Socioeconomic inequalities in frailty in Hong Kong, China: a 14-year longitudinal cohort study
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AbstractThe prevalence of frailty varies among socioeconomic groups. However, longitudinal data for the association between subjective social status and frailty is limited. In this study, we examined whether subjective social status was associated with incident frailty. Data were obtained from a 14-year cohort of Chinese men and women (n = 694) aged 65 years and older who participated in the MrOs study-a longitudinal study on osteoporosis and general health in Hong Kong. Subjective social status at baseline (2001-2003) was assessed using a 10-rung self-anchoring scale. Incident frailty at the 14-year follow-up (2015-2017) was defined as proposed by Fried and colleagues. Ordinal logistic regressions were used to examine the association between subjective social status (high, middle, or low) and incident frailty. After adjustment for age, sex, marital status, objective socioeconomic status, medical history, lifestyle, mental health, and cognitive function, subjective social status at baseline was negatively associated with risk of developing frailty over time (OR 2.3, 95% CI 1.2-4.6). In sex-stratified analysis, the social gradient in frailty was only found in men. Social inequality in frailty in men but not in women supports interventions specific to gender inequality and frailty.
All Author(s) ListYu R, Tong C, Leung J, Woo J
Journal nameInternational Journal of Environmental Research and Public Health
Year2020
Month2
Volume Number17
Issue Number4
PublisherMDPI
Article number1301
ISSN1661-7827
LanguagesEnglish-United Kingdom
Keywordssubjective social status, socioeconomic status, inequalities, frailty, ageing
Web of Science Subject CategoriesEnvironmental Sciences;Public, Environmental & Occupational Health;Environmental Sciences & Ecology;Public, Environmental & Occupational Health

Last updated on 2020-22-11 at 00:29