Introduction
For over two decades, the phenomenon of population aging, often referred to as a demographic revolution, has been observed worldwide. Projections indicate that the global elderly population will experience significant growth in the coming decades, and Iran is no exception to this trend. Before this demographic shift imposes a substantial burden on the socio-economic systems of societies, it is essential to revise policies in line with this transformation. Enhancing the well-being of the elderly has emerged as a policy priority since the beginning of the 21st century, with numerous global indicators developed to address this issue. Considering the multidimensional and diverse nature of well-being, encompassing both subjective and objective aspects, this study identifies the dimensions, components, and indicators associated with elderly well-being, recognize existing research gaps, and synthesize studies conducted in this area.
Methods
This study identified all relevant research on the well-being of the elderly, including its dimensions, indicators, and components, using a scoping review approach based on the Arksey and O’Malley (2005) protocol. The methodology involved six stages: formulating the research question, searching and identifying studies, selecting relevant studies from initial searches, extracting data through charts and tables, collating, summarizing, and reporting findings, and consulting experts (optional stage). The research question focused on exploring approaches, dimensions, indicators, and components of elderly well-being in existing studies. Searches were conducted for the period from 2000 to 2023 in Gregorian years and 1380 to 1401 in the Persian calendar.
Databases such as Scopus, Web of Science, ProQuest, Google Scholar, and Persian sources like Scientific Information Database (SID), Magiran, Irandoc, Ensani Portal, and NoorMags were searched. Keywords in English included “social welfare,” “well-being,” “being well,” “welfare,” “elderly,” “seniors,” “aged,” and in Persian, equivalents such as “kohan-sal,” “pir,” “salkhordeh,” “refah,” “behzisti,” “behzistan,” and “salmandan.”
Websites of the World Health Organization (WHO), United Nations (UN), Iran Statistical Center, Iran Welfare Organization, and the Ministry of Health, Treatment, and Medical Education were also reviewed for relevant reports, along with manual searches of specialized journals and reference lists of related articles.
Two authors conducted a three-stage screening process to review and filter the studies. From an initial pool of 6133 English articles, 8623 Persian articles, and 29 studies identified through manual searches, 25 studies met the inclusion criteria after title, abstract, and full-text screening. Data from these studies were categorized in Excel, detailing study titles, authorship, year of publication, location, sample size, methodology, and dimensions, indicators, and components of well-being.
Results
Out of 14 756 articles from database searches and 29 manually identified studies, only 25 met the inclusion criteria. Geographically, 16% of the studies (4) were conducted in the United States, 36% (9) in Asia, 36% (9) in Europe, and 8% (2) in Oceania (New Zealand). One study focused on elderly well-being indicators at a global level, covering 96 countries.
Regarding methodology, 20% of the studies (5) were surveys, 36% (9) used secondary data analysis, 16% (4) employed qualitative methods (e.g. interviews, observations, phenomenology), 16% (4) developed composite indices, and 8% (2) combined multiple methods. One longitudinal study spanned four years, following a cohort of elderly individuals.
The concept of well-being was examined using subjective approaches in 8 studies, objective approaches in 5 studies, and a combination of both in 12 studies. The objective approach emphasized key dimensions such as health dimension which include physical health, physical activity, elder care insurance, self-assessment of health status, independence in daily activities, healthcare services, life expectancy, lifestyle, mental health, and healthcare costs; social dimension that include social support, social capital, social interactions, family living conditions, citizenship rights, and ethnicity; living environment and leisure that include interaction with the living environment, environmental quality, recreational activities, and migration; economic dimension that include elderly poverty, income security, socio-economic status, financial resources, and inequality; and resources and capabilities which include employment, education, achievements, and skills. Subjective well-being was explored through three perspectives, namely evaluative, hedonic, and eudaimonic.
Conclusion
This study identified approaches, indicators, and components of well-being in aging studies. Despite the absence of a unified definition of well-being and the diversity of indicators and components, most studies considered both subjective and objective approaches to well-being. By synthesizing findings and applying the framework developed by Laplaza et al., a conceptual model for elderly well-being can be proposed. This framework delineates individual, family, local community, and societal levels, incorporating culturally and socio-economically relevant indicators. These indicators should be monitored and adapted to align with evolving social, economic, cultural, and technological changes. Adopting such a perspective will enable effective policy-making and planning in the field of aging in the coming decades.
Ethical Considerations
Compliance with ethical guidelines
This study was approved by the Ethics Committee of the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (Code: IR.USWR.REC.1401.064).
Funding
This study was taken from the PhD. dissertation of Faezeh Joghataei, approved by the Department of Social Welfare Management, School of Educational Sciences and Social Welfare, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Authors' contributions
All authors equally contribute to preparing all parts of the research.
Conflicts of interest
The authors declared no conflict of interest.
Acknowledgements
The authors would like to express their special thanks to Iranian Research Center on Aging, Tehran, Iran who support this research.
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