Perceptions on healthy aging: insights from focus group interviews of older adults in Sweden

Abstract Background As populations age rapidly, understanding the factors influencing healthy aging is essential. This study explores older adults’ perceptions of healthy aging to broaden perspectives and contextualize the concept within the World Health Organization (WHO) Healthy Ageing Framework. Methods Thirty-four participants aged ≥ 60 years from the population-based Swedish National study on Aging and Care in Kungsholmen (SNAC-K) were interviewed through seven semi-structured qualitative focus groups between December 2023–January 2024. Discussions focused on participants’ perspectives on healthy aging, including factors that facilitate or hinder their ability to age as they desire. Data were analyzed using reflexive thematic analysis. Results Two overarching themes were identified: “Inner power through vitality and motivation” and “A sense of being needed and having one’s needs met.” Participants emphasized the importance of maintaining autonomy, adapting to life transitions, fostering social connections, and navigating societal structures that impact healthy aging. Conclusions The findings largely align with the WHO Healthy Ageing Framework, reinforcing the significance of social support, continuous care, and autonomy. By highlighting the importance of an individual’s social and physical environment on their health, this study contributes to an often-overlooked perspective acknowledged by the WHO Healthy Ageing Framework. Participants’ concerns about the current and long-term capacity of the welfare system underscore the urgent need for targeted policy interventions to support the rapidly growing older population. Additionally, the findings emphasize the need to promote equal opportunities among older adults, as those in good health can leverage their inner motivation to build and lead meaningful lives.