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

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

PLOS ONE, 2017, vol. 12, issue 11, 1-15

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

Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0187946

DOI: 10.1371/journal.pone.0187946

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