Successful Aging through the Eyes of Alaska Native Elders: What It Means to Be an Elder in Bristol Bay, Alaska a Thesis

Alaska Natives view aging from a holistic perspective, an approach not typically found in the existing literature on successful aging. There is little research on Alaska Native (AN) Elders and how they subjectively define a successful older age. The lack of a culturally specific definition often results in the use of a generic definition that portrays AN Elders as aging less successfully than their non-Native counterparts. This research explores the concept of successful aging from an AN perspective and what it means to age well in AN communities. An Explanatory Model (EM) approach was used and adapted to focus on the health and well-being of AN Elders and to gain a sense of their beliefs about aging. Qualitative, in-depth interviews were conducted with 26 Elders in six participating communities to explore the concept of successful aging and the role of their community in the aging process. Focus groups were held in specific communities to present the findings and receive feedback; this ensured the findings and report would be reflective of the unique perspectives of the communities and region. This study highlights four domains of successful aging, or “Eldership”: emotion, spirituality, community engagement, and physical health. One aspect of successful aging seen in each of these four domains is optimism, or having a positive outlook on life. These four domains serve as the foundation of how communities define who is an Elder and what is important when considering whether someone has aged successfully or not. Research findings also indicate that aging successfully is based on local understandings about personal responsibility and making the conscious decision to live a clean and