The impact of poverty transitions on frailty among older adults in South Korea: findings from the Korean longitudinal study of ageing
The impact of poverty transitions on frailty among older adults in South Korea: findings from the Korean longitudinal study of ageing
复制标题
贫困转变对韩国老年人虚弱的影响：韩国老龄化纵向研究的结果
作者：
Hin Moi Youn;Hyeon Ji Lee;D. Lee;E. Park
背景虚弱是老龄化人群中一个新出现的公共卫生问题。尽管社会经济地位是导致虚弱的一个众所周知的因素，但调查贫困对虚弱影响的研究却很有限。本研究旨在探讨贫困转变与老年人虚弱患病率之间的关联。方法 数据收集自六波韩国老龄化纵向研究（2006-2016 年）。共有9263名中老年人被纳入分析。贫困被定义为低于同等家庭收入中位数的 50%。使用包含身体表型（握力）、心理（疲惫）和社会方面（孤立）项目的仪器来测量虚弱程度。使用广义估计方程进行分析，以估计贫困转变与虚弱状况之间的关系。结果 9263名受访者中，9.4%的男性受访者（n = 388人）和13.6%的女性受访者（n = 700人）体质虚弱。控制协变量后，陷入贫困（OR = 1.31，95% CI：1.02–1.69）并持续处于贫困状态（OR = 1.36，95% CI：1.10–1.68）的女性参与者在接下来的一年中表现出虚弱的几率增加。我们没有在男性参与者中发现显着的结果。结论 研究结果表明，那些经历贫困转变、陷入贫困并持续贫困的人面临更高的虚弱风险。为了改善老年人与年龄相关的健康状况，旨在预防和减少老年人衰弱的干预措施应针对更容易受到衰弱负面影响的人群。
Background Frailty is an emerging public health concern among aging populations. Although socioeconomic status is a well-known contributor to frailty, there is limited research investigating the effects of poverty on frailty. This study aimed to examine the association between poverty transitions and frailty prevalence in older adults. Methods Data were collected from the six-wave Korean Longitudinal Study of Ageing (2006–2016). A total of 9263 middle-aged and older adults were included in the analysis. Poverty was defined as being below 50% of the median household income based on the equivalized household. Frailty was measured using an instrument comprising items on physical phenotype (grip strength) and psychological (exhaustion) and social aspects (isolation). Analyses using generalized estimating equations were conducted to estimate the relationship between poverty transition and frailty status. Results Among the 9263 respondents, 9.4% of the male respondents ( n = 388) and 13.6% of the female respondents ( n = 700) were frail. After controlling for covariates, female participants who transitioned into poverty (OR = 1.31, 95% CI: 1.02–1.69) and persistently remained in poverty (OR = 1.36, 95% CI: 1.10–1.68) showed increased odds of frailty in the follow-up year. We did not find significant results in the male participants. Conclusions The findings suggest that those who experience poverty transitions, enter poverty, and remain in poverty persistently are at higher risk of frailty. To improve age-related health status among the elderly, interventions aiming to prevent and reduce frailty among the elderly should target individuals who are more vulnerable to the negative effects of frailty.
DOI：
10.1093/gerona/56.3.m146
发表时间：
2001-03-01
影响因子：
5.1
作者：
Fried, LP;Tangen, CM;McBurnie, MA
通讯作者：
McBurnie, MA
影响因子：
158.5
作者：
Lynch, JW;Kaplan, GA;Shema, SJ
通讯作者：
Shema, SJ