Neighborhood deprivation, individual socioeconomic status, and frailty in older adults.

Abstract:

OBJECTIVES:To assess how individual socioeconomic status and neighborhood deprivation affect frailty. DESIGN:Nationally representative population-based study, the English Longitudinal Study of Aging (ELSA), analyzed cross-sectionally. PARTICIPANTS:Four thousand eight hundred eighteen individuals aged 65 and older. MEASUREMENTS:Outcome was a frailty index (FI), based on 58 potential deficits, with a theoretical range from 0 to 1; exposures were individual wealth and neighborhood deprivation (lack of local resources, financial and otherwise), based on a set of standard indicators. RESULTS:The FI score varied independently according to wealth and neighborhood deprivation. The mean FI score for an individual in the highest 20% of wealth and least deprived 20% of neighborhoods was 0.09 (95% confidence interval (CI)=0.09-0.09) and for an individual in the lowest 20% of wealth and most deprived 20% of neighborhoods was 0.17 (95% CI=0.16-0.17). CONCLUSION:Frailty in older adults is independently associated with individual and neighborhood socioeconomic factors. Older adults who are poor and live in deprived neighborhoods are most vulnerable. Policies and interventions intended to prevent or reduce frailty must take into account individual circumstances and the broader social settings in which individuals are located.

journal_name

J Am Geriatr Soc

authors

Lang IA,Hubbard RE,Andrew MK,Llewellyn DJ,Melzer D,Rockwood K

doi

10.1111/j.1532-5415.2009.02480.x

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1776-80

issue

10

eissn

0002-8614

issn

1532-5415

pii

JGS2480

journal_volume

57

pub_type

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