Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Successful Aging Among Community-Dwelling Older Adults in Rural Areas of Jember District Adela Hery Prasilia Amalda1*. Fahruddin Kurdi2 . Latifa Aini Susumaningrum2 1 Faculty of Nursing. Universitas Jember. Indonesia 2 Department of Community. Family and Gerontic Nursing. Faculty of Nursing. Universitas Jember. Indonesia Article History Submitted: 27-06-2024 Revised: 25-07-2024 Accepted: 01-08-2024 org/10. 58545/jkki. Copyright . 2024 Authors This is an open-access article under the CC-BY-SA License. Abstract Background: Successful aging is a condition when the elderly not only live long but remain in good health so that they can be independent, and Purpose: This study aims to determine the description of successful aging in the elderly at Karang Werda. Rambipuji District. Jember Regency. Methods: This study used a descriptive observational design with a cross-sectional approach and involved 213 elderly people selected by total sampling. The research instrument used the Successful Aging Scale (SAS). Data analysis used descriptive statistical tests and a chi-square test in crosstab analysis to analyze the characteristics of respondents with successful aging. Results: The success rate of aging in the elderly was mostly high. The highest indicators of successful aging were primary and secondary control, while the lowest were selection optimization and compensation. Analysis showed associations between the characteristics of age, gender, education, and smoking habits with successful aging . -value < 0. , while marital status, medical history, living status, employment, and income were not associated . -value > Conclusion: The majority of the elderly in Karang Werda. Rambipuji District. Jember Regency, showed a high level of successful Keywords: Elderly. Karang werdha. Successful Aging. Rural area Correspondence Adela Hery Prasilia Amalda Faculty of Nursing. Universitas Jember. Jl. Kalimantan No. Sumbersari. Jember. East Java 68121. Indonesia Email: adelamalda01@gmail. How to cite: Amalda. Kurdi. & Susumaningrum. Successful Aging Among Community-Dwelling Older Adults in Rural Areas of Jember District. Jurnal Kesehatan Komunitas Indonesia, 4. , c. https://doi. org/10. 58545/jkki. BACKGROUND every year (Fahlevi et al. , 2. National Old age is a natural stage in human survey (Susena. 2023 data shows that life, characterized by changes or declines in there was a surge in the number of elderly physical, psychological, and social status people in Indonesia in 2022 of around (Hanifah et al. , 2. The decline in 75% from 7. 59% in 2010, seen from the function due to aging in the elderly has an change in the shape of the population impact on increasing the burden on the pyramid from expansive in the 1971 census national health system, especially the to constructive in 2020 (BPS, 2. The number of elderly people who increase phenomenon of the elderly population is Successful Aging Among Community-Dwelling Older Adults in Rural Areas Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Successful aging in each elderly person will be different due to individual demographic benefits if the elderly are human differences in living life which healthy, independent, and productive. The cannot be separated from past experiences situation will reverse when the elderly have and struggles in each phase of life (Ariani health problems that require an increase in & Putri, 2. One of the components of the budget for health compensation every successful aging includes avoiding disease year (BPS, 2. and disability, maintaining mental and According to the census of the physical function, and being actively Central Bureau of Statistics of Jember Regency, . Jember Regency has an intrapersonal relationships. Freedom from elderly population of 396,925 people, while disease and disability facilitates the the Rambipuji District reaches 13,885 maintenance of mental and physical Previous research conducted in function, which in turn enables active Indonesia showed that the level of engagement in life and intrapersonal successful aging in 2014 was 5. 6% with a relationships (Rowe & Kahn, 1. percentage of having no disease at 56. Elderly people who are unable to adapt to no physical function difficulties at 57. changes and setbacks, cause a crisis of no depressive symptoms at 83. 5%, no confidence and affect their lives (Ariani & cognitive impairment at 40. 0%, having Putri, 2. Seniors who do not achieve social support 57. 1%, actively participating successful aging commonly experience Research in Singapore in problems such as withdrawal (Touhy et al. 2015 showed successful aging of 25. , limited intellectual options (Birren, with the percentage of not having a major 2. and depression (Mauk, 2. 3%), high cognitive function Highlighting the importance of a . 4%), high physical function . 7%), deeper understanding of successful aging. not experiencing disability . 9%) and One of the interesting areas for this study is Karang Werda in Rambipuji District, (Subramaniam et al. , 2. A comparison Jember Regency. The results of the of the two studies shows that the level of preliminary study showed that of the 10 successful aging in Indonesia is low. experienced physical impairment and Amalda . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 decline due to health history such as METHODS cholesterol, gout, and stroke which This type of research is quantitative hindered their ability to do activities and with an observational descriptive design. participate in activities at Karang Werda. Data In the indicators of psychological well- questionnaires which were conducted being, the elderly tend to accept life from June 1 to July 30, 2024. The research changes and destiny with peace of mind, location was carried out at Karang Werda but some of them still have not accepted Rambipuji the loss due to the death of a spouse which which consisted of 8 Karang Werda. The causes a sense of loneliness, lack of sample was obtained from total sampling satisfaction with life's achievements and consisting of 213 elderly, who met the often sad remembering past failures so that inclusion criteria including elderly aged Ou they lose the meaning and purpose of life 60 years in Karang Werda Rambipuji due to lack of motivation. District, having an MMSE score> 21 and District. Jember Regency. Based on the discussion above, the cooperative, while the exclusion criteria author aims to find out the description of were elderly who withdrew from the study. successful aging in the elderly at Karang Primary data was obtained directly from Werda District Rambipuji. Jember Regency. In addition, through careful questionnaire sheet which included age, research at Karang Werda, it is hoped that gender, education, marital status, medical valuable insights will be gained for the history, living status, occupation, income, development of programs and policies and smoking habits. The variable used in aimed at improving the quality of life of the this is successful aging so researchers use elderly, both at the local and national the successful aging scale instrument as a The results of this study can provide measuring tool, which consists of answer a strong foundation for the government and choices: Strong Agree (SA). Agree (A), related institutions to design more effective Moderately Agree (MA). Undecided (U), interventions in supporting the elderly Moderately Disagree (MD). Disagree (D), and Strongly Disagree (SD). Secondary data was obtained from Karang Werda in the form of data on the total number of elderly registered at Karang Werda in Successful Aging Among Community-Dwelling Older Adults in Rural Areas Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Rambipuji District. Jember Regency. The used to analyze the characteristics of type of analysis used is descriptive-analytic respondents with successful aging. This research protocol was approved and characteristics and the achievement of received an ethical certificate by the Health successful aging of the elderly. The chi- Research Ethics Committee FKEP UNEJ square test in crosstab analysis was also with No. 246/UN25. 14/KEPK/ 2024. RESULTS Table 1. Characteristics of elderly in Karang Werda Rambipuji. Jember Regency . Respondent Characteristics Age Gender Male Female Education Not graduated from elementary school Elementary school Junior high school Senior high school Undergraduate Marital Status Not Married Married Widowed / Widower Health History None Hypertension Diabetes Mellitus Rheumatism Uric Acid Memory Impairment (Dementi. Others Living Status Alone Spouse . usband/wif. Children Extended Family Siblings Occupation Not Working Farmer/Laborer Self-employed Income < Minimum Wage of Jember (IDR 2,665,. Ou Minimum Wage of Jember (IDR 2,665,. Smoking Habit Never Sometimes . -4 cigarettes/da. Often . -15 cigarettes/da. Always (> 15 cigarettes/da. Quit Frequency Md . Percentage (%) Min-Max . 12,7% 87,3% 8,9% 35,7% 23,9% 22,1% 9,4% 0,9% 53,5% 45,5% 15,5% 24,8% 6,8% 3,9% 5,5% 2,6% 13,1% 29,1% 29,6% 24,9% 3,3% 5,6% 82,6% 17,4% 2,8% 2,8%) 1,4% 0,9% Amalda . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Table 1, showed a distribution of answer, the results obtained hypertension characteristics of research respondents disease was most commonly found in the covering the age of the elderly who have a elderly, namely 77 elderly . 8%). The median value of 66. By gender, most of living status of the elderly was found to live the elderly in Karang Werda Jember with children, namely 63 elderly . 6%). Regency are known to be female as many as Most of the elderly in Karang Werda have 186 elderly . 3%). The most common a non-working status as many as 147 elderly education is elementary school / elderly . %). The results also showed that equivalent as many as 76 elderly . 7%). the elderly in Karang Werda had an income The marital status of the elderly who below the minimum wage of Jember dominate is married as many as 114 elderly Regency in 2024, namely 176 elderly . 5%). Data regarding the category of . 6%). The highest elderly smoking habit elderly disease history was taken with shows that 196 elderly . %) have never multiple response techniques that allowed respondents to choose more than one Table 2. Overview of Successful Aging in the Elderly at Karang Werda. Rambipuji District. Jember Regency . Frequency Distribution of Successful Aging Low Medium High Total Table 2 shows that of the 213 elderly in Karang Werda, most have successful aging Frequency . Percentage (%) elderly . %) and some are in the medium category as many as 15 elderly . %). which is classified as high, namely 198 Table 3. Specific description of Successful Aging in terms of its Indicators in the Elderly in Karang Werda. Rambipuji District. Jember Regency . Indicator Disease Avoidance, high cognitive and physical, engaged with life Selection, optimization, compensation Primary and Secondary Control Psychological well-being Based on Table 3, it is found that the Min Max indicators, while the lowest value is found primary and secondary control indicators have the highest value compared to other compensation indicators. Mean 31,44 17,31 17,83 17,55 Successful Aging Among Community-Dwelling Older Adults in Rural Areas Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Table 4. Cross tabulation of the description of successful aging in the elderly at Karang Werda Rambipuji District. Jember Regency . Characteristics Age > 90 Gender Male Female Education Not graduated from elementary school Elementary school Junior high school Senior high school Undergraduate Marital Status Not Married Married Widowed/Widower None Health History Hypertension Diabetes Mellitus Rheumatism Uric Acid Memory Impairment Others Living Status Alone Spouse . usband/wif. Children Extended Family Siblings Occupation Not Working Farmer/Laborer Self-employed Other Income < Minimum Wage of Jember (IDR 2,665,. Ou Minimum Wage of Jember (IDR 2,665,. Smoking Habit Never Sometimes . -4 cigarettes/da. Often . -15 cigarettes/da. Always (>15 cigarettes/da. Quit Successful aging Medium High Total P-value 11 . ,7%) 4 . ,0%) ,3%) ,9%) ,0%) ,0%) 0,033 ,5%) ,4%) ,5%) ,6%) 0,028 ,1%) ,9%) ,9%) ,4%) ,0%) ,9%) ,1%) ,1%) ,8%) 0,033 ,4%) ,3%) ,2%) ,6%) ,7%) ,8%) 0,136 ,8%) ,0%) ,9%) ,8%) ,2%) ,1%) ,2%) ,7%) ,3%) ,7%) ,8%) ,3%) ,2%) ,9%) ,8%) ,6%) ,1%) ,2%) ,4%) ,8%) ,0%) ,7%) ,0%) ,2%) ,1%) ,0%) ,0%) 0,155 ,5%) ,5%) 0,079 ,0%) ,1%) ,3%) ,3%) ,3%) ,0%) ,9%) ,7%) ,7%) ,7%) 0,529 0,425 0,003 Amalda . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Table 4, show that elderly people aged . , gender . , education . 60-74 years with a total of 183 elderly people achieve high aging success. The characteristics such as marital status, gender category in the elderly women medical history, living status, employment, achieved high aging success more than the and income, were found to have no elderly men, namely 176 elderly. The most association with successful aging as education is obtained in elementary school indicated by the p-value of marital status / equivalent as many as 70 elderly with high . , medical history . , living aging success. In this study, elderly people status . , employment . and who had a income . partner achieved more . Other successful aging with a total of 109 elderly Elderly with hypertension disease DISCUSSION achieved more successful aging with a total Respondent Characteristics of 67 elderly. Elderly who live with their The results of research conducted on spouses, 59 elderly, more often achieve high 213 elderly people in Karang Werda, aging success. In terms of occupation, more Rambipuji elderly who are not working have a high obtained the elderly with the highest age, level of successful aging, namely 134 namely with a median of 66. 00 years. In line More elderly with income above with Hanum & Darubekti's research, the minimum wage of Jember Regency in . shows that the majority of the 2024 have a high level of successful aging, namely 161 elderly. The results also show that elderly people who have never smoked more have a high level of successful aging as many as 186 elderly people. The results of further analysis in Table 3 regarding the analysis of the description of successful aging in 213 elderly people in Karang Werda in Rambipuji District, it was found that the characteristics of age, gender, education, and smoking habits had a relationship with the level of successful aging indicated by the p-value of age District. Jember Regency, elderly are in the category of 60-69 years. Other engagement with age will be abandoned after reaching the age of 80 (Wanchai & Phrompayak. According psychological benefits such as feelings of recognition and positive self-image in the However, productive activities is also related to age, which means that as people get older, social participation tends to decrease. This Successful Aging Among Community-Dwelling Older Adults in Rural Areas Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 study also found that there were more have a partner with a percentage of 53. elderly women than elderly men with a In line with the research of Fitriana et al. presentation of 87. This research is by . a total of 33 elderly respondents at research by Pertiwi, . which shows Karang that most of the elderly respondents at showed that most of the respondents were Karang Werda Senja Sejahtera are female, married, namely 20 people . 6%). Elderly namely 17 people . 1%). Elderly men who people who have a partner report a greater live alone have an inverse correlation with ability to engage in social activities independently compared to those who do Phrompayak, 2. whereas men mainly not (Isherwood et al. , 2. According to focus on direct household interactions the researcher, older people who have a (Ong partner tend to be more able to engage in researchers, women tend to have a higher social activities independently than those level of social participation in community who do not have a partner. (Wanchai According Lansia Bahagia Banjarmasin activities and interactions with friends. The results of this study indicate that while men focus more on interactions in the majority of elderly people have a history the context of the household. of hypertension. This study is in line with The results showed that the majority previous research, namely Ikrimah et al. of education owned by the elderly was . which showed that out of 91 elderly elementary school / equivalent with a people, 58 people . 7%) had a history of percentage of 35. In line with Riskiana According to the researcher, et al. 's research . , shows that of the 20 the majority of elderly people have respondents, 9 people . %) graduated hypertension, but they remain active in school/equivalent. activities at Karang Werda because the According to the researcher, the factor of gymnastics held there increase their limited access to education in the past, as interest in maintaining physical health. well as differences in education between This study also shows that most of the rural and urban areas in Indonesia, causes elderly live with their children. This the tendency of the elderly to have lower research is by the research of Ada et al. levels of education, especially in elderly . showing the results of 59 elderly This study also shows that the people there are 26 people . %) elderly majority of elderly people in Karang Werda living with family members, namely Amalda . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 children and grandchildren. Hanum & below the minimum wage of the Jember Darubekti's research, . states that Regency in 2024. This is by the research of children's support can help the elderly to Ada et al. , . showing that out of a total overcome problems and get support such of 56 elderly people, there were 42 people as psychological and economic support. %) earning below the minimum wage. According to researchers, the presence of The socioeconomic status of older people and their children's income may be related (Wanchai psychological, and economic support, as Phrompayak, 2. According to the well as assistance in personal management researcher, the socioeconomic status of the and physical care for the elderly. elderly, including income, can affect the The results showed that the majority level of social involvement of the elderly. of elderly people were not working at 69%. The results showed that the majority This is by research (Sumandar et al. , 2. of elderly people have a non-smoking habit. from a total of 102 elderly respondents In line with research conducted by Pelin et showing that the majority of respondents , . 32 elderly people . did not work as many as 72 people . 6%). reported not smoking, in this study more Elderly people who are no longer respondents were female. Pelin et al. working have positive motivation because . , mentioned that the elderly are they have more time at home so that they often more aware of the health risks can utilize their free time to do sports associated with smoking, including its activities regularly compared to those who links to cardiovascular disease and cancer. are still actively working (Ernawati & According to the researcher, the majority of Hellen, elderly people do not smoke and the female researchers, most of the elderly who are not gender has a higher proportion. This is working or retired remain active in various because elderly awareness of the health activities, including sports. This indicates risks associated with smoking and family that the non-working elderly have greater and community support can influence the leisure time to engage in regular physical decision not to smoke. According activity, which can support successful This study also shows that the majority of elderly people have an income Successful Aging Among Community-Dwelling Older Adults in Rural Areas Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 aging, especially if the assessment is based Successful Aging Overview Based on the results of research on self-assessment or questionnaires that conducted on elderly aged 60 years and ask respondents to rate themselves. Seniors over in Karang Werda Rambipuji District, who are satisfied with their lives, in Jember Regency, it was found that there general, may tend to give a more positive were mostly 198 elderly . 0%) with a assessment of their successful aging, high level of successful aging. This research regardless of their physical condition or Susanto Soetjiningsih's research, . which In this study, the highest indicators states that most of the elderly . 7%) have obtained by the elderly were the primary an aging success score in the moderate and secondary control components. In line category and low category . 3%), and with research by Anggun et al. , . there are no participants with an aging success score in the high category. relationship is found in the primary and theory, successful aging includes aspects of secondary control components . = 0. 705, p acceptance of the death process, life = 0. In theory, the primary control satisfaction, and feelings of well-being, as component involves actively changing the well as efforts to prevent disease and environment to suit one's needs and disability (Mauk, 2. Inaccurately desires, and secondary control involves assessing the level of aging of the elderly, it changing oneself which includes thoughts is important to focus on functional abilities and feelings to suit the situation (Lufanna, and psychological health rather than The cognitive process of overcoming problems is related to primary and objective aspects, such as the absence of secondary assessments. Primary appraisal chronic diseases (Kim, 2. Based on is a person's assessment of life situations as research conducted by Teater & Chonody, stressful or not, and secondary appraisal is . mentioned that older people with the way a person feels to master the chronic diseases and functional difficulties situation (Birren, 2. According to the still rate themselves as psychologically researcher, the elderly's tendency to healthy and aging successfully. According to the researchers, there may be a factor of . and manage their thoughts and subjectivity in the assessment of successful feelings . will help the elderly Amalda . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 improve successful aging. In the field of the aging arena. This ability declines situation, the elderly actively participate in with age. Therefore, successful aging the morning exercise program at Karang Werda . rimary contro. , while the elderly also manage stress by interacting socially in the surrounding environment . aximizing gain. , and compensating for losses (Setoodeb et al. , 2. Selective The results of this study show that the lowest indicator obtained by the facilitates successful aging. As individuals elderly is the selection, optimization, age, they learn to cope with declining compensation (SOC) component. Based on research conducted by Regier & Parmelee, activities they do and the roles they take on . , it shows that around 38% of . Seniors will focus on the things respondents reported not adapting to . , and if needed, they adjust compensation (SOC). Participants who by finding alternatives when they can no did not use SOC showed difficulty in longer maintain their previous roles or finding ways to obtain the necessary means activities . This process is to maximize their ability to achieve goals crucial as it helps them deal with health . , as well as deficits in challenges, mortality rates, and improve developing or mobilizing alternative means quality of life as they age. (Mauk, 2. to achieve goals . The According to researchers, the ability of component also has the lowest score older adults to use SOC . election, because based on the results of Revista et optimization, and compensatio. plays an 's research . , age is a determining important role in ensuring successful aging factor in successful aging, where the elderly of older adults. However, as people age, use fewer compensatory strategies than the they may experience barriers in optimizing younger generation to overcome the and compensating for shortcomings that shortcomings of aging. Compensation arise due to the aging process. In the field strategies generally reflect the ability to situation, it was seen that financial access and use various resources to limitations and the fact that many older compensate for the decline in performance Successful Aging Among Community-Dwelling Older Adults in Rural Areas Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 people live alone make it difficult for older people to overcome their shortcomings. In this study, most of the successful aging occurred in women as many as 176 . 6%). In the aspect of gender, there is a Analysis of Respondent Characteristics with Aging Success indicated by the p-value . Not in The results of the analysis on the age line with the results of research which category in this study showed that most of states that the level of successful aging is the high aging success occurred at the age higher in men, namely 31. 7% and 29. 4% in of 60-74 years . , namely 183 women (Liu et al. , 2. In theory, women . 3%) with the median respondent aged have a life expectancy advantage of nearly 66 years. The age aspect is related to the five years over elderly men and tend to level of successful aging as shown by the p value . In theory, compensation Elderly people, especially scores and aging success scores are men, who do not have close friends or significantly lower in the elderly compared family are more likely to fall ill and less to younger people (Soylu & Irmak, 2. likely to live long (Rowe & Kahn, 1. In line with Hanum & Darubekti's According to the researchers, gender has a research, . shows that the proportion bearing on successful aging, with older of successful elderly occurs at the age of 60- women having a longer life expectancy of 69 years as much as 10. 4% and age 70 years almost five years than older men, and a and over as much as 6. Halter et al. tendency for older women to spend most of . mentioned that increasing age is their remaining life with independence. associated with significant changes in the Most of the elderly who have a high function of various physiological systems, level of successful aging are elderly who including the endocrine and immune have elementary/equivalent education as According to researchers, age many as 70 . 1%). In the aspect of category has a relationship with the education, there is a relationship with success rate of aging. Younger elderly tend successful aging indicated by the p-value to have better ability to achieve successful . In line with Soylu & Irmak's aging than older elderly. This decline in research, . shows that elderly people ability can be attributed to physiological with bachelor's degrees . 7%) and changes in the elderly body as they age. associate degrees . 0%) are more likely Amalda . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 to experience successful aging than elderly people who only have literature . 5%), contributes to the onset of illness and elementary school . 0%) and secondary death (Rowe & Kahn, 1. According to education . 4%). Low levels of education the researchers, marital status has no and illiteracy are associated with an association with successful aging, but in increased risk of disability and death with the univariate analysis, it was found that age, as well as higher unemployment rates. married or partnered older adults had a Education with opportunities for lifelong higher level of successful aging than learning can help people develop the skills This may be due to stronger and confidence they need to adapt and social, emotional, and economic support remain independent as they age (Halter et from children or family, which can improve , 2. According to researchers, overall well-being. education has a link to successful aging. Elderly with hypertension were Education has the potential to improve found to have a high level of successful successful aging by supporting mental aging as many as 67 . %). In the aspect of health and thinking skills. medical history, there is no relationship Married seniors were more likely to with successful aging as indicated by the p- achieve high successful aging as many as value . The occurrence of chronic 109 . 6%). In this aspect, there is no diseases causes a decrease in physical relationship with successful aging as function (Hanum & Darubekti, 2. indicated by the p-value . In theory. Research by Susanti et al. , . shows regarding the marital status variable, older that from a physical perspective, there is a individuals without a partner have a proportional direct relationship between risk of having failed aging the amount of physical morbidity and the compared to those with a partner (Ulfa et level of successful aging. Individuals who , 2. Research by Gu et al. , . , as reported no or less than two physical many as 81. 9% of the elderly were married morbidities showed a higher likelihood of and lived with a partner, they were achieving successful aging. The incidence enthusiastic, had a better lifestyle, shared of disease certainly changes with age, and thoughts and feelings with a partner, and the likelihood of chronic disease becomes greater, for example, hypertension and unmarried participants. Lack of social diabetes (Rowe & Kahn, 1. According Successful Aging Among Community-Dwelling Older Adults in Rural Areas Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 to the researchers, disease history has no Most of the elderly who do not work relationship with successful aging, but in have high aging success as many as 134 the univariate analysis, it was found that . 2%). In the aspect of work, there is no elderly people who have hypertension relationship with successful aging as disease have a higher level of successful indicated by a p-value of 0. In theory, aging than other disease histories. This may successful aging is not solely determined by be due to their ability to manage their health conditions. subjective criteria. For example, some older The status of living with a spouse people define successful aging as not was found to be the most those who recognizing their disability or considering achieved high aging success, with a total of 59 seniors . 2%). In the aspect of living independence (Amaral & Soetjiningsih, status, there is no relationship with Retirement has removed a major successful aging as indicated by the p-value source of social and mental stimulation . In theory, having a satisfying (Rowe & Kahn, 1. Income that is far or relationship with a spouse has a greater less than before requires aspects of mental effect on successful aging than living with readiness in dealing with social change and Older adults tend to favor good self-acceptance, so as not to cause depression, frustration, and stress in changing lifestyles (Jang, 2. Older According to researchers, work has no adults who live alone have a higher poverty rate than those who live with their spouses Retirement provides an opportunity for (Mauk, 2. According to the researcher, older people to focus on physical and living status has no relationship with mental health without the pressure of successful aging, but in the univariate In addition, older adults who are not analysis, it was found that older people working may have more time to maintain a living with a partner had a higher level of healthy life balance, engage in physical successful aging than others. This may be activity, and engage in social activities that due to the fact that in addition to getting support their overall well-being. get support from their community. children over-dependence, reflecting their support from their spouse, the elderly also (Fahlevi Most of the elderly who have an income below the minimum wage of Amalda . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Jember Regency in 2024 have a high level of was shown by the p-value . successful aging as many as 161 . 5%). theory, high non-smoking is associated the aspect of income, there is no successful aging (Bosnes et al. , 2. indicated by the p-value . The Smoking remains a predictor of mortality results of research by Medawati et al. even for smokers who make it to 65 years of . , stated that elderly people who age, but quitting smoking even at advanced work as farmers have a high level of ages is associated with more positive successful aging. In theory, successful Moreover, the relative risk of aging does not necessarily mean prosperity, developing lung cancer is at least additive but poverty makes achieving it more among individuals who smoke (Halter et Financial strain can trigger stress , 2. The relationship between that impacts physical and mental health smoking and various diseases has been well (Rowe & Kahn, 1. Low-income people documented (Birren, 2. According to often experience difficulties in obtaining health-related service needs as they age successful aging, older people who have (Halter et al. , 2. According to never smoked have a higher rate of researchers, income has no relationship successful aging due to good awareness of with successful aging. This is because older the dangers of smoking activity. people with low incomes may be more CONCLUSION This study concluded that the resources and have developed strong majority of the elderly as many as 198 economic challenges. In addition, they may elderly . %) had highly successful aging, also have social support from their while some were in the medium category as community or family that helps improve many as 15 elderly . %). The results also their overall well-being. Most of the elderly who have a habit respondents such as age, gender, education, of not smoking have a high level of and smoking habits have an association successful aging as many as 186 . 9%). with the level of successful aging indicated the aspect of smoking habits, it was found by a p-value < 0. The characteristics of that the association with successful aging marital status, health history, living status. Successful Aging Among Community-Dwelling Older Adults in Rural Areas Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 2. August 2024, pp 150-168 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 employment, and income were found to REFERENCES have no relationship with successful aging Ada. Musfiroh. Priyo. , & as indicated by a p-value > 0. Wiyono. Gambaran Kemandirian Ekonomi Pada Lansia successful aging were found in primary and Overview of Economic Independence secondary control indicators. The lowest in the Elderly. PLACENTUM Jurnal indicator of successful aging was the Ilmiah Kesehatan Dan Aplikasinya, selection, optimization and compensation 7. , 2019. (SOC) indicator. Adioetomo. , & Pardede. Memetik AUTHOR CONTRIBUTIONS Bonus Demografi: The author contribute all research Membangun Manusia Sejak Dini activity such as conceptualization, data (Cetakan Pertam. RajaGrafindo curation, analysis, writing & editing. Persada. manuscript revisions. Ariani. , & Putri. Eksplorasi Dimensi-Dimensi Successful Aging: ACKNOWLEDGMENT