Evidence map›Paper›PMID 35291011›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2022

Social Vulnerability, Frailty, and Their Association With Mortality in Older Adults Living in Rural Tanzania.

Fiona Cooper, Emma Grace Lewis, Sarah Urasa, Louise Whitton, Harry Collin, Selina Coles, Greta Karen Wood, Ali Mohamed Ali, Deborah Mdegella, Joyce Mkodo and 4 more

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Neural embedding of frailty in cognitively unimpaired aging and dementia across Latin America.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Fiona CooperThe Medical School, Newcastle University, Newcastle upon Tyne, UK.
Emma Grace LewisPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0001-9909-2731
Sarah UrasaKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Louise WhittonThe Medical School, Newcastle University, Newcastle upon Tyne, UK.
Harry CollinThe Medical School, Newcastle University, Newcastle upon Tyne, UK.
Selina ColesThe Medical School, Newcastle University, Newcastle upon Tyne, UK.
Greta Karen WoodThe Medical School, Newcastle University, Newcastle upon Tyne, UK.
Ali Mohamed AliKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Deborah MdegellaKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Joyce MkodoKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Francis ZerdKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Catherine DotchinPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
William K GrayNorthumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, North Shields, UK.
Richard W WalkerPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.

Funding

British Geriatrics SocietyNewcastle Biomedical Research CentreNorthumbria Healthcare NHS Foundation Trust
6 · The paper itself

Abstract

backgroundSocial vulnerability correlates with frailty and is associated with mortality and disability. However, few studies have investigated this relationship outside of high-income country settings. This study aimed to produce and analyze a culturally adapted social vulnerability index (SVI) to investigate the relationship between social vulnerability, frailty, and mortality in older adults in Tanzania.

methodsAn SVI was produced using data from a cohort study investigating frailty in older adults in Tanzania. Variables were selected based on previous SVI studies using the categories established by Andrew et al. from the Canadian Study of Health and Aging, and National Population Health Survey. The SVI distribution was examined and compared with a frailty index (FI) produced from the same sample, using mutually exclusive variables. Cox regression survival analysis was used to investigate the association between social vulnerability, frailty, and mortality.

resultsA stratified cohort of 235 individuals were included in the study at baseline, with a mean age of 75.2 (SD 11.5). Twenty-six participants died within the follow-up period, with a mean of 503 days (range: 405-568) following the initial assessment. The SVI had a median score of 0.47 (interquartile range: 0.23, range: 0.14-0.86). Social vulnerability significantly predicted mortality when adjusting for age and gender, but not when also adjusting for frailty.

conclusionsSocial vulnerability can be successfully operationalized and culturally adapted in Tanzania. Social vulnerability is associated with mortality in Tanzania, but not independently of frailty.

Indexed as

FrailtyAgedCanadaCohort StudiesFrail ElderlyGeriatric AssessmentHumansSocial VulnerabilityTanzaniaFrailtyMortalitySocial vulnerability indexSub-Saharan Africa

Identifiers

PMID35291011
PMCPMC9536438

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.