The objective of this study was to examine the role of social determinants of health: gender, income, education, housing, and social connections in successful aging in older adults aging with illness. Participants were 50 adults aged 65⁻90 years, all aging in place in their own home, and reporting at least one illness. This pilot study used non-probability sampling and employed both online and in-person interviews. The majority (82%) were aging "successfully" or "somewhat successfully" as reported on the single item successful aging scale and demonstrated by their scores on the Successful Aging Inventory (SAI). Correlations were not significant between SAI and gender, income, education, or housing. A significant negative correlation was found between SAI and community activity. However, there were significant positive correlations between SAI and religious activity and relationships. The regression model was a linear combination of participants' community and religious activity and relationships. The majority of older adults aging with illness consider themselves to be aging successfully, but their scores are influenced by relationships with others as well as religious and community activity. Frequent community activity had a suppressor effect on successful aging.
Keywords: aging; determinants of health; geriatric health; resilience; social connectedness; successful aging.