Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives"Arve, Geneva, Switzerland.
Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Switzerland.
J Gerontol B Psychol Sci Soc Sci. 2020 Jun 2;75(6):1348-1357. doi: 10.1093/geronb/gbz018.
OBJECTIVES: This article aimed to assess associations of childhood socioeconomic conditions (CSC) with the risk of frailty in old age and whether adulthood socioeconomic conditions (ASC) influence this association. METHODS: Data from 21,185 individuals aged 50 years and older included in the longitudinal Survey of Health, Ageing, and Retirement in Europe were used. Frailty was operationalized as a sum of presenting weakness, shrinking, exhaustion, slowness, or low activity. Confounder-adjusted multilevel logistic regression models were used to analyze associations of CSC and ASC with frailty. RESULTS: While disadvantaged CSC was associated with higher odds of (pre-)frailty in women and men (odds ratio [OR] = 1.73, 95% confidence interval [CI] 1.34, 2.24; OR = 1.84, 95% CI 1.27, 2.66, respectively), this association was mediated by ASC. Personal factors and demographics, such as birth cohort, chronic conditions, and difficulties with activities of daily living, increased the odds of being (pre-)frail. DISCUSSION: Findings suggest that CSC are associated with frailty at old age. However, when taking into account ASC, this association no longer persists. The results show the importance of improving socioeconomic conditions over the whole life course in order to reduce health inequalities in old age.
目的:本文旨在评估儿童社会经济状况(CSC)与老年衰弱风险的关联,以及成年社会经济状况(ASC)是否影响这种关联。
方法:本研究使用了来自欧洲健康、老龄化和退休纵向调查的 21185 名 50 岁及以上个体的数据。衰弱被定义为出现虚弱、消瘦、疲惫、缓慢或低活动的总和。采用调整混杂因素的多层次逻辑回归模型分析 CSC 和 ASC 与衰弱的关联。
结果:不利的 CSC 与女性和男性(OR=1.73,95%CI 1.34,2.24;OR=1.84,95%CI 1.27,2.66)的(前)衰弱发生风险较高相关,但这种关联受到 ASC 的调节。个人因素和人口统计学因素,如出生队列、慢性疾病和日常生活活动困难,增加了(前)衰弱的发生风险。
讨论:研究结果表明,CSC 与老年衰弱有关。然而,当考虑 ASC 时,这种关联不再持续。研究结果表明,为了减少老年健康不平等,在整个生命过程中改善社会经济状况非常重要。
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