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Life Course Socioeconomic Conditions and Frailty at Older Ages

Authors: Van Der Linden, Rose; Cheval, Boris; Sieber, Stefan; Orsholits, Dan; Guessous, Idris; Stringhini, Silvia; Gabriel, Rainer; +6 Authors

Life Course Socioeconomic Conditions and Frailty at Older Ages

Abstract

Abstract Objectives 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. Methods 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. Results 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. Discussion 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

Male, Frail Elderly/statistics & numerical data, Successful aging, Frail Elderly, 613, The Journal of Gerontology: Social Sciences, Europe/epidemiology, Healthy Aging, Life Change Events, 618.97, Frailty/diagnosis/economics/epidemiology/prevention & control, Geriatric Assessment/methods, Adverse Childhood Experiences, Humans, Health outcomes; Socioeconomic status; Successful aging, Longitudinal Studies, Geriatric Assessment, Aged, Frailty, Health Status Disparities, Adverse Childhood Experiences/economics/psychology/statistics & numerical data, Health outcomes, Healthy Aging/physiology/psychology, 301, Socioeconomic statuses, Europe, Social Class, Socioeconomic Factors, 305: Personengruppen (Alter, Herkunft, Geschlecht, Einkommen), [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Female, ddc: ddc:618.97, ddc: ddc:301

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    influence
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
47
Top 10%
Top 10%
Top 10%
Green
hybrid