Hosanna Soler-Vila1, Esther García-Esquinas2, Luz Ma León-Muñoz2, Esther López-García2, José R Banegas2, Fernando Rodríguez-Artalejo2. 1. Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid and IdiPaz and CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain Department of Public Health Sciences, Leonard Miller School of Medicine, University of Miami, Miami, Florida, USA. 2. Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid and IdiPaz and CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Abstract
BACKGROUND: To examine the association between socioeconomic status (SES) and risk of frailty, and to assess whether behavioural and clinical factors (BCF) mediate this association. METHODS: Cohort of 1857 non-institutionalised individuals aged ≥ 60 years recruited in 2008-2010 and followed through 2012. Education, occupation, and BCF were ascertained at baseline, and incident frailty was assessed at follow-up with the Fried frailty criteria. RESULTS: Men showed no differences in frailty risk by education or occupation. Compared with women with university education, the adjusted OR (aOR) adjusted for age and the number of frailty criteria at baseline for incident frailty in women with primary or lower education was 3.02 (95% CI 1.25 to 7.30); once fully adjusted for BCF, the OR was 2.00 (95% CI 0.76 to 5.23). No alcohol intake (vs light-moderate), longer time spent watching TV, less time spent reading, and a higher frequency of obesity, depression and musculoskeletal disease in those with primary or lower education accounted for most of the decline in OR. BCF explained 50.5% of the excess frailty risk associated with lower education. The aOR of frailty incidence for manual versus non-manual occupation was 2.24 (95% CI 1.41 to 3.56) versus a fully aOR of 2.05 (95% CI 1.24 to 3.37). BCF explained 15.3% of the association, with individual mediators being similar to those for education-related differences. CONCLUSIONS: A lower education or a manual occupation was associated with higher frailty risk in older women. These associations were partly explained by lower alcohol consumption, higher sedentariness, and higher obesity and chronic disease rates in women with lower SES. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
BACKGROUND: To examine the association between socioeconomic status (SES) and risk of frailty, and to assess whether behavioural and clinical factors (BCF) mediate this association. METHODS: Cohort of 1857 non-institutionalised individuals aged ≥ 60 years recruited in 2008-2010 and followed through 2012. Education, occupation, and BCF were ascertained at baseline, and incident frailty was assessed at follow-up with the Fried frailty criteria. RESULTS:Men showed no differences in frailty risk by education or occupation. Compared with women with university education, the adjusted OR (aOR) adjusted for age and the number of frailty criteria at baseline for incident frailty in women with primary or lower education was 3.02 (95% CI 1.25 to 7.30); once fully adjusted for BCF, the OR was 2.00 (95% CI 0.76 to 5.23). No alcohol intake (vs light-moderate), longer time spent watching TV, less time spent reading, and a higher frequency of obesity, depression and musculoskeletal disease in those with primary or lower education accounted for most of the decline in OR. BCF explained 50.5% of the excess frailty risk associated with lower education. The aOR of frailty incidence for manual versus non-manual occupation was 2.24 (95% CI 1.41 to 3.56) versus a fully aOR of 2.05 (95% CI 1.24 to 3.37). BCF explained 15.3% of the association, with individual mediators being similar to those for education-related differences. CONCLUSIONS: A lower education or a manual occupation was associated with higher frailty risk in older women. These associations were partly explained by lower alcohol consumption, higher sedentariness, and higher obesity and chronic disease rates in women with lower SES. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Entities:
Keywords:
ELDERLY; Functioning and disability; Health inequalities; LONGITUDINAL STUDIES
Authors: Kristine M Erlandson; Kunling Wu; Susan L Koletar; Robert C Kalayjian; Ronald J Ellis; Babafemi Taiwo; Frank J Palella; Katherine Tassiopoulos Journal: J Infect Dis Date: 2017-03-15 Impact factor: 5.226
Authors: Petros Barmpas; Sotiris Tasoulis; Aristidis G Vrahatis; Spiros V Georgakopoulos; Panagiotis Anagnostou; Matthew Prina; José Luis Ayuso-Mateos; Jerome Bickenbach; Ivet Bayes; Martin Bobak; Francisco Félix Caballero; Somnath Chatterji; Laia Egea-Cortés; Esther García-Esquinas; Matilde Leonardi; Seppo Koskinen; Ilona Koupil; Andrzej Paja K; Martin Prince; Warren Sanderson; Sergei Scherbov; Abdonas Tamosiunas; Aleksander Galas; Josep Maria Haro; Albert Sanchez-Niubo; Vassilis P Plagianakos; Demosthenes Panagiotakos Journal: Health Inf Sci Syst Date: 2022-04-18
Authors: Yaling Zhao; Hong Yan; Ruihai Yang; Qiang Li; Shaonong Dang; Ruru Liu; Leilei Pei; Lei Cao; Roger J Marshall; Duolao Wang Journal: Medicine (Baltimore) Date: 2016-07 Impact factor: 1.889