ArticleAge and ageing2023
Household wealth, neighbourhood deprivation and frailty amongst middle-aged and older adults in England: a longitudinal analysis over 15 years (2002-2017).
Article in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Anticipating health and care trajectories from routinely collected social care records.npj health systems · 2026Article
- Socioeconomic inequalities in functional ageing trajectories in England and Canada: A comparative longitudinal cohort study.PLoS medicine · 2026Article
- Nutrition literacy, dietary diversity, and frailty among older adults in China.BMC geriatrics · 2026Article
- Trends and lifestyle contributions to frailty in US adults aged 50 and older: analysis of health and retirement study data (2004-2020).BMC public health · 2026Article
- The Clinical Frailty Scale is a valid and independent predictor of one-year survival in patients sustaining a hip fracture : scottish Hip Fracture Audit data from 8,092 patients.Bone & joint open · 2025Article
- The contribution of depression and anxiety to frailty in men and women: data from a longitudinal population-based cohort study.BMC geriatrics · 2025Article
- Detection of Frailty in Primary Care.Aging medicine (Milton (N.S.W)) · 2025Article
- Neighborhood Socioeconomic Disadvantage and Frailty among Mid-to-Older-Aged Adults in Australia: Cross-Sectional and Longitudinal Associations.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- The Intersection of Socioeconomic and Environmental Factors in Aging: Insights from a Narrative Review.International journal of environmental research and public health · 2025Review
- Common inflammatory proteins linking frailty and area-level deprivation as key drivers of cardiovascular risk in women.Communications medicine · 2025Article
- Neighborhood socioeconomic disadvantage is not associated with adverse outcomes following elective spine surgery in older Veterans.North American Spine Society journal · 2025Article
- Frailty-free life expectancy and its association with socio-economic characteristics: an analysis of the English Longitudinal Study of Ageing cohort study.BMC medicine · 2025Article
- Frailty, social deprivation, and mortality among Medicare fee-for-service beneficiaries.Journal of the American Geriatrics Society · 2025Article
- Differences in the risk of frailty based on care receipt, unmet care needs and socio-economic inequalities: A longitudinal analysis of the English Longitudinal Study of Ageing.The Journal of frailty & aging · 2025Article
- Association Between Pain and Frailty in Middle-Aged and Older Patients: The Mediating Roles of Sleep and Mood.Clinical interventions in aging · 2025Article
- Association between frailty index and all-cause mortality in hospitalized elderly patients with osteoporotic fractures: a retrospective cohort study.Frontiers in medicine · 2025Article
- Subjective social status and trajectories of frailty: findings from the English Longitudinal Study of Ageing.BMJ public health · 2024Article
- A vicious cycle of frailty and acute lower respiratory infection among community-dwelling adults (≥ 60 years): Findings from a multi-site INSPIRE cohort study, India.PLOS global public health · 2024Article
- Frailty and Environmental Attributes in Older Adults: Insight from an Ecological Model.Physical therapy research · 2023Review
- Higher Dynamic Balance Performance Was Associated With Cognitive Function Among U.S. Community-Dwelling Low-Income Older Adults.SAGE open nursingArticle
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Abstract
backgroundfrailty is a condition of reduced function and health due to ageing processes and is associated with a higher risk of falls, hospitalisation, disability and mortality.
objectiveto determine the relationship between household wealth and neighbourhood deprivation with frailty status, independently of demographic factors, educational attainment and health behaviours.
designpopulation-based cohort study.
settingcommunities in England. SUBJECTS: in total 17,438 adults aged 50+ from the English Longitudinal Study of Ageing.
methodsmultilevel mixed-effects ordered logistic regression was used in this study. Frailty was measured using a frailty index. We defined small geographic areas (neighbourhoods) using English Lower layer Super Output Areas. Neighbourhood deprivation was measured by the English Index of Multiple Deprivation, grouped into quintiles. Health behaviours included in this study are smoking and frequency of alcohol consumption.
resultsthe proportion of respondents who were prefrail and frail were 33.8% [95% confidence interval (CI) 33.0-34.6%] and 11.7 (11.1-12.2)%, respectively. Participants in the lowest wealth quintile and living in the most deprived neighbourhood quintile had 1.3 (95% CI = 1.2-1.3) and 2.2 (95% CI = 2.1-2.4) times higher odds of being prefrail and frail, respectively, than the wealthiest participants living in the least deprived neighbourhoods Living in more deprived neighbourhood and poorer wealth was associated with an increased risk of becoming frail. Those inequalities did not change over time.
conclusionsin this population-based sample, living in a deprived area or having low wealth was associated with frailty in middle-aged and older adults. This relationship was independent of the effects of individual demographic characteristics and health behaviours.
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