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Relative Contributions of Geographic, Socioeconomic, and Lifestyle Factors to Quality of Life, Frailty, and Mortality in Elderly

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  • Jean Woo
  • Ruth Chan
  • Jason Leung
  • Moses Wong

Abstract

Background: To date, few studies address disparities in older populations specifically using frailty as one of the health outcomes and examining the relative contributions of individual and environmental factors to health outcomes. Methodology/Principal Findings: Using a data set from a health survey of 4,000 people aged 65 years and over living in all regions of Hong Kong, we examined regional variations in self-rated health, frailty, and four-year mortality, and analyzed the relative contributions of lifestyle, socioeconomic status, and geographical location of residence to these outcomes using path analysis. We hypothesize that lifestyle, socioeconomic status, and regional characteristics directly and indirectly through interactions contribute to self-rated physical and psychological health, frailty, and four-year mortality. Conclusions/Significance: We conclude that district variations in health outcomes exist in the Hong Kong elderly population, and these variations result directly from district factors, and are also indirectly mediated through socioeconomic position as well as lifestyle. Provision and accessibility to health services are unlikely to play a significant role. Future studies on these district factors would be important in reducing health disparities in the older population.

Suggested Citation

  • Jean Woo & Ruth Chan & Jason Leung & Moses Wong, 2010. "Relative Contributions of Geographic, Socioeconomic, and Lifestyle Factors to Quality of Life, Frailty, and Mortality in Elderly," PLOS ONE, Public Library of Science, vol. 5(1), pages 1-11, January.
    • Handle: RePEc:plo:pone00:0008775
    DOI: 10.1371/journal.pone.0008775
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    1. S. Bunt & N. Steverink & J. Olthof & C. P. Schans & J. S. M. Hobbelen, 2017. "Social frailty in older adults: a scoping review," European Journal of Ageing, Springer, vol. 14(3), pages 323-334, September.
    2. Myong Sun Cho & Mi Young Kwon, 2023. "Factors Associated with Aging in Place among Community-Dwelling Older Adults in Korea: Findings from a National Survey," IJERPH, MDPI, vol. 20(3), pages 1-14, February.
    3. Ruby Yu & Cecilia Tong & Jason Leung & Jean Woo, 2020. "Socioeconomic Inequalities in Frailty in Hong Kong, China: A 14-Year Longitudinal Cohort Study," IJERPH, MDPI, vol. 17(4), pages 1-16, February.

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