Socioeconomic Status Across the Life-Course and Frailty in Older Age: Evidence From Switzerland.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2025-06-09 eCollection Date: 2025-01-01 DOI:10.3389/ijph.2025.1608102

Yves Henchoz, Sarah Fustinoni, Laurence Seematter-Bagnoud, Mauricio Avendano

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引用次数: 0

Abstract

Objectives: This study examines how different measures of socioeconomic status (SES) across childhood and adulthood relate to frailty in older age.

Methods: Data came from the Lausanne cohort 65+ (Lc65+), a population-based study of approximately 4,500 older adults followed over 20 years. SES measures included education in young adulthood, occupational class in midlife, and specific early old-age factors: perceived income, wealth, financial strain, and receipt of financial subsidies. Frailty trajectories over a 10-year period were assessed using Fried's frailty phenotype and group-based trajectory modeling. Logistic regression models adjusted for sex, age, cohort, living situation, marital status, and number of children.

Results: Lower education, occupational class, financial strain, and financial subsidies in older age were each independently associated with higher frailty risk at ages 65-70. Financial strain and financial subsidies in early old age increased odds of medium- (aOR, 1.48-1.69) and high-frailty (aOR, 2.07-2.28) trajectories.

Conclusion: SES across the life course strongly correlates with frailty in early old age. Early interventions and financial protection policies in older age could help mitigate frailty risk and SES-related frailty inequalities.

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整个生命过程中的社会经济地位和老年虚弱：来自瑞士的证据。

目的：本研究考察了童年和成年时期社会经济地位（SES）的不同衡量标准与老年虚弱的关系。方法：数据来自Lausanne队列65+ (Lc65+)，这是一项基于人群的研究，对大约4500名老年人进行了20多年的随访。SES测量包括青年的教育程度、中年的职业阶层和特定的早期老年因素：感知收入、财富、财务压力和财政补贴的接受情况。使用Fried的脆弱表型和基于群体的轨迹模型评估10年期间的脆弱轨迹。Logistic回归模型校正了性别、年龄、队列、生活状况、婚姻状况和子女数量。结果：老年人受教育程度低、职业阶层、经济压力和财政补贴与65-70岁时较高的衰弱风险分别独立相关。老年早期的经济压力和财政补贴增加了中等（aOR, 1.48-1.69）和高度脆弱（aOR, 2.07-2.28）轨迹的几率。结论：整个生命历程的SES与老年早期的虚弱密切相关。老年人的早期干预和财务保护政策可以帮助减轻脆弱性风险和与ses相关的脆弱性不平等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.