ArticlePloS one2022
Association of social determinants of health with frailty, cognitive impairment, and self-rated health among older adults.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06971393 (A Comparison of Health Literacy Estimates Among Patients, Caregivers and a Geriatric Team), which is not on this map. Cited by 20 papers.
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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.
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.
A Comparison of Health Literacy Estimates Among Patients, Caregivers and a Geriatric Team
Who cites it
20 citing papers in PubMed.
- Evaluating the association of physical frailty with cognitive impairment: a clinical perspective in older adults of Bangladesh.BMC geriatrics · 2026Article
- Longitudinal associations and mechanisms linking frailty, depression, and self-perceptions of aging among community-dwelling older adults: a psychosomatic interaction perspective.Frontiers in public health · 2026Article
- Influence of Social Determinants on Physical Performance and Geriatric Syndromes in Community-Dwelling Older Adults.International journal of environmental research and public health · 2025Observational
- Clinical-Functional Vulnerability of Older Adults in Primary Care in a Brazilian Municipality: Associated Factors.International journal of environmental research and public health · 2025Article
- Frailty, Nutrition, and Quality of Life in Urban-Dwelling Older Adults Facing Vulnerability: Observational Study in Primary Heath Care Settings in Underpopulated Areas.Nursing & health sciences · 2025Observational
- Health Insurance Payer Status Is Associated With Frailty in a Surgical Patient Population: A Retrospective Case Series.Health science reports · 2025Article
- Incidence of Frailty, Dementia, and Disability Among Community-Living Older Americans According to County-Level Disadvantage.Journal of the American Geriatrics Society · 2025Article
- The Relationship Between Grip Strength and Cognitive Impairment: Evidence From NHANES 2011-2014.Brain and behavior · 2025Article
- Cognitive Impairment is Common and Unrecognized in Vascular Surgery Patients.Annals of vascular surgery · 2025Observational
- Area Deprivation Index and Frailty Among Older People With HIV.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Development and internal validation of an age less-dependent frailty score in the cardiovascular health study.Frontiers in medicine · 2025Article
- Interrelationships of frailty, hemoglobin, cognition, and depressive symptoms in aging: a path analysis of the ELSI-Brazil study.Cadernos de saude publica · 2025Article
- Prevalence and Correlates of Frailty Among Older Adults Living With HIV in the CHANGE HIV Cohort.Journal of acquired immune deficiency syndromes (1999) · 2024Article
- Foot care behaviours and associated factors among patients with type 2 diabetes: A cross-sectional study.Journal of global health · 2024Article
- The Association of Frailty and Neighborhood Disadvantage with Emergency Department Visits and Hospitalizations in Older Adults.Journal of general internal medicine · 2024Observational
- Associations among frailty status, hypertension, and fall risk in community-dwelling older adults.International journal of nursing sciences · 2024Article
- Article
- Natural language processing to identify social determinants of health in Alzheimer's disease and related dementia from electronic health records.Health services research · 2023Article
- Fear of Falling Score Is a Predictor of Falls in Community-Dwelling Pre-Frail and Frail Older People.Healthcare (Basel, Switzerland) · 2023Article
- Communities of Care Approach: Developing a Place-based Model of Care and Building Partnerships in the Communities in Central Singapore.International journal of integrated careArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesRecently, the role of social determinants of health on frailty and dementia has received increased attention. The aim of the present study is to explore the association of social determinants on cognitive impairment, frailty, and self-rated health. As health is influenced by many factors, we also examine other health determinants including lifestyle, health seeking behaviour, socio-demographics, and multimorbidity in the analysis. RESEARCH DESIGN AND
methodsCross-sectional analysis of the Healthy Older People Everyday (HOPE) study in Singapore was carried out on 998 older adults above the age of 65. We used forward stepwise multivariable logistic and linear regression analyses to assess the association of five health determinants (social determinants, lifestyle, health seeking behaviour, socio-demographics and multimorbidity) on frailty, cognitive impairment, and self-rated health.
resultsMean age of participants was 71.1 ± 0.2 years; 154 (15.4%) were cognitively impaired; 430 (43.1%) were pre-frail or frail; mean self-rated health was 80.4 ± 15.6. Social determinants contributed between 29% to 57% of the overall variation found in the full model with all five health determinants adjusted for. Participants with higher education had significantly lower odds of cognitive impairment and frailty. Leisure physical activity was significantly associated with lower odds of frailty and cognitive impairment, and better self-rated health. DISCUSSION AND IMPLICATIONS: Understanding the dynamics of different health determinants is crucial to protect the vulnerable in an ageing population. Our study highlights the need for a multidimensional, multidisciplinary and multisectoral approach in the prevention of frailty, cognitive impairment, and associated disability.
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