墨西哥贫困和农村地区的身体虚弱与社会脆弱性
Frailty and Social Vulnerability in Mexican Deprived and Rural Settings.
作者信息
Manrique-Espinoza Betty, Salinas-Rodríguez Aarón, Salgado de Snyder Nelly, Moreno-Tamayo Karla, Gutiérrez-Robledo Luis Miguel, Avila-Funes José Alberto
机构信息
National Institute of Public Health, Cuernavaca, Morelos, Mexico.
National Institute of Public Health, Cuernavaca, Morelos, Mexico
出版信息
J Aging Health. 2016 Jun;28(4):740-52. doi: 10.1177/0898264315609909. Epub 2015 Oct 12.
OBJECTIVE
To estimate the prevalence of frailty in a sample of rural elderly living in socially vulnerable circumstances as well as to determine its correlates.
METHOD
Cross-sectional study of 558 rural elderly participating in a prospective study conducted in Mexico. Frailty was defined using the Fried criteria. Ordinal logistic regression model was used to identify the correlates of frailty levels.
RESULTS
Prevalence of frailty was 8.6%. Disability in basic activities of daily living and illiteracy increase the probability of being pre-frail and/or frail (odds ratio [OR] = 2.72, p < .01; OR = 1.45, p = .05, respectively), while living in households with higher socioeconomic status reduces this probability (OR = 0.85, p < .01).
DISCUSSION
A high prevalence of frailty was found among these young elderly, who did not yet fully show adverse health events. Also the social vulnerability of rural elderly is associated with frailty status. These findings highlight the health needs of socially and economically vulnerable elderly population.
目的
评估生活在社会弱势环境中的农村老年人样本中衰弱的患病率，并确定其相关因素。
方法
对参与墨西哥一项前瞻性研究的558名农村老年人进行横断面研究。采用弗里德标准定义衰弱。使用有序逻辑回归模型确定衰弱水平的相关因素。
结果
衰弱患病率为8.6%。日常生活基本活动能力残疾和文盲会增加处于衰弱前期和/或衰弱状态的概率（优势比[OR]=2.72，p<.01；OR=1.45，p=.05），而生活在社会经济地位较高的家庭中会降低这种概率（OR=0.85，p<.01）。
讨论
在这些尚未完全出现不良健康事件的年轻老年人中发现了较高的衰弱患病率。农村老年人的社会弱势也与衰弱状态相关。这些发现突出了社会和经济弱势老年人群体的健康需求。
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