Department of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.
Health Service Department of the Guard Bureau of the Joint Staff Department, Beijing, China.
Front Public Health. 2023 May 24;11:1022208. doi: 10.3389/fpubh.2023.1022208. eCollection 2023.
BACKGROUND: Social frailty is one type of frailty. Physical frailty with cardiovascular and cerebrovascular diseases (CCVD) have been studied a lot, but less research on social frailty. OBJECTIVES: To study the prevalence, related risk factors and regional differences of social frailty with CCVD in Chinese older adults. METHODS: SSAPUR was a national cross-sectional survey. Participants aged 60 years or older were recruited in August 2015. Demographic data and information regarding family, health and medical conditions, living environment conditions, social participation, spiritual and cultural life, and health condition were obtained. Social frailty was assessed in five areas (HALFE Social Frailty Index) including inability to help others, limited social participation, loneliness, financial difficulty, and living alone. The prevalence of CCVD with social frailty, related risk factors and regional differences in CCVD with social frailty were studied. RESULTS: A total of 222,179 participants were enrolled. 28.4% of them had CCVD history. The prevalence of social frailty in the CCVD group was 16.03%. In CCVD participants, compared with the group without social frailty, there were significant differences in gender, age, urban-rural distribution, ethnicity, marital status, and education levels in the social frailty group. Significant differences were also found in physical exercise participation, health status, cataract, hypertension, diabetes mellitus, hospitalization within 1 year, self-assessed health status, crutch or wheelchair usage, urinary and fecal incontinence, need for care from others, fall history, housing satisfaction, and self-assessed happiness in the social frailty group. Women with CCVD had a higher prevalence of social frailty than men. By age in CCVD with social frailty, the highest prevalence was found in participants 75-79 years old. The prevalence of CCVD was significant difference between social frailty in urban and rural group. The prevalence of social frailty with CCVD was significantly different in different regions. The highest prevalence was 20.4% in southwest area, and the lowest prevalence was 12.5% in northeast with area. CONCLUSION: The prevalence of social frailty among the CCVD older adults is high. Factors such as gender, age, region, urban-rural residence, and the state of the disease may be associated with social frailty.
背景：社会脆弱性是脆弱性的一种类型。患有心血管和脑血管疾病（CCVD）的身体脆弱性已经得到了大量研究，但对社会脆弱性的研究较少。 目的：研究中国老年人中患有 CCVD 的社会脆弱性的流行率、相关危险因素和区域差异。 方法：SSAPUR 是一项全国性的横断面调查。2015 年 8 月招募了年龄在 60 岁或以上的参与者。获取了人口统计学数据以及家庭、健康和医疗状况、生活环境条件、社会参与、精神和文化生活以及健康状况信息。社会脆弱性通过五个方面（HALFE 社会脆弱性指数）进行评估，包括无法帮助他人、社会参与有限、孤独、经济困难和独居。研究了患有 CCVD 的社会脆弱性的流行率、相关危险因素以及患有 CCVD 的社会脆弱性的区域差异。 结果：共纳入 222179 名参与者。其中 28.4%有 CCVD 病史。CCVD 组的社会脆弱性患病率为 16.03%。与无社会脆弱性组相比，CCVD 组在性别、年龄、城乡分布、民族、婚姻状况和教育水平方面存在显著差异。在体育锻炼参与度、健康状况、白内障、高血压、糖尿病、1 年内住院、自我评估健康状况、使用拐杖或轮椅、尿失禁和大便失禁、需要他人照顾、跌倒史、住房满意度和自我评估幸福感方面，两组之间也存在显著差异。患有 CCVD 的女性比男性更易出现社会脆弱性。在患有 CCVD 的社会脆弱性患者中，按年龄划分，75-79 岁的患者患病率最高。城乡社会脆弱性差异显著。不同地区的 CCVD 社会脆弱性患病率存在显著差异。西南地区患病率最高，为 20.4%，东北地区患病率最低，为 12.5%。 结论：患有 CCVD 的老年人社会脆弱性的患病率较高。性别、年龄、地区、城乡居住和疾病状况等因素可能与社会脆弱性相关。
Ecotoxicol Environ Saf. 2023-4-15
J Glob Health. 2024-10-11
Am J Prev Med. 2014-7-3
Clin Interv Aging. 2025-1-22
Front Public Health. 2024-12-6
Eur J Intern Med. 2023-5
Neurology. 2022-7-11
Int J Environ Res Public Health. 2022-5-6
Front Endocrinol (Lausanne). 2022
Eur J Intern Med. 2022-5
Arch Gerontol Geriatr. 2022
Zotero 插件
