Frailty Prevalence and Association with Health-Related Quality of Life Impairment among Rural Community-Dwelling Older Adults in Vietnam

Anh Trung Nguyen, Long Hoang Nguyen, Thanh Xuan Nguyen, Thu Thi Hoai Nguyen, Huong Thi Thu Nguyen, Tam Ngoc Nguyen, Hai Quang Pham, Bach Xuan Tran, Carl A. Latkin, Cyrus S. H. Ho, Roger C. M. Ho, Thang Pham and Huyen Thi Thanh Vu
Additional contact information
Anh Trung Nguyen: Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
Long Hoang Nguyen: Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
Thanh Xuan Nguyen: Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
Thu Thi Hoai Nguyen: Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
Huong Thi Thu Nguyen: Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
Tam Ngoc Nguyen: Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
Hai Quang Pham: Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
Bach Xuan Tran: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Carl A. Latkin: Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Cyrus S. H. Ho: Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore
Roger C. M. Ho: Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
Thang Pham: Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
Huyen Thi Thanh Vu: Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam

IJERPH, 2019, vol. 16, issue 20, 1-12

Abstract: Measuring health-related quality of life (HRQOL) is critical to evaluate the burden of frailty in the older population.This study explored the prevalence of frailty among Vietnamese older people in rural communities, determined the factors associated with frailty, and examined the differences in HRQOL between non-frail, pre-frail, and frail people. A cross-sectional study was conducted on older adults (≥60 years old) residing in Soc Son district, northern Vietnam. Non-frailty, pre-frailty, and frailty conditions were evaluated using Fried’s frailty criteria. The EuroQol-5 Dimensions-5 Levels(EQ-5D-5L) instrument was employed to measure HRQOL. Socioeconomic, behavioral, health status, and healthcare utilization characteristics were collected as covariates. Among 523 older adults, 65.6% were pre-frail, and 21.7% were frail. The mean EQ-5D-5L indexes of the non-frailty, pre-frailty, and frailty groups were 0.70 (SD = 0.18), 0.70 (SD = 0.19), and 0.58 (SD = 0.20), respectively. The differences were found between non-frailty and frailty groups ( p < 0.01), as well as the pre-frailty and frailty groups ( p <0.01). After adjusting for covariates, the estimated mean difference in the HRQOL between the non-frailty and frailty groups was −0.10 (95%CI= −0.17; −0.02) (R 2 = 45.2%), showing a 10% reduction of the maximum EQ-5D-5L index.This study emphasized the high prevalence of frailty among older adults in the rural communities of Vietnam. Frailty was found to be associated with a small reduction of HRQOL in this population.

Keywords: frailty; health-related quality of life; older adult; Vietnam (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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