Rojas Huerta Abigail Vanessa
Instituto de Geografía, Universidad Nacional Autónoma de México (UNAM) Ciudad de México, México.
Poblac Salud Mesoam. 2022 Jan-Jun;19(2). doi: 10.15517/psm.v19i2.46929.
Frailty is an indicator of health status in old age and a common clinical syndrome in older adults that carries an increased risk of poor health outcomes, including falls, incidents of disability, hospitalization, and mortality. This study aimed to identify the different trajectories of frailty and the factors related to frailty among Mexican older adults over time.
Data are from a four-wave panel composed of older Mexican adults from 2001 to 2015 of the Mexican Health and Aging Study (MHAS). Frailty is the accumulation of deficits using a frailty index. A multilevel analysis, using hierarchical models, was applied to know the changes of frailty trajectories and what factors are related to it.
Being female, older, being widowhood, and having a lower level of education were risk factors for having a high frailty index and lower financial satisfaction doing activities at home have adverse effects.
The findings of this work present information about the prevalence of frailty considering the proportion of deficits that individuals possess and their main associated components in older Mexican adults. It is necessary to improve socioeconomic health conditions in phases before old age to avoid developing frailty in the future.
衰弱是老年人健康状况的一个指标，也是老年人中常见的临床综合征，它会增加不良健康结局的风险，包括跌倒、残疾事件、住院和死亡。本研究旨在确定墨西哥老年人衰弱的不同轨迹以及随时间推移与衰弱相关的因素。
数据来自墨西哥健康与老龄化研究（MHAS）2001年至2015年对墨西哥老年成年人进行的四波面板调查。衰弱是使用衰弱指数对缺陷的累积。应用多层分析和分层模型来了解衰弱轨迹的变化以及与之相关的因素。
女性、年龄较大、丧偶以及教育水平较低是衰弱指数较高的风险因素，在家中进行活动时财务满意度较低会产生不利影响。
这项工作的研究结果提供了有关墨西哥老年成年人衰弱患病率的信息，考虑了个体所具有的缺陷比例及其主要相关因素。有必要在老年期之前改善社会经济健康状况，以避免未来出现衰弱。
