{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:02:23Z","timestamp":1790233343294,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100006578","name":"Chi Mei Medical Center","doi-asserted-by":"publisher","award":["CLFHR10621"],"award-info":[{"award-number":["CLFHR10621"]}],"id":[{"id":"10.13039\/501100006578","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Both Taiwan and China, the two most predominant Chinese\u2010speaking regions in the world, are experiencing rapid population aging. The relationships between age and perspectives of healthy aging for older adults with chronic diseases across different settings have been underexplored. This study aimed to compare aging perceptions, physical activity, and perspectives of healthy aging among older adults with chronic diseases in Taiwan and China. It investigated whether aging perceptions and physical activity accounted for the association between age and healthy aging perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a cross\u2010sectional study using face\u2010to\u2010face surveys. Participants (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009812; 412 from Taiwan and 400 from China) aged &gt;\u200960\u2009years with one or more chronic diseases were recruited from outpatient departments and community health service centers in two coastal cities. Parallel mediation analyses were performed using PROCESS for SPSS with 5000 bootstrap samples.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Significant differences were found between the two samples in body mass index, religious affiliation, smoking, drinking, living status, aging perceptions, and overall physical activity. In Taiwan, aging perceptions and leisure activity statistically accounted for the association between age and healthy aging perspectives, explaining 47.6% of the variance. In China, aging perceptions and health\u2010related changes accounted for this association, explaining 21.9% of the variance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The pathways linking age to healthy aging perspectives among older adults with chronic diseases differed between Taiwan and China. Region\u2010specific healthcare policies and interventions targeting aging perceptions and promoting leisure activity in Taiwan, and health\u2010related change management in China are needed to enhance healthy aging perspectives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70809","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:46:20Z","timestamp":1789026380000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the Mediating Roles of Aging Perceptions and Physical Activity on Healthy Aging Perspectives Among Older Adults With Chronic Diseases in Taiwan and China: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6403-8169","authenticated-orcid":false,"given":"Yu\u2010Rung","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Nursing, College of Medicine National Sun Yat\u2010Sen University  Kaohsiung Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fu\u2010Mei","family":"Lin","sequence":"additional","affiliation":[{"name":"Consulting, Wisdom Gathering Consulting  Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LingXiao","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Nursing Ningbo Medical Center, Li Huili Hospital  Ningbo City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LiYun","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Nursing Ningbo Medical Center, Li Huili Hospital  Ningbo City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2533-9900","authenticated-orcid":false,"given":"JungHee","family":"Kang","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Kentucky  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Biddle","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Kentucky  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3433-8950","authenticated-orcid":false,"given":"Ching\u2010Min","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing Kaohsiung Medical University  Kaohsiung Taiwan, ROC"},{"name":"Department of Nursing, College of Medicine National Cheng Kung University  Tainan Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"United Nations Department of Economic and Social Affairs \u201cWorld Population Prospects 2022\u201d(2022)."},{"key":"e_1_2_11_3_1","unstructured":"World Health Organization \u201cWorld report on Ageing and Health\u201d(2015)."},{"key":"e_1_2_11_4_1","unstructured":"Ministry of the Interior \u201cResident Population Grouped by Age\u201d(2021)."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(22)01546\u2010X"},{"key":"e_1_2_11_6_1","unstructured":"Statista \u201cAging Population in China\u2014Statistics & Facts\u201d(2024)."},{"key":"e_1_2_11_7_1","unstructured":"World Health Organization \u201cUN Decade of Healthy Ageing: Plan of Action 2021\u20132030\u201d(2020)."},{"key":"e_1_2_11_8_1","volume-title":"Understanding Healthy Aging: Key Components and Their Integration","author":"Ryff C. D.","year":"2009"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/10594-001"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.83.2.261"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2020.1734914"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/8238748"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8721.2009.01662.x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cky174"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0123260"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010018\u20100902\u20104"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0204044"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/psyg.12400"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2017.06.003"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010016\u20100239\u20109"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511665684"},{"key":"e_1_2_11_22_1","unstructured":"Ministry of Health and Welfare \u201cLong\u2010term Care Plan 2.0\u201d(2024)."},{"key":"e_1_2_11_23_1","unstructured":"Ministry of Health and Welfare \u201c2019 Taiwan Health and Welfare Report\u201d(2020)."},{"key":"e_1_2_11_24_1","unstructured":"World Health Organization \u201cChina Country Assessment Report on Ageing and Health\u201d(2015)."},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2468\u20102667(19)30160\u20104"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2012.0535"},{"key":"e_1_2_11_27_1","unstructured":"World Health Organization \u201cNoncommunicable Diseases\u201d(2018)."},{"key":"e_1_2_11_28_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1998"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102318\u201014\u201044"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.5297\/ser.1503.006"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2020.06.001"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70809","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ggi.70809","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70809","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:31:17Z","timestamp":1790231477000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.70809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":30,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/ggi.70809"],"URL":"https:\/\/doi.org\/10.1111\/ggi.70809","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-04-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70809"}}