering and other social groups and in lifelong learning activities, whereas men were more likely to be employed, to engage in physical activity, to feel safe from violence, and to use preventive care. Higher education was related to higher employment, social participation, independent living, lifelong learning, and a lower likelihood of poverty and severe cognitive impairment. Those living in rural areas were more likely to be employed, perform physical activity, feel physically safe, have better mental well-being, and have higher social respect and social integration ratings, whereas living in urban areas was related to greater access to medical care, owning assets, less severe cognitive impairment, greater likelihood of using information and communications technology, higher level of education, and higher access to convenient transportation. The significant disparities that exist in active aging may suggest inequality.

Original languageEnglish
Article number3005
JournalInternational Journal of Environmental Research and Public Health
Issue number16
Publication statusPublished - Aug 1 2019


  • Active aging
  • Equity
  • Health inequality
  • Old-age policy
  • Older adults

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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