Ahmad Delbari
Forough Goudarzi
Mohammad Bidkhori
Mohammad Saatchi
Fatemeh-Sadat Tabatabaei
Hassan Rafiey
Elham Hooshmand

Background: Well-being is related to various social, psychological, and physical factors. This study investigated these factors and their relationship with the well-being of the elderly. Methods: This cross-sectional study was conducted based on the data of Ardakan Cohort Study on Aging (ACSA) in ۲۰۲۰, including ۵۱۹۰ people aged ۵۰ and above. The World Health Organization (WHO)-۵ questionnaire was used to measure wellbeing. Using a logistic regression model and adjusting the variables, the relationship between well-being and related factors was measured. Results: Among the participants, ۲۵۸۶ people (۴۹.۸%) were women. Well-being was good in ۳۰۱۴ people (۵۸.۲%). According to the findings, the poor well-being of the elderly has an inverse and significant relationship with medium to high economic status (OR=۰.۶۳, P˂۰.۰۰۱), physical activity (OR=۰.۹۹, P˂۰.۰۰۱), and social support (OR=۰.۹۰, P˂۰.۰۰۱). The elderly with high school education (OR=۱.۴۳, P=۰.۰۰۵) and extremely bad health status (OR=۱.۳۲, P=۰.۰۰۸) had poor well-being. Furthermore, the odds of depression (OR=۱.۲۱, P=۰.۰۳۵) and anxiety (OR=۱.۰۵, P˂۰.۰۰۱) were higher in the elderly who had poor well-being. The mental and physical quality of life were also higher in the group with good well-being (P<۰.۰۵). Conclusion: To promote the elderly’s well-being, they should be involved in regular physical activity, which should be planned to increase their quality of life (physical and mental) and improve their economic status as well as social support.