Hui-Chuan Hsu

Hui-Chuan Hsu
Taipei Medical University | TMU · School of Public Health

Ph.D.

About

76
Publications
12,292
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1,599
Citations
Citations since 2017
31 Research Items
1008 Citations
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2017201820192020202120222023050100150200250
2017201820192020202120222023050100150200250

Publications

Publications (76)
Article
Full-text available
Purpose Institutional residents experienced more restrictions in the lockdown of covid-19. The purpose of this study was to examine the association of loneliness and lonely literacy with mental health wellbeing during covid-19 for older institutional residents. Methods The participants living in the 13 long-term care institutions who were aged 65...
Article
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This study developed indicators of age-friendliness for communities in Taiwan that conform to international standards by referring to the World Health Organization Checklist of Essential Features of Age-Friendly Cities and Taiwan’s existing indicators. The first stage of the research was based on the WHO’s framework and involved a literature review...
Article
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Background Loneliness has become a significant public health concern for older people. However, little is known about the association of loneliness, loneliness literacy, and changes in loneliness during the COVID-19 pandemic with mental well-being. The purpose of this study was to explore whether loneliness literacy is related to a lower risk of lo...
Article
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Whether changes in health behaviors can improve successful aging has not been well explored. The purpose of this study was to assess the effects of health-related behaviors and changes on successful aging in Indonesian older adults. Data were from the fourth and fifth waves of the Indonesia Family Life Survey (IFLS), the participants were aged 60 y...
Article
The purpose of this study was to examine the association between age-friendliness of a city, loneliness and depression moderated by internet use among older people during the coronavirus disease 2019 (COVID-19) pandemic. The survey was from ‘The 2020 Survey of Needs Assessment for a Safe Community and Age-Friendly City’ in Xinyi District, Taipei, w...
Article
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Individual factors relating to dietary behaviors are widely explored. However, the effects of social environment on dietary patterns for the older people are less explored. The purpose of this study was to identify dietary patterns among older people in Taiwan and to examine the relationship of dietary patterns with social environment and individua...
Article
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Background Individual and environmental factors have been found to be related to cognitive function. However, few studies have examined the longitudinal effects of both individual and environmental factors over time. The purpose of this study was to examine the effects of individual and environmental factors over time on older people’s cognitive fu...
Article
The purpose of this study was to explore the attitudes toward the components of active aging and to examine the relationship of attitudes toward active aging with the impressions of older adults across different age groups and across Taiwan, South Korea and Japan. The sample was a total 1,619 individuals comprising of 615 Taiwanese people, 495 Kore...
Article
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Purpose Individual’s factors across time or combined with area characteristics related to cognitive function for older people have been widely explored, but little research examined person, place, and time effects altogether. The purpose of this study was to examine the effects of individuals, cities, and time on older people’s cognitive function i...
Article
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According to continuity theory, successful aging is promoted when older people are able to continue familiar activities as a way to maintain self-identity. The purpose of this study was to examine the importance of both external resources provided by Taipei city and older adults’ internal resources in internal and external continuity and life satis...
Article
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The purpose of this study was to examine the associations between cognitive function, the city’s social environment, and individual characteristics of older adults. The individual data of older people were from the Nutrition and Health Survey in Taiwan 2013–2016. The participants who were aged 65 and above were included in the analysis (n = 1356)....
Article
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Purpose: The purpose of this study was to examine the clustering of loneliness, isolation, and living alone, the risk factors and the associations with psychological wellbeing. Methods: The data were from the 2019 Taipei City Senior Citizen Condition Survey collected by face-to-face interviews, which included aged 60 and above community-based and i...
Article
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Background: Loneliness, isolation, and living alone are emerging as critical issues in older people's health and well-being, but the effects are not consistent. The purpose of this study was to examine the clustering of loneliness, isolation, and living alone, the risk factors and the associations with psychological well-being. Methods: The data...
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Background: The traditional home care model entails caring "for" people with disabilities, not "with" them. Reablement care has been applied to long-term care, but the evidence for care attendants, home care recipients, and family caregivers simultaneously is limited. Methods: First, a survey was conducted to explore the needs of home care recip...
Article
Objectives: This study constructed an Active Aging Index (AAI) for Vietnam and compares Vietnam’s AAI with those of China, Korea, Taiwan, and 28 countries in the European Union. Methods: A survey of 1,105 people aged 55 or above in three provinces from the northern, central, and southern parts of Vietnam was conducted. Active aging was measured us...
Article
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This study aims to identify the typology of city-level active aging and age-friendliness across cities in Taiwan and examine their effects on well-being in terms of life satisfaction (aged 55 and over) and health-related quality of life (HRQoL) (aged 65 and over) among older adults. The data were from the 2017 Taiwan Senior Citizen Condition Survey...
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The purpose of this study was to examine the relationship between knowledge and attitudes towards dementia among adults. A cross-sectional online survey with purposive sampling was conducted in four district health centers in Taichung, Taiwan, in 2018. Knowledge was measured by the Taiwanese version of the Dementia Knowledge Assessment Scale. Attit...
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Purpose The purpose was to explore the exercise behavior of the Taiwanese population during leisure time and to examine the gender differences in related influential factors. Methods The Leisure Time and Sport Questionnaire (LTSQ) conducted by the Academia Sinica in 2007 was used for analysis. Participants were drawn from the Taiwanese population...
Article
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The purpose of this study is to construct Taiwan’s Active Aging Index (TAAI) based on the Active Aging Index (AAI) of the European Union (EU) and with consideration of the cultural and specific characteristics in Taiwan and to compare the result with the AAI status in the EU-28 countries. The first draft of TAAI was developed; 25 experts from the a...
Article
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Background: Physical activity is related to health-related quality of life, but little evidence from multiple waves of panel data in Asian countries area available. This study aims to explore the impacts of different degree of regular exercise on the trajectories of physical and mental dimensions of health-related quality of life (HRQOL) for commu...
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This study assesses equity in active aging across social determinants among older Taiwanese. The data were collected from face-to-face interviews with adults aged 55 years or more in Taiwan in 2017 (n = 738). A total of 30 individual-level Taiwan active aging indicators were chosen, and the relationship between social determinants and active aging...
Article
Taiwan planned to establish a social insurance-based long-term care system in 2016. However, due to the change in political parties that year, it was decided that Taiwan's long-term care policy would remain a tax-based financing scheme. The new policy focuses on providing home- and community-based service (HCBS); a three-layer HCBS service network...
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The aim of this study was to examine the association of work stress, exhaustion, well-being, and related individual, organizational, and social factors, focusing especially on age differences in Taiwan. The data were from the 2015 Taiwan Social Change Survey. The participants were community-based adults, aged 18 years or older, selected via stratif...
Article
Community care centres (CCCs) are widespread across Taiwan and have provided health promotion and social activities for older people in communities since 1995. The purpose of this study was to describe the status of the delivery and management of CCCs for older people, and to explore the effects of individual factors and the organisational factors...
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Background: Successful aging has been the paradigm of old-age life. The purpose of this study was to implement and evaluate a cross-disciplinary intervention program using two approaches for community-based older adults in Taichung, Taiwan. Methods: The content of the intervention included successful aging concepts and preparation, physical activit...
Article
Purpose: This study was to implement and evaluate a successful aging intervention program for middle-aged private insurance beneficiaries. Methods: The participants were recruited from the staff and middle-aged clients for the experimental and control groups of a private insurance company. The two client (experimental and control) groups were ma...
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The purpose of this study is to examine the effects of parent-child relationship, filial piety and adult children's concept of family on the health and well-being of their parents. Data were obtained from the Panel Study of Family Dynamics in Taiwan, 2005-2011. The sample comprised parents with repeated measures and one wave data from their adult c...
Conference Paper
Purpose: This study examined the effects of age, time period, and cohort on attitudes towards supporting parents and living arrangements in the last 30 years in Taiwan. Four issues were discussed: living with children, living in rotation or not, living together/providing financial support or not, and living together/nearby or not. Methods: The data...
Article
Aim: This aim of this study was to examine the relationship between the utilisation of general health examinations and health and a healthy lifestyle. Methods: The data were from a 5-wave panel of older Taiwanese people. Health was defined as the absence of chronic diseases and physical function difficulties. A healthy lifestyle included no smok...
Article
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Background: Smoking behavior changes over time in old age, and smoking patterns differ by sex and age. However, the sex-stratified smoking trajectories of older adults are not often examined. The purpose of this study was to examine the smoking trajectories of older adults and their associated factors by sex. Methods: Data were drawn from a nationa...
Article
Elderly people usually have multiple chronic diseases concurrently. However, studies of multimorbidity patterns over long time periods are scarce. The purpose of this study was to examine the joint trajectories of chronic multimorbidity among the Taiwanese elderly and to examine related factors and to predict later successful aging outcomes. The da...
Article
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Objectives: The purpose of this study was to examine the association between social connections and happiness among members of the elder population of Taiwan. Methods: Longitudinal panel data collected in three waves from 1999 to 2007 that are selected from national samples of Taiwanese older people were used for the analysis (n = 4731 persons)....
Article
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The purpose of this study was to examine happiness and social determinants across age cohorts in Taiwan. The data were obtained from the 2011 Taiwan Social Change Survey (aged 18 +, n = 2,199). The social determinants of happiness included socioeconomic status and social connection. Happiness was not different across the age groups. Receiving less...
Article
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Unlabelled: BACKGROUND/STUDY CONTEXT: This study aimed to identify the different trajectories of frailty and factors related to frailty among older adults over time. Methods: Data were obtained from a five-wave panel composed of older Taiwanese adults from 1993 to 2007 (N = 2306). Frailty was defined as the presence of three or more of the follo...
Article
Purpose: The aim of this study was to examine cognitive function and the risk and the protective factors by age and sex among Taiwanese older people. Methods: The data were from a nation-representative panel of older people in Taiwan. The participants completing both the 2003 and 2007 waves were included for analysis in this study (n=3228). Desc...
Article
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The purpose of this study was to examine the effect of different religious activities and religious coping on depressive symptoms over time among elderly persons in Taiwan. Longitudinal data for 3,537 Taiwanese elderly persons from 1999 and 2003 were used. Hierarchical linear modeling was used for analysis. The study found that some religious activ...
Article
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The significance of physical activity has been noticed. However, the dynamic change and the heterogeneity of physical activity patterns among older people are little explored. This study aimed to identify the trajectory patterns of engaging in physical activity over time and its related factors. Nationally representative four-wave panel data from T...
Article
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Background: The causal relationship between physical frailty and cognitive function is not yet completely confirmed. Objectives: This study aimed at exploring the reciprocal relationship of frailty and cognitive function among Taiwanese older adults. Participants and setting: The study evaluated data from a five-wave survey conducted in Taiwanese o...
Article
This study aimed to identify depressive symptoms among older Taiwanese adults and to explore the relationships between different comorbidities and depressive symptoms. The data used herein were obtained from four waves of a longitudinal nationwide survey of the older Taiwanese population conducted from 1996 to 2007. Two-level hierarchical linear mo...
Article
Aim: The aim of this study was to examine the effects of trajectories of physical function on later long-term care utilization based on longitudinal panel data of older adults. Methods: A representative longitudinal sample of older adults during the years 1993 to 2007 was used (n=1232). Trajectories of physical function from 1993 to 2007 were id...
Article
The goals of this study were to examine the group-based trajectories of depressive symptoms over an extended period among the older people and to identify the risk factors by gender. The 18-year data used in this study came from a multiple-wave nationwide survey of older Taiwanese population. A group-based trajectory analysis method was used to ide...
Article
Aim: This study examined the relationships between health literacy, self-efficacy and preventive care utilization among older adults in Taiwan. Methods: The data were from a longitudinal survey, “Taiwan Longitudinal Study in Aging” in 2003 and 2007. A total of 3479 participants who completed both two waves were included for analysis. Health literac...
Article
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Purpose: The purpose of this study was to apply group-based trajectory analysis to identify multiple successful aging trajectories by multiple indicators and to examine the factors related to successful aging among the elderly population in Taiwan. Design and methods: Nation-representative longitudinal data collected from 1993 to 2007 and consis...
Article
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Objectives The main goal of this study was to identify the multiple trajectories of the following four health behaviors among the elderly by gender: smoking, drinking alcohol, getting regular exercise, and having a health checkup Methods Data were from a longitudinal survey conducted among the elderly from 1996 to 2007 in Taiwan. In total, 5,880 re...
Article
Background: With aging populations steadily rising, elderly care has become one of the primary healthcare issues of the 21st century. Caregiver willingness and attitudes are critical factors affecting quality of care for the elderly. Purpose: The aim of the study was to explore the willingness and attitudes toward elderly care and related factors a...
Article
The goals of this study were to identify different life satisfaction trajectory groups among the Taiwanese elderly and to explore the relationships between life satisfaction and time-varying physical, mental, social, health, and economic variables. The data used herein were from five waves of a longitudinal study conducted from 1993 to 2007. Those...
Article
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The purpose of this study was to examine the risks of the incidence of chronic conditions and life events on successful aging. Longitudinal data from a 10-year follow-up health survey were used. Successful aging indicators included basic and advanced physical function, depressive symptoms, cognitive function, emotional support, participation in pro...
Article
This study investigated the effects of gender differences on the association of chronic stress and depressive symptoms in middle-aged and older adults in Taiwan. The population base was of adults aged 50 and older in Taiwan. This study included 2,889 participants and examined the gender differences on the impacts of life stress that exhibited depre...
Article
This study explored the relationship between coping strategies and adaptation difficulties for the disabled elderly. Data were collected during face-to-face interviews with the physically disabled elderly in long-term care institutions and in rehabilitation departments in middle Taiwan. Totally, 505 persons were analyzed. The adaptation to disabili...
Article
Background: Those of middle-age are at relatively high risk of morbidity from cancer and chronic diseases. Preventive health care services can effectively detect and treat these diseases at an early stage. Purpose: This study examined gender difference in factors related to preventive health care services (PHCS) utilization among middle-aged adults...
Article
The aim of the study was to explore the relationship between subjective economic status and indicators of successful aging to life satisfaction trajectories among the elderly in Taiwan. Data were from the four waves of “Survey of Health and Living Status of the Elderly in Taiwan”. Hierarchical linear modeling was conducted. Subjective economic stat...
Article
This study explored the effect of internal adaptation and external resources to psychological well-being for the disabled elderly. Data were collected by face-to-face interviews with physically disabled elderly people, including the institutional and community-based long-term care service users in middle Taiwan. The number of persons interviewed wa...
Article
Current findings on gender and age differences in health trajectories in later life are equivocal and largely based upon data derived from Western developed nations. This study examines gender and age variations in the trajectory of functional status among older adults in Taiwan, a non-Western newly industrialized society. Data came from a sample o...
Article
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This study evaluated the outcome and process of a community-based aging intervention program for the elderly in Taiwan. The program included education on nutrition and dietary behavior and on physical activities. Outcome and process evaluations were conducted. The program may have had some effects on decreasing some dietary behavioral problems and...
Article
This study explored the relationship between four types of autonomy (health autonomy, informational autonomy, living autonomy, and financial autonomy) and the acceptance of five types of long-term care (adult day care, respite care, assisted living, unit care, and group home) for the elderly in Taiwan. Data were collected from 167 middle-aged and o...
Article
We constructed area-level indicators of successful ageing in Taiwan. Area-level successful ageing was defined as follows: the living environment in a community/city is beneficial for physical, psychological and social health, and the people living in the area are well informed about the issues that pertain to maintaining health and behave in ways t...
Article
The purpose of this study was to examine the effect of physical function trajectories on emotional health and subjective well-being among the elderly in Taiwan. Data was from a 6-year nation-representative panel for analysis. Physical function trajectories were categorized as independent, declined, disabled, improved, fluctuating, died well and die...
Article
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This longitudinal study examines the effect of social participation on mortality and cognitive impairment for the elderly in Taiwan. Data were from an elderly population panel in Taiwan 'The Survey of Health and Living Status of the Elderly' 1993-1999. Social participation was defined as paid/unpaid job and participating in volunteer and social gro...
Conference Paper
Purpose: This study is to explore the factors in developing nontraditional institutional long-term care (assisted living, unit care, and group homes) in Taiwan, from both the views of experts and potential users. Methods: Expert's view was collected by in-depth interviews with five experts in long-term care. The questions included the status quo an...
Conference Paper
Purpose: Customer-driven service is the latest trend in providing long-term care. This study is to explore the relationship of four kinds of autonomy and the acceptance of nontraditional institutional long-term care (day care, respite care, assisted living, unit care, and group home) for the older people in Taiwan. Methods: Data was collected from...
Conference Paper
Purpose: This study was to construct the area-level indicators of successful aging for local governments in Taiwan and thus to optimize the health of the elderly. Methods: The indicators were initiated from literature review, and then the modified Delphi method was used to decide the appropriate dimensions and indicators. Three interviews of eight...
Article
Care attendants constitute the main workforce in nursing homes, but their heavy workload, low autonomy, and indefinite responsibility result in high levels of stress and may affect quality of care. However, few studies have focused of this problem. The aim of this study was to examine work-related stress and associated factors that affect care atte...
Article
The goal of this study was to explore the concepts of successful ageing held by elderly people in Taiwan. Data were obtained from the Successful Ageing of the Elderly in Taiwan survey of 2004. The sample was drawn from the population aged 65 or more years in one county in Taiwan by probability proportional-to-size sampling. The participants were as...
Article
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Purpose: This study examines the gender disparity in the elderly's health-related quality of life in Taiwan. Method: Data came from the National Health Interview Survey, a series of nation-representative face-to-face interviews held in Taiwan in 2001. The samples were chosen from those aged 65 or over, including populations drawn from the Taiwan ar...
Article
The purpose of this longitudinal study was to examine the association of gender on successful aging during a 6-year follow-up study. Data were drawn from the 1989, 1993, 1996, and 1999 Survey of Health and Living Status of the Elderly in Taiwan, a national representative population survey of 4,049 participants aged 60 years or older; 43% were women...
Article
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This prospective study of the elderly population estimated the risks of smoking for morbidity and mortality and identified whether cessation of smoking reduced the risk of disease. Data came from face-to-face interviews that used a population-based probability sample of those aged 60 years or over in Taiwan, provided by the Population and Health Re...
Article
In this study, the authors use in-depth interviews with inductive analysis to develop a conceptual framework for exploring social exchanges and their implicit calculations for caregivers in Taiwan. They interviewed 12 caregivers, based on theory-based sampling and maximum variation. They found some components of implicit exchanges of the caregivers...
Article
Full-text available
Using the perspectives of age, period, and cohort (APC) effects, this study explored the changes in attitudes toward supporting parents in Taiwan. Population-representative cross-sectional data taken at 1984, 1990, and 1995 from the Social Change Survey in Taiwan were synthesized. Cohort tables and multi-nominal logistic regression were used to ana...

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Projects

Projects (2)
Project
This project is to develop an intervention program for promoting successful aging for the community-based older people with a multidisciplinary, spreadable and lifelong learning approach.
Project
This project is sponsored by the government, to construct Taiwan's Active Aging Index (TAAI) based on EU's AAI framework but considered the cultural specialty in the indicators. The results will be used for old age policy and to construct active aging data bank for further use.