Sammanfattning
Background Although it is acknowledged that exercising self-determination in daily activities
affects older people’s health and well-being, few studies have focused on the explanatory factors for
self-determination in daily life. Objective To investigate explanatory factors for self-determination in
the context of community-dwelling older persons. Method: This cross-sectional study combined two
sets of data that included community-dwelling persons 80 years and older (n = 456). A bivariate
logistic regression was performed to analyse the association of self-determination and a set of
explanatory factors. Results The final bivariate logistic regression model revealed five explanatory
factors that were significantly associated with perceiving reduced self-determination: high education
(OR = 2.83), frailty (OR = 2.70), poor self-rated health (OR = 2.54), dissatisfaction with physical health
(OR = 6.50), and receiving help from public homecare service (OR = 2.46). Conclusion Several
explanatory factors related to the ageing body and environmental aspects were associated with
reduced self-determination. To help older people maintain self-determination, healthcare
professionals should consider using a person-centred and capability approach to care.