Asri Maharani
Household wealth, neighbourhood deprivation and frailty amongst middle-aged and older adults in England: a longitudinal analysis over 15 years (2002-2017)
Maharani, Asri; Sinclair, David R.; Chandola, Tarani; Bower, Peter; Clegg, Andrew; Hanratty, Barbara; Nazroo, James; Pendleton, Neil; Tampubolon, Gindo; Todd, Chris; Wittenberg, Raphael; O'Neill, Terence W.; Matthews, Fiona E.
Authors
David R. Sinclair
Tarani Chandola
Peter Bower
Andrew Clegg
Barbara Hanratty
James Nazroo
Neil Pendleton
Gindo Tampubolon
Chris Todd
Raphael Wittenberg
Terence W. O'Neill
Professor Fiona Matthews F.Matthews@hull.ac.uk
Pro-Vice-Chancellor Research and Enterprise
Abstract
Background: frailty is a condition of reduced function and health due to ageing processes and is associated with a higher risk of falls, hospitalisation, disability and mortality. Objective: to determine the relationship between household wealth and neighbourhood deprivation with frailty status, independently of demographic factors, educational attainment and health behaviours. Design: population-based cohort study. Setting: communities in England. Subjects: in total 17,438 adults aged 50+ from the English Longitudinal Study of Ageing. Methods: multilevel mixed-effects ordered logistic regression was used in this study. Frailty was measured using a frailty index. We defined small geographic areas (neighbourhoods) using English Lower layer Super Output Areas. Neighbourhood deprivation was measured by the English Index of Multiple Deprivation, grouped into quintiles. Health behaviours included in this study are smoking and frequency of alcohol consumption. Results: the proportion of respondents who were prefrail and frail were 33.8% [95% confidence interval (CI) 33.0-34.6%] and 11.7 (11.1-12.2)%, respectively. Participants in the lowest wealth quintile and living in the most deprived neighbourhood quintile had 1.3 (95% CI = 1.2-1.3) and 2.2 (95% CI = 2.1-2.4) times higher odds of being prefrail and frail, respectively, than the wealthiest participants living in the least deprived neighbourhoods Living in more deprived neighbourhood and poorer wealth was associated with an increased risk of becoming frail. Those inequalities did not change over time. Conclusions: in this population-based sample, living in a deprived area or having low wealth was associated with frailty in middle-aged and older adults. This relationship was independent of the effects of individual demographic characteristics and health behaviours.
Citation
Maharani, A., Sinclair, D. R., Chandola, T., Bower, P., Clegg, A., Hanratty, B., …Matthews, F. E. (2023). Household wealth, neighbourhood deprivation and frailty amongst middle-aged and older adults in England: a longitudinal analysis over 15 years (2002-2017). Age and ageing, 52(3), Article afad034. https://doi.org/10.1093/ageing/afad034
Journal Article Type | Article |
---|---|
Acceptance Date | Jan 21, 2024 |
Online Publication Date | Mar 29, 2023 |
Publication Date | Mar 1, 2023 |
Deposit Date | Jan 21, 2024 |
Publicly Available Date | Jan 25, 2024 |
Journal | Age and Ageing |
Print ISSN | 0002-0729 |
Electronic ISSN | 1468-2834 |
Publisher | Oxford University Press |
Peer Reviewed | Peer Reviewed |
Volume | 52 |
Issue | 3 |
Article Number | afad034 |
DOI | https://doi.org/10.1093/ageing/afad034 |
Keywords | Household wealth; Neighbourhood deprivation; Frailty; English Longitudinal Study of Ageing; Health inequalities; Older people |
Public URL | https://hull-repository.worktribe.com/output/4496370 |
Files
Published article
(935 Kb)
PDF
Publisher Licence URL
http://creativecommons.org/licenses/by-nc/4.0
Copyright Statement
© The Author(s) 2023. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
You might also like
Perceptual and conceptual processing of visual objects across the adult lifespan
(2019)
Journal Article
Two-decade change in prevalence of cognitive impairment in the UK
(2019)
Journal Article
Downloadable Citations
About Repository@Hull
Administrator e-mail: repository@hull.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search