دورية أكاديمية
Socioeconomic inequalities in frailty distribution: A cross-national comparison of the United States and England.
| العنوان: | Socioeconomic inequalities in frailty distribution: A cross-national comparison of the United States and England. |
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| المؤلفون: | Wilkie RZ; Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, California, USA., Ailshire JA; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA. |
| المصدر: | The journals of gerontology. Series B, Psychological sciences and social sciences [J Gerontol B Psychol Sci Soc Sci] 2024 Sep 16. Date of Electronic Publication: 2024 Sep 16. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: published on behalf of the Gerontological Society of America by Oxford University Press Country of Publication: United States NLM ID: 9508483 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-5368 (Electronic) Linking ISSN: 10795014 NLM ISO Abbreviation: J Gerontol B Psychol Sci Soc Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Washington, DC : published on behalf of the Gerontological Society of America by Oxford University Press Original Publication: Washington, DC : Gerontological Society of America, c1995- |
| مستخلص: | Objectives: To examine differences in socioeconomic gradients (i.e., education, income, and wealth) in frailty by gender in the US and England. Methods: We used harmonized data from the Health and Retirement Study (HRS) and the English Longitudinal Study of Ageing (ELSA) in 2016. Frailty status was determined from measured and self-reported signs and symptoms in five domains: unintentional weight loss, exhaustion, low physical activity, slow walking speed, and weakness. Respondents were classified as robust (no signs or symptoms of frailty), pre-frail (signs or symptoms in 1-2 domains), or frail (signs or symptoms in 3 or more domains). Gender-stratified multinomial logistic regression models were used to assess the relationship between educational attainment, household income, and household wealth with the risk of frailty and pre-frailty, with and without covariates. We also calculated the slope index of inequalities on the predicted probabilities of frailty by income and wealth quintiles. Results: We found socioeconomic gradients in pre-frailty and frailty by education, income, and wealth. Furthermore, the educational gradient in frailty was significantly steeper for US women compared to English women, and the income gradient was steeper for US men and women compared to English men and women. The between-country differences were not accounted for by adjusting for race/ethnicity and behavioral factors. Discussion: Socioeconomic gradients in pre-frailty and frailty differ by country setting and gender, suggesting contextual factors such as cultural norms, healthcare access and quality, and economic policy may contribute to the effect of different measures of socioeconomic status on pre-frailty and frailty risk. (© The Author(s) 2024. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.) |
| فهرسة مساهمة: | Keywords: Socioeconomic status; cross-cultural comparisons; health inequalities |
| تواريخ الأحداث: | Date Created: 20240916 Latest Revision: 20240916 |
| رمز التحديث: | 20240917 |
| DOI: | 10.1093/geronb/gbae157 |
| PMID: | 39283971 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1758-5368 |
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| DOI: | 10.1093/geronb/gbae157 |