ArticleJournal of public health (Oxford, England)2022
The relationship between deprivation and frailty trajectories over 1 year and at the end of life: a case-control study.
Article in Journal of public health (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Mapping the Final Journey: End-Of-Life Frailty Trajectories and Cause of Death.Journal of the American Geriatrics Society · 2025Article
- Using routine health care data to develop and validate a system dynamics simulation model of frailty trajectories in an ageing population.Health systems (Basingstoke, England) · 2025Article
- The association between neighborhood disadvantage and frailty: A retrospective case series.Journal of public health research · 2024Article
- What If the Clinical and Older Adults' Perspectives about Frailty Converge? A Call for a Mixed Conceptual Model of Frailty: A Traditional Literature Review.Healthcare (Basel, Switzerland) · 2023Review
- Household wealth, neighbourhood deprivation and frailty amongst middle-aged and older adults in England: a longitudinal analysis over 15 years (2002-2017).Age and ageing · 2023Article
- Identifying Frail Patients by Using Electronic Health Records in Primary Care: Current Status and Future Directions.Frontiers in public health · 2022Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundWe investigated the association between area-level, multi-domain deprivation and frailty trajectories in the last year of life and over 1 year in a matched non-end-of-life sample.
methodsA 1-year longitudinal case-control study using primary care electronic health records from 20 460 people age ≥ 75. Cases (died 1 January 2015 to 1 January 2016) were 1:1 matched to controls by age, sex and practice location. Monthly interval frailty measured using a 36-item electronic frailty index (eFI: range 0-1, lower scores mean less frailty). Deprivation measured using Index of Multiple Deprivation (IMD) quintiles. We used latent growth curves to model the relationship between IMD and eFI trajectory.
resultsLiving in a less deprived area was associated with faster increase in eFI for cases (0.005% per month, 95%confidence interval [CI]: 0.001, 0.010), but not controls, and was associated with lower eFI at study baseline in cases (-0.29% per IMD quintile, 95%CI -0.45, -0.13) and controls (-0.35% per quintile, 95%CI -0.51, -0.20).
conclusionsOverall, greater area-level deprivation is associated with higher levels of frailty, but people who survive to ≥75 have similar 1-year frailty trajectories, regardless of area-level deprivation. Interventions to reduce frailty should target younger age groups, especially those living in the most deprived areas.
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