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1- Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
2- Non-Communicable Diseases Research Center, Non-Communicable Diseases Prevention Research Institute, Qazvin University of Medical Sciences, Qazvin, Iran , mkeramatkar@qums.ac.ir
3- Medical Microbiology Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
4- Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
Abstract:   (26 Views)
Objective: Middle-age adulthood is a transition to aging that people needs to adjust. In this stage, people face concerns about getting older including changes, threats, and losses they may experience in later life. This study aimed to examine the relationship of health and spirituality with aging anxiety in middle-aged adults.
Methods: We conducted this cross-sectional study on a convenience sample of 460 middle-aged adults recruited from Tehran. Data were collected using self-rated health, the Anxiety about Aging Scale, and the Daily Spiritual Experience Scale. Data were analyzed using the SPSS 22 and R 4.4.3. Descriptive statistics was used to analyze sociodemographic variables including mean, standard deviation, frequency, and percentage. Linear regression methods including univariate and multivariate linear regression were used to identify predictors of aging anxiety.  
Results: Results showed that mean of aging anxiety was 57.76 ±8.73. Regarding dimensions of aging anxiety, the greatest aging anxiety was related to fear of loss (3.43 ±18.2) and the least one was fear of older people (2.72± 9.8). Results of univariate linear regression showed that occupation, marital status, occupation, health status, and spirituality were significantly associated with aging anxiety in middle-aged people. Results of multivariate linear regression showed that age, marital status, occupation, health status, and spirituality were significantly associated with aging anxiety in middle-aged people.
Conclusions: Middle-aged adults had moderate level of aging anxiety; however, they had greater concern about loss. As some demographic, health status and spirituality were related to aging anxiety, identifying predisposing or protecting factors to aging anxiety could provide sociocultural evidence to manage aging concerns.
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Type of Study: Applicable | Subject: gerontology
Received: 2026/04/24 | Accepted: 2026/07/27

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