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Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis

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  • Jixiang Xu

    (School of Public Health, Fudan University, Shanghai 200032, China)

  • Yingwei Chen

    (School of Public Health, Fudan University, Shanghai 200032, China)

  • Yujie Wang

    (School of Public Health, Fudan University, Shanghai 200032, China)

  • Junling Gao

    (School of Public Health, Fudan University, Shanghai 200032, China
    Collaborative Innovation Cooperative Unit, National Clinical Research Center for Geriatric Diseases, Shanghai 200032, China
    Core Unit of Shanghai Clinical Research Center for Geriatric Diseases, Shanghai 200032, China)

  • Limei Huang

    (Songjiang Center of Disease Prevention and Control, Shanghai 201620, China)

Abstract

An age-friendly environment is one of the measures of healthy aging. However, there is scarce evidence of the relationship between the age-friendliness of communities (AFC) and frailty status among Chinese older adults. This study aims to examine this relationship using a multilevel analysis with the data of a cross-sectional study conducted among 10,958 older adults living in 43 communities in four cities in China. The validated Age-friendly Community Evaluation Scale and Chinese frailty screening-10 Scale (CFS-10) were used to measure AFC and Frailty. Multilevel regression analyses were performed to examine the relationship between the AFC in two assessments of individual- and community-level and frailty status. After controlling for individual-level socio-demographic, health status, and lifestyle variables, compared with older adults in the lowest quartile of the individual-level perception of AFC, the frailty odds ratios for those in the top three quartiles were 0.69 (95% confidence interval [CI]: 0.56–0.83), 0.75 (95% CI: 0.61–0.91), and 0.56 (95% CI: 0.48–0.74). However, there was no association between the community-level AFC and frailty. A higher level of age-friendliness in the community is associated with lower frailty odds. Therefore, building age-friendly communities may be an important measure to prevent frailty among Chinese older adults.

Suggested Citation

  • Jixiang Xu & Yingwei Chen & Yujie Wang & Junling Gao & Limei Huang, 2022. "Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis," IJERPH, MDPI, vol. 19(12), pages 1-11, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:7528-:d:843016
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    References listed on IDEAS

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    1. Daan Duppen & Deborah Lambotte & Sarah Dury & An-Sofie Smetcoren & Honghui Pan & Liesbeth De Donder & D-SCOPE ConsortiumA- S Smetcoren & S Dury & L De Donder & N De Witte & E Dierckx & D Lambotte & B , 2020. "Social Participation in the Daily Lives of Frail Older Adults: Types of Participation and Influencing Factors," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 75(9), pages 2062-2071.
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    Cited by:

    1. Kyeongmo Kim & Thomas D. Buckley & Denise Burnette & Jin Huang & Seon Kim, 2022. "Age-Friendly Communities and Older Adults’ Health in the United States," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    2. Jo-Ying Huang & Hui-Chuan Hsu & Yu-Ling Hsiao & Feng-Yin Chen & Shu-Ying Lo & Tzu-Yun Chou & Megan F. Liu, 2022. "Developing Indicators of Age-Friendliness in Taiwanese Communities through a Modified Delphi Method," IJERPH, MDPI, vol. 19(21), pages 1-17, November.

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