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Psychological Resilience of Chinese Centenarians and Its Associations With Survival and Health: A Fuzzy Set Analysis

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  • Danan Gu
  • Qiushi Feng

Abstract

Objectives To investigate psychological resilience (positive adaptations or effective responses to challenges in daily living) and its associations with survival and health among Chinese centenarians. Method On the basis of the latest 5 waves (2000, 2002, 2005, 2008, and 2011) of a nationwide longitudinal survey in China with more than 7,400 centenarians, we constructed 5 resilience types using the grade of membership (fuzzy set) method: high, upper middle, lower middle, low, and unable to answer questions. Results About 50% of male centenarians and nearly 60% of female centenarians have 0% membership in the high resilience group; only 9% of male centenarians and 6% of female centenarians have 80%–100% probability of membership in the high resilience group. Each additional 10-percentage-point increase in the probability of membership in the high resilience group is associated with 2%–4% lower mortality risk; 36%–55% higher odds of no cognitive impairment, self-rated good health, and self-rated good life satisfaction; and 7%–12% higher odds of no activities of daily living (ADL) disability in male centenarians after adjusting for covariates. Results for female centenarians are similar. High resilience is not significantly associated with short-term health decline. Discussion Higher psychological resilience is associated with a lower mortality and better health among centenarians.

Suggested Citation

  • Danan Gu & Qiushi Feng, 2018. "Psychological Resilience of Chinese Centenarians and Its Associations With Survival and Health: A Fuzzy Set Analysis," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 73(5), pages 880-889.
    • Handle: RePEc:oup:geronb:v:73:y:2018:i:5:p:880-889.
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    1. Pian-Pian Zheng & Zi-Le Guo & Xiao-Jing Du & Han-Mo Yang & Zhen-Jie Wang, 2022. "Prevalence of Disability among the Chinese Older Population: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(3), pages 1-17, January.
    2. Fang, Guanfu & Feng, Jin, 2021. "Is the 2003 SARS epidemic over? Long-term effects of epidemic exposure on mortality among older adults," China Economic Review, Elsevier, vol. 67(C).
    3. Li Zhang & Yanjie Hou & Hao Wang & Jun Yao, 2022. "Self-Rated Health and Life Satisfaction among Elderly Migrants in China: A Moderated Mediation Model of Resilience and Upward Intergenerational Support," IJERPH, MDPI, vol. 19(24), pages 1-13, December.
    4. Xin Xu & Yuan Zhao & Siyou Xia & Panpan Cui & Wenmin Tang & Xiaoliang Hu & Bei Wu, 2022. "Quality of Life and Its Influencing Factors Among Centenarians in Nanjing, China: A Cross-Sectional Study," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 735-755, April.

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