The relationship among socioeconomic status, social support and frailty: is there a gender difference?

IF 3.4 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Ping Dong, Xian-qi Zhang, Wen-qiang Yin, Zi-yuan Li, Xiao-na Li, Min Gao, Yong-li Shi, Hong-wei Guo, Zhong-ming Chen
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引用次数: 0

Abstract

Objective

This study aimed to determine the relationship among socioeconomic status, social support and frailty, and its gender difference.

Methods

Education and income were combined to indicate the socioeconomic status. The Social Support Rating Scale (SSRS) was used to measure the level of social support. Frailty was measured by the FRAIL Scale. Mediation effects were analyzed using the PROCESS 4.1 macro in SPSS version 26.0.

Results

Among the 936 participants, socioeconomic status had a direct effect on frailty (effect = − 0.088, 95% CI: − 0.142, − 0.021). Social support was an indirect pathway for the relationship between socioeconomic status and frailty (effect = − 0.011, 95% CI: − 0.023, − 0.003), accounting for 11.11% of the total effect. Stratified by gender, we found that the total, direct and indirect effects of socioeconomic status on frailty were significant only in the female subsample.

Conclusion

Overall, there was a significant association between socioeconomic status and frailty among the rural older adults, and social support mediated this relationship. However, there were gender differences in the association among socioeconomic status, social support and frailty. Specifically, the correlation between socioeconomic status and frailty and the mediating role of social support were found only in the female subsample. The public health sector should focus on the rural older adults with low socioeconomic status and lack of social support, taking targeted interventions to avoid and delay the occurrence and progress of frailty.

社会经济地位、社会支持与脆弱的关系:是否存在性别差异?
目的探讨社会经济地位、社会支持与脆弱的关系及其性别差异。方法采用教育与收入相结合的方法反映社会经济地位。采用社会支持评定量表(SSRS)测量社会支持水平。虚弱是用虚弱量表来衡量的。采用SPSS 26.0版本中的PROCESS 4.1宏分析中介效应。结果在936名参与者中,社会经济地位对虚弱有直接影响(效应= - 0.088,95% CI: - 0.142, - 0.021)。社会支持是社会经济地位与脆弱之间关系的间接途径(效应= - 0.011,95% CI: - 0.023, - 0.003),占总效应的11.11%。按性别分层,我们发现社会经济地位对脆弱性的总体、直接和间接影响仅在女性子样本中显著。结论总体而言,农村老年人的社会经济地位与脆弱性存在显著相关,而社会支持在这一关系中起中介作用。然而,社会经济地位、社会支持与脆弱之间的关联存在性别差异。具体而言,社会经济地位与脆弱之间的相关关系以及社会支持的中介作用仅在女性子样本中发现。公共卫生部门应重点关注社会经济地位低、缺乏社会支持的农村老年人,采取有针对性的干预措施,避免和延缓虚弱的发生和发展。
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来源期刊
CiteScore
7.90
自引率
5.00%
发文量
283
审稿时长
1 months
期刊介绍: Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.
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