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Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis
An age-friendly environment is one of the measures of healthy aging. However, there is scarce evidence of the relationship between the age-friendliness of communities (AFC) and frailty status among Chinese older adults. This study aims to examine this relationship using a multilevel analysis with th...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9224492/ https://www.ncbi.nlm.nih.gov/pubmed/35742777 http://dx.doi.org/10.3390/ijerph19127528 |
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author | Xu, Jixiang Chen, Yingwei Wang, Yujie Gao, Junling Huang, Limei |
author_facet | Xu, Jixiang Chen, Yingwei Wang, Yujie Gao, Junling Huang, Limei |
author_sort | Xu, Jixiang |
collection | PubMed |
description | An age-friendly environment is one of the measures of healthy aging. However, there is scarce evidence of the relationship between the age-friendliness of communities (AFC) and frailty status among Chinese older adults. This study aims to examine this relationship using a multilevel analysis with the data of a cross-sectional study conducted among 10,958 older adults living in 43 communities in four cities in China. The validated Age-friendly Community Evaluation Scale and Chinese frailty screening-10 Scale (CFS-10) were used to measure AFC and Frailty. Multilevel regression analyses were performed to examine the relationship between the AFC in two assessments of individual- and community-level and frailty status. After controlling for individual-level socio-demographic, health status, and lifestyle variables, compared with older adults in the lowest quartile of the individual-level perception of AFC, the frailty odds ratios for those in the top three quartiles were 0.69 (95% confidence interval [CI]: 0.56–0.83), 0.75 (95% CI: 0.61–0.91), and 0.56 (95% CI: 0.48–0.74). However, there was no association between the community-level AFC and frailty. A higher level of age-friendliness in the community is associated with lower frailty odds. Therefore, building age-friendly communities may be an important measure to prevent frailty among Chinese older adults. |
format | Online Article Text |
id | pubmed-9224492 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-92244922022-06-24 Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis Xu, Jixiang Chen, Yingwei Wang, Yujie Gao, Junling Huang, Limei Int J Environ Res Public Health Article An age-friendly environment is one of the measures of healthy aging. However, there is scarce evidence of the relationship between the age-friendliness of communities (AFC) and frailty status among Chinese older adults. This study aims to examine this relationship using a multilevel analysis with the data of a cross-sectional study conducted among 10,958 older adults living in 43 communities in four cities in China. The validated Age-friendly Community Evaluation Scale and Chinese frailty screening-10 Scale (CFS-10) were used to measure AFC and Frailty. Multilevel regression analyses were performed to examine the relationship between the AFC in two assessments of individual- and community-level and frailty status. After controlling for individual-level socio-demographic, health status, and lifestyle variables, compared with older adults in the lowest quartile of the individual-level perception of AFC, the frailty odds ratios for those in the top three quartiles were 0.69 (95% confidence interval [CI]: 0.56–0.83), 0.75 (95% CI: 0.61–0.91), and 0.56 (95% CI: 0.48–0.74). However, there was no association between the community-level AFC and frailty. A higher level of age-friendliness in the community is associated with lower frailty odds. Therefore, building age-friendly communities may be an important measure to prevent frailty among Chinese older adults. MDPI 2022-06-20 /pmc/articles/PMC9224492/ /pubmed/35742777 http://dx.doi.org/10.3390/ijerph19127528 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Xu, Jixiang Chen, Yingwei Wang, Yujie Gao, Junling Huang, Limei Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis |
title | Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis |
title_full | Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis |
title_fullStr | Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis |
title_full_unstemmed | Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis |
title_short | Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis |
title_sort | association between age-friendliness of communities and frailty among older adults: a multilevel analysis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9224492/ https://www.ncbi.nlm.nih.gov/pubmed/35742777 http://dx.doi.org/10.3390/ijerph19127528 |
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