Akademik Məlumat İdarəetmə Sistemi
BMC Psychology, vol.13, no.1, 2025 (SSCI)
Objectives: International literature emphasizes that numerous factors are associated with healthy aging in older adults. This study aims to examine the factors associated with healthy aging in individuals aged 60 and above within the framework of the Social Determinants of Health (SDOH) theory, using an inter-factorial analysis model. Methods: the sample of the study consisted of 514 older adults residing in Turkey. Data collection tools included a personal information form, social exclusion scale, economic constrants scale and healthy aging scale. Data analysis was conducted using SPSS 25 and SPSS 25 Process version 3.5.3. The analysis of the data obtained in the study was conducted using Pearson’s and Spearman’s correlation, along with the moderated mediation method (model 7). This study examined the relationship between factors such as economic constraints, social exclusion and socio-economic status on healthy aging. Results: Economic constraints were found to have a positive, statistically significant association with social exclusion (β = 1.34 p <.001). Additionally, economic constraints were found to have negative, statistically significant association with aging (β= − 0.12 p <.001). Apart from these findings, it was seen that social exclusion has a negative mediating role on the relationship of economic constraints and healthy aging (ab = − 0.0657 BootLLCI = − 0.1168, BootULCI = − 0.0149). Finally, it was observed that socio-economic status played a negative moderating role in the relationship between economic constraints and social exclusion, in other words, the strength of the indirect effect of economic constraints on healthy aging via social exclusion varies by socio-economic status (SES). The mediated relationship was strongest among individuals with low SES and weakest among those with high SES (Index = − 0.0102, BootSE = 0.0034, BootCI = [–0.0176, − 0.0041]). Conclusion: based on the findings, several recommendations were proposed to promote healthy aging among older adults.