Social frailty as social aspects of frailty: Research, practical activities, and prospects
Social frailty as social aspects of frailty: Research, practical activities, and prospects
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社会脆弱作为脆弱的社会方面：研究、实践活动和前景
DOI：
10.1111/ggi.14492
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Horiuchi Fuki
中科院分区：
文献类型：
--
作者：
Fujiwara Yoshinori;Kondo Katsunori;Koyano Wataru;Murayama Hiroshi;Shinkai Shoji;Fujita Koji;Arai Hidenori;Horiuchi Fuki
随着对脆弱的预防和对策的关注，零散的研究将其社会因素和方面细分为“社会脆弱”。虽然“社会脆弱”的概念和定义尚未确定，但使用这一术语的目的是吸引专业人士的注意，利用脆弱的社会方面来支持老年人。其目标是通过认识到社会因素不太可能单独构成功能下降的风险，但与其他因素结合起来可能会加剧这种下降，从而增加健康预期寿命。在可行的干预范围内，应寻求解决这些因素的办法。虽然社会方面通常表现为虚弱的人，或具有复杂过程的社会因素，可导致功能衰退，但社会脆弱没有统一的定义或指标。需要进一步的研究和讨论，以澄清其学术意义和对残疾预防的有用性。认识到这一点，日本社会老年学会“社会脆弱”研究委员会在发表其建议时建议，在使用“社会脆弱”一词时，应具体说明其使用的意义；考虑脆弱的全面性；注意社会活动和其他社会方面的相互关系；并考虑环境条件，如一个人的价值观、偏好和生命历程、社会规范、制度和政府政策。高危个体可能需要包括临床医生在内的各种专业人员提供多学科的方法，以实现与他们独特的价值观和偏好一致的生活。在这种情况下，有必要从身体、心理和社会的角度，参考上述四点来理解导致脆弱的背景和过程。引入社会方面作为评估框架之一，可以显著弥合医疗和社区之间的差距。Geriatr Gerontol Int 2022；22：991-996。
With the topical focus on the prevention of and countermeasures for frailty, scattered studies have subdivided its social elements and aspects as “social frailty.” While the concepts and definition of “social frailty” are yet to be established, the purpose of using the term is to capture the attention of professionals using the social aspects of frailty to support older adults. The goal is to increase healthy life expectancy by recognizing that social factors are unlikely to pose a risk of functional decline in isolation, but may increase such a decline when combined with other factors. At feasible scopes of intervention, ways to address these factors should be pursued. Although social aspects are often expressed by frail people, or social factors with complex processes that can cause functional decline, there is no unified definition or indicator of social frailty. Further research and discussion are needed to clarify its academic significance and usefulness for disability prevention. Recognizing this, when the Japanese Socio‐Gerontological Society's Study Committee on “Social Frailty” published its recommendations, it suggested that when using the term “social frailty” we should specify the significance of its use; consider the comprehensiveness of frailty; be mindful of the interrelationship of social activities and other social aspects; and consider environmental conditions such as a person's values, preferences and life course, social norms, systems, and government policies. High‐risk individuals may need multidisciplinary approaches delivered by various professionals, including clinicians, in realizing a life in line with their unique values and preferences. In such cases, it is necessary to understand the background and process that led to frailty, from physical, psychological, and social perspectives, referring to the abovementioned four points. The introduction of social aspects as one of the assessment frameworks can significantly bridge the gap between medical care and the community.Geriatr Gerontol Int 2022; 22: 991–996.
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
[居住在大都市地区的老年人对“虚弱”一词及其相关性的认识]。
DOI：
10.11236/jph.67.6_399
发表时间：
2020
期刊：
[Nihon koshu eisei zasshi] Japanese journal of public health
影响因子：
--
作者：
S. Seino;A. Kitamura;Yui Tomine;Izumi Tanaka;M. Nishi;Y. Nofuji;Y. Yokoyama;Kumiko Nonaka;Masataka Kuraoka;H. Amano;Y. Fujiwara;S. Shinkai
通讯作者：
S. Shinkai