Life Course Socioeconomic Conditions and Frailty at Older Ages.

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State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_AD9440BFD340
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Life Course Socioeconomic Conditions and Frailty at Older Ages.
Journal
The journals of gerontology. Series B, Psychological sciences and social sciences
Author(s)
Van der Linden BWA, Cheval B., Sieber S., Orsholits D., Guessous I., Stringhini S., Gabriel R., Aartsen M., Blane D., Courvoisier D., Burton-Jeangros C., Kliegel M., Cullati S.
ISSN
1758-5368 (Electronic)
ISSN-L
1079-5014
Publication state
Published
Issued date
02/06/2020
Peer-reviewed
Oui
Volume
75
Number
6
Pages
1348-1357
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
This article aimed to assess associations of childhood socioeconomic conditions (CSC) with the risk of frailty in old age and whether adulthood socioeconomic conditions (ASC) influence this association.
Data from 21,185 individuals aged 50 years and older included in the longitudinal Survey of Health, Ageing, and Retirement in Europe were used. Frailty was operationalized as a sum of presenting weakness, shrinking, exhaustion, slowness, or low activity. Confounder-adjusted multilevel logistic regression models were used to analyze associations of CSC and ASC with frailty.
While disadvantaged CSC was associated with higher odds of (pre-)frailty in women and men (odds ratio [OR] = 1.73, 95% confidence interval [CI] 1.34, 2.24; OR = 1.84, 95% CI 1.27, 2.66, respectively), this association was mediated by ASC. Personal factors and demographics, such as birth cohort, chronic conditions, and difficulties with activities of daily living, increased the odds of being (pre-)frail.
Findings suggest that CSC are associated with frailty at old age. However, when taking into account ASC, this association no longer persists. The results show the importance of improving socioeconomic conditions over the whole life course in order to reduce health inequalities in old age.
Keywords
Health outcomes, Socioeconomic status, Successful aging
Pubmed
Web of science
Open Access
Yes
Create date
26/02/2019 15:53
Last modification date
15/01/2021 8:11
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