THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH ON FRAILTY TRAJECTORIES OF OLDER ADULTS IN RURAL UNITED STATES
2024

Impact of Social Factors on Frailty in Older Adults

Sample size: 16579 publication Evidence: moderate

Author Information

Author(s): Hillary Spangler, Wenyi Xie, David Lynch, Feng-Chang Lin, John Batsis

Primary Institution: University of North Carolina

Hypothesis

The study aims to determine the impact of social determinants of health on frailty trajectories of older adults in rural areas.

Conclusion

Social determinants of health, race, and rurality may influence the frailty trajectories of older adults.

Supporting Evidence

  • Being married, having a college education, and higher income were protective against frailty progression.
  • Urban areas had lower odds of developing frailty compared to pre-frailty.
  • Hispanic ethnicity was protective against progressive frailty.

Takeaway

This study looks at how things like income and education affect older people's health in rural areas.

Methodology

Data from the National Health and Aging Trend Study (2011-2020) was analyzed using generalized estimation equations.

Potential Biases

Potential biases may arise from the reliance on self-reported social determinants.

Limitations

The study may not account for all factors influencing frailty and relies on self-reported data.

Participant Demographics

Participants were primarily Medicare beneficiaries over 65 years, with a median age of 70-74 years, and 57.1% female.

Statistical Information

P-Value

0.008

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.1710

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