A number of longitudinal studies have pointed to the long-term impact of different views on aging (VoA) on health in later life, whereas the reverse relationship has rarely been examined. Serious cardiovascular events such as myocardial infarction or stroke are life-threatening events which might in turn lead to changes in VoA. The present longitudinal study examined the effect of a cardiovascular event (CVE) on VoA over a three-year period using pooled data from three waves of the German Ageing Survey (2008, 2011, 2014, age range: 40–95 years). In order to account for alternative explanations for changes in VoA, individuals without CVE (n = 200) were matched to individuals who experienced a CVE (n = 202) using a propensity score matching procedure. Compared to individuals without CVE, individuals who experienced a CVE showed adverse changes in three VoA indicators (self-perceptions of aging as associated with physical losses/with ongoing development; subjective age). These results suggest that CVE can in fact change how individuals view their own aging. According to previous studies, this can lead to future health changes and thus become a health-related downward spiral. Health promotion programs could, therefore, profit by adding specific VoA interventions for individuals who experienced a CVE.

中文翻译：

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成年后期衰老观点的变化：心血管事件的作用

许多纵向研究指出了不同的衰老观点 (VoA) 对晚年健康的长期影响，而很少研究相反的关系。心肌梗塞或中风等严重心血管事件是危及生命的事件，可能反过来导致 VoA 的变化。本纵向研究使用来自德国老龄化调查（2008 年、2011 年、2014 年，年龄范围：40-95 岁）的三轮调查的汇总数据，检查了三年期间心血管事件 (CVE) 对 VoA 的影响。为了解释 VoA 变化的其他解释，没有 CVE 的个体 ( n  = 200) 与经历过 CVE 的个体 ( n = 202) 使用倾向得分匹配程序。与没有 CVE 的个体相比，经历过 CVE 的个体在三个 VoA 指标（与身体损失/持续发展相关的衰老的自我认知；主观年龄）中表现出不利的变化。这些结果表明，CVE 实际上可以改变个人对自己衰老的看法。根据之前的研究，这可能会导致未来的健康变化，从而成为与健康相关的螺旋式下降。因此，健康促进计划可以通过为患有 CVE 的个人增加特定的 VoA 干预措施而获利。