ArticleInternational journal of environmental research and public health2022
Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Perceived Environmental Age Friendliness and Frailty Among Community-Dwelling Older Adults.JAMA network open · 2026Article
- Individual and Institutional Factors Associated With Urinary Incontinence Among Nursing Home Residents: A Multilevel Analysis.Journal of advanced nursing · 2026Observational
- [Multilevel determinants of social frailty in community-dwelling older adults in South Korea: A cross-sectional study using Korean Community Health Survey].Journal of Korean gerontological nursing · 2025Article
- Physical activity and ageing: The role of physiotherapy in promoting healthy ageing.The South African journal of physiotherapy · 2025Review
- Intake of vegetables and fruits at midlife and the risk of physical frailty in later life.The journal of nutrition, health & aging · 2024Article
- Communication Ecology Model of Successful Aging in Indonesian Context.Geriatrics (Basel, Switzerland) · 2022Article
- Developing Indicators of Age-Friendliness in Taiwanese Communities through a Modified Delphi Method.International journal of environmental research and public health · 2022Review
- Age-Friendly Communities and Older Adults' Health in the United States.International journal of environmental research and public health · 2022Article
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Authors and funding
5 authors.
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Abstract
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.
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