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Socioeconomic inequalities in frailty and frailty components among community-dwelling older citizens

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  • Carmen B Franse
  • Amy van Grieken
  • Li Qin
  • René J F Melis
  • Judith A C Rietjens
  • Hein Raat

Abstract

Background: So far, it has not yet been studied whether socioeconomic status is associated with distinct frailty components and for which frailty component this association is the strongest. We aimed to examine the association between socioeconomic status and frailty and frailty components. In addition we assessed the mediating effect of the number of morbidities on the association between socioeconomic status and other frailty components. Methods: This is a cross-sectional study of pooled data of The Older Persons and Informal Caregivers Survey Minimum DataSet in the Netherlands among community-dwelling persons aged 55 years and older (n = 26,014). Frailty was measured with a validated Frailty Index that consisted of 45 items. The Frailty Index contained six components: morbidities, limitations in activities of daily living (ADL), limitations in instrumental ADL (IADL), health-related quality of life, psychosocial health and self-rated health. Socioeconomic indicators used were education level and neighbourhood socioeconomic status. Results: Persons with primary or secondary education had higher overall frailty and frailty component scores compared to persons with tertiary education (P

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  • Carmen B Franse & Amy van Grieken & Li Qin & René J F Melis & Judith A C Rietjens & Hein Raat, 2017. "Socioeconomic inequalities in frailty and frailty components among community-dwelling older citizens," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-15, November.
    • Handle: RePEc:plo:pone00:0187946
    DOI: 10.1371/journal.pone.0187946
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    References listed on IDEAS

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    1. Huisman, Martijn & Kunst, Anton E. & Mackenbach, Johan P., 2003. "Socioeconomic inequalities in morbidity among the elderly; a European overview," Social Science & Medicine, Elsevier, vol. 57(5), pages 861-873, September.
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    3. Hajizadeh, Mohammad & Mitnitski, Arnold & Rockwood, Kenneth, 2016. "Socioeconomic gradient in health in Canada: Is the gap widening or narrowing?," Health Policy, Elsevier, vol. 120(9), pages 1040-1050.
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    1. Han Hu & Yafei Si & Bingqin Li, 2020. "Decomposing Inequality in Long-Term Care Need Among Older Adults with Chronic Diseases in China: A Life Course Perspective," IJERPH, MDPI, vol. 17(7), pages 1-14, April.
    2. Martine J. Sealy & Fons van der Lucht & Barbara C. van Munster & Wim P. Krijnen & Hans Hobbelen & Hans A. Barf & Evelyn J. Finnema & Harriët Jager-Wittenaar, 2022. "Frailty among Older People during the First Wave of the COVID-19 Pandemic in The Netherlands," IJERPH, MDPI, vol. 19(6), pages 1-15, March.
    3. Maharani, Asri & Sinclair, David R. & Chandola, Tarani & Bower, Peter & Clegg, Andrew & Hanratty, Barbara & Nazroo, James & Pendleton, Neil & Tampubolon, Gindo & Todd, Chris & Wittenberg, Raphael & O', 2023. "Household wealth, neighbourhood deprivation and frailty amongst middle-aged and older adults in England: a longitudinal analysis over 15 years (2002-2017)," LSE Research Online Documents on Economics 118661, London School of Economics and Political Science, LSE Library.
    4. Ana F. Silva & Jose Mª Cancela & Irimia Mollinedo & Miguel Camões & Pedro Bezerra, 2021. "The Relationship between Health Perception and Health Predictors among the Elderly across European Countries," IJERPH, MDPI, vol. 18(8), pages 1-10, April.
    5. Cláudia Jardim Santos & Inês Paciência & Ana Isabel Ribeiro, 2022. "Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review," IJERPH, MDPI, vol. 19(11), pages 1-26, May.
    6. Seligman, Benjamin & Agarwal, Arunika & Bloom, David E., 2023. "Frailty and socioeconomic stratification in Brazil, India, and China," The Journal of the Economics of Ageing, Elsevier, vol. 25(C).

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