دورية أكاديمية
أعرض في EDS

Psychosocial stressors associated with frailty in community-dwelling older adults in the United States.

التفاصيل البيبلوغرافية
العنوان: Psychosocial stressors associated with frailty in community-dwelling older adults in the United States.
المؤلفون: Shakya S; College of Nursing, University of Illinois Chicago, Chicago, Illinois, USA., Silva SG; School of Nursing, Duke University, Durham, North Carolina, USA., McConnell ES; Department of Veterans Affairs Medical Center, Geriatric Research, Education and Clinical Center (GRECC), Durham, North Carolina, USA., McLaughlin SJ; Department of Sociology and Gerontology, Miami University, Oxford, Ohio, USA., Cary MP Jr; School of Nursing, Duke University, Durham, North Carolina, USA.
المصدر: Journal of the American Geriatrics Society [J Am Geriatr Soc] 2024 Apr; Vol. 72 (4), pp. 1088-1099. Date of Electronic Publication: 2024 Feb 23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5415 (Electronic) Linking ISSN: 00028614 NLM ISO Abbreviation: J Am Geriatr Soc Subsets: MEDLINE
أسماء مطبوعة: Publication: Malden, MA : Blackwell Science
Original Publication: New York [etc.]
مواضيع طبية MeSH: Frailty*, Female ; Humans ; United States/epidemiology ; Aged ; Independent Living ; Cross-Sectional Studies ; Residence Characteristics ; Ethnicity
مستخلص: Background: Frailty is multifactorial; however, psychosocial stressors contributing to frailty are poorly understood. This study aimed to examine whether gender, race/ ethnicity, and education are associated with differential exposure to psychosocial stressors, determine psychosocial stressors contributing to frailty, and explore the mediating psychosocial stressors pathway.
Methods: This cross-sectional study involved 7679 community-dwelling older adults (≥65) from the Health and Retirement Study (2006 and 2008 waves). Psychosocial stressors such as loneliness, low subjective social status, financial strain, poor neighborhood cohesion, everyday discrimination, and traumatic life events were measured. Frailty was defined by the Fried phenotype measure. Multivariable logistic regressions were used to examine the association of gender, race/ethnicity, and education with psychosocial stressors, psychosocial stressors associated with frailty, and the mediating psychosocial stressors pathway.
Results: Females experienced greater financial strain but lower discrimination (both p < 0.05). Older adults who identified as Hispanic, Black, and racially or ethnically minoritized experienced low subjective social status, high financial strain, low neighborhood cohesion, and high discrimination than their White counterparts (all p < 0.05). Those with lower education experienced high loneliness, low subjective social status, high financial strain, low neighborhood cohesion but lower traumatic life events (all p < 0.05). Psychosocial stressors: High loneliness, low subjective social status, high financial strain, and low neighborhood cohesion (all p < 0.05) independently increased the odds of frailty. The mediating pathway of psychosocial stressors was not significant.  CONCLUSION: Disparities exist in exposure to psychosocial stressors associated with frailty. Multilevel interventions are needed to reduce the influence of psychosocial stressors on frailty.
(© 2024 The Authors. Journal of the American Geriatrics Society published by Wiley Periodicals LLC on behalf of The American Geriatrics Society.)
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فهرسة مساهمة: Keywords: frailty; psychosocial stressors; social determinants of health
تواريخ الأحداث: Date Created: 20240223 Date Completed: 20240416 Latest Revision: 20240416
رمز التحديث: 20240416
DOI: 10.1111/jgs.18821
PMID: 38391046
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-5415
DOI:10.1111/jgs.18821