背景：近年來，隨著越來越多的國家面臨人口老化的挑戰，年齡歧視成為人們關注的焦點。世界衛生組織承認年齡歧視會損害我們的健康和福祉。在年齡歧視的研究領域，學者們提出了不同的假說，包括探索老化自我覺知為何以及如何影響身體健康和死亡率。負向的老化自我覺知也會降低自我效能，會直接影響憂鬱，同時影響免疫系統和心血管系統，這會對身體健康產生影響。同時，正向老化自我覺知與更高水平的幸福感、更好的健康和/或長壽相關。
目的：本研究的目的是探討台灣社區老年人的老化自我覺知與健康生活型態和身心社會健康狀態的相關性。
方法：本研究的樣本數包含500位台灣南部都市年齡50歲以上社區民眾為對象進行社區問卷調查，使用的工具包括老化自我覺知(AgeCog)量表、健康生活型態問卷、自評健康和幸福感(WHO-5)量表。通過描述性統計、皮爾森相關係數和線性階層回歸分析從樣本中收集的數據。
結果：結果顯示，個體對老化存在正向和負向的老化自我覺知，正向的老化自我覺知得分大於富向的老化自我覺知。老化自我覺知與自評健康、生活品質、憂鬱和出門頻率相關。在控制社會人口變量並進行回歸分析後，發現老化自我覺知與生活品質、自評健康、自評疼痛和憂鬱呈顯著相關。
結論：結果發現老化自我覺知與生理、心理和社會健康有關。希望透過這項研究，了解台灣老年人的老化自我覺知，以及老化自我覺知、健康生活型態與健康狀況之間的關係。也透過成果向大眾宣傳正向老化自我覺知的好處，希望台灣老年人能達到正向的老化過程，並達到成功老化。

Scholars have proposed different hypotheses, including exploring why and how self-perception of aging (SPA) affects physical, mental and social health. The purpose of the study was to explore the correlation between the self-perception of aging, healthy lifestyles, physical, mental and social health among Mid-Aged and Older Adults Living in the Community in Taiwan. The study sample consisted of 500 mid-aged and older adults who were conveniently sampled in one city of southern Taiwan. The instruments were used included Aging-related Cognitions Scale, Healthy Lifestyle Behaviors Questionnaire, Self-rated health and WHO-5 well-being index. The data collected from the samples were analyzed by descriptive statistics, Pearson’s product-moment correlation and linear regression analysis. The results showed that there were both positive and negative self-perception of aging among individuals, and the score of positive self-perception of aging was greater than negative SPA. SPA was correlated with self-rated health, quality of life, depression, and frequency of going out. After controlling for sociodemographic variables and performing regression analysis, it was found that SPA was significantly associated with quality of life, self-rated health, self-rated pain and depression. The results found that SPA is related to physical, mental and social health. It is hoped that through this research, we can understand the SPA of elderly people in Taiwan, as well as the relationship between SPA, healthy lifestyle and health status. Also, through the results to publicize the benefits of positive SPA to the public, it is hoped that elderly people in Taiwan can achieve a positive aging process and successful aging.

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