Correlates of physical, psychological, and social frailty among formerly incarcerated, homeless women

Salem, Benissa E.; Brecht, Mary‐Lynn; Faucette, Mark; Nyamathi, Adey

doi:10.1080/07399332.2019.1566333

Cited by 18 publications

(23 citation statements)

References 60 publications

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“…To our knowledge, this is the first UK-based study examining frailty and geriatric conditions among PEH and the first anywhere to do so within a CGA-type evaluation. The studies of frailty and geriatric conditions in homeless populations in the USA reported comparable prevalence data (Salem et al, 2013(Salem et al, , 2014Hadenfeldt et al, 2017;Salem et al, 2019). Other studies also report high rates of multimorbidity associated with homelessness, but direct comparison of number of LTCs is difficult because of different classification and assessment methods (Queen et al, 2017;Bowen et al, 2019).…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

“…Frailty is a health state related to ageing, characterised by loss of in-built reserves across multiple body systems and associated with vulnerability to adverse outcomes (Fried et al, 2001;British Geriatrics Society, 2015). Four studies assessed frailty among PEH in the USA using a variety of definitions, finding more than half of participants were frail (Salem et al, 2013(Salem et al, , 2014Hadenfeldt et al, 2017;Salem et al, 2019), and studies in the USA and Ireland reported premature onset of geriatric conditions such as cognitive and functional impairments (Brown et al, 2012(Brown et al, , 2017Ni Cheallaigh and Sears, 2018). In the UK, people living in hostels often have very complex health and social care needs (Shulman et al, 2018;Manthorpe et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Premature frailty, geriatric conditions and multimorbidity among people experiencing homelessness: a cross-sectional observational study in a London hostel

Rogans-Watson

Shulman

Lewer

et al. 2020

HCS

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Purpose The purpose of this paper is to assess frailty, geriatric conditions and multimorbidity in people experiencing homelessness (PEH) using holistic evaluations based on comprehensive geriatric assessment (CGA) and draw comparisons with general population survey data. Design/methodology/approach Cross-sectional observational study conducted in a London-based hostel for single PEH over 30 years old in March–April 2019. The participants and key workers completed health-related questionnaires, and geriatric conditions were identified using standardised assessments. Frailty was defined according to five criteria in Fried’s phenotype model and multimorbidity as the presence of two or more long-term conditions (LTCs). Comparisons with the general population were made using data from the English Longitudinal Study of Ageing and the Health Survey for England. Findings A total of 33 people participated with a mean age of 55.7 years (range 38–74). Frailty was identified in 55% and pre-frailty in 39%. Participants met an average of 2.6/5 frailty criteria, comparable to 89-year-olds in the general population. The most common geriatric conditions were: falls (in 61%), visual impairment (61%), low grip strength (61%), mobility impairment (52%) and cognitive impairment (45%). All participants had multimorbidity. The average of 7.2 LTCs (range 2–14) per study participant far exceeds the average for even the oldest people in the general population. Originality/value To the best of authors’ knowledge, this is the first UK-based study measuring frailty and geriatric conditions in PEH and the first anywhere to do so within a CGA-type evaluation. It also demonstrates the feasibility of conducting holistic evaluations in this setting, which may be used clinically to improve the health outcomes for PEH.

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Premature frailty, geriatric conditions and multimorbidity among people experiencing homelessness: a cross-sectional observational study in a London hostel

Rogans-Watson

Shulman

Lewer

et al. 2020

HCS

View full text Add to dashboard Cite

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“…Previous studies have reported that social frailty is associated with muscle weakness [ 12 ] and cognitive function [ 2 ], and that social frailty can lead to disability and mortality [ 13 ]. In a study of homeless women, drug use, emotion regulation, and daily alcohol use were significant correlates of social frailty [ 14 ]. However, there have been few reports of the prevalence of social frailty and how it relates to older South Korean adults’ health status and life satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Association of Social Frailty with Physical Health, Cognitive Function, Psychological Health, and Life Satisfaction in Community-Dwelling Older Koreans

Jung

2021

IJERPH

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Social frailty affects various aspects of health in community-dwelling older adults. This study aimed to identify the prevalence of social frailty and the significance of its association with South Korean older adults’ health status and life satisfaction. This study involved a secondary data analysis of the 2017 National Survey of Older Koreans. From the 10,299 respondents of the survey, 10,081 were selected with no exclusion criteria. Multiple regression analyses were conducted to identify the factors related to life satisfaction. Compared with the robust and social prefrailty groups, the social frailty group had higher nutritional risk (χ² = 312.161, p = 0.000), depressive symptoms (χ² = 977.587, p = 0.000), cognitive dysfunction (χ² = 25.051, p = 0.000), and lower life satisfaction (F = 1050.272, p = 0.000). The results of multiple linear regression, adjusted for sociodemographic and health-related characteristics, indicated that social frailty had the strongest negative association with life satisfaction (β = −0.267, p = 0.000). However, cognitive function was significantly positively associated with life satisfaction (β = 0.062, p = 0.000). Social frailty was significantly correlated with physical, psychological, and mental health as well as life satisfaction in community-dwelling older South Koreans. Therefore, accounting for the social aspect of functioning is an essential part of a multidimensional approach to improving health and life satisfaction in communities.

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“…PTSD in homeless populations is very prevalent [3], specifically in women, with 25.7% in 123 homeless women included in the French Housing First Program [4] suffering from PTSD, versus almost 7% in women of the overall population in France in 2003 [5]. Most studies to date have explored whether homeless people have had an elevated level of exposure to traumatic events and cumulate risk factors which brought on PTSD (e.g., witnessing or being the victim of an attack, sexual assault) [6][7][8], but less is known about the role of homelessness itself as a traumatic experience that leads to exposure to factors predicting PTSD.…”

Section: Introductionmentioning

confidence: 99%

Post-Traumatic Stress Disorder in Homeless Migrant Mothers of the Paris Region Shelters

Roze

Melchior

Vuillermoz

et al. 2020

IJERPH

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Migrant women are disproportionately more likely to experience traumatic events in their country of origin, during migration and after arriving in the host country. Homeless women are more likely to be exposed to multiple victimizations in childhood (emotional or physical maltreatment) and in adulthood (sexual abuse, street victimization). This study’s objective was to describe the factors associated with the likelihood of post-traumatic stress disorder (PTSD) among homeless migrant mothers in the Paris region. Face-to-face interviews were conducted by bilingual psychologists and interviewers in a representative sample of homeless families in the Paris region. PTSD was ascertained using the Mini International Neuropsychiatric Interview (MINI) (n = 691 mothers). We studied PTSD in mothers using weighted Poisson regression. Homeless migrant mothers had high levels of PTSD (18.9%) in the 12 months preceding the study. In multivariate analysis, PTSD was associated with departure from the country of origin because of violence (PR = 1.45 95% CI 1.03; 2.04), depression in the preceding 12 months (PR = 1.82 95% CI 1.20; 2.76), and residential instability (PR = 1.93 95% CI 1.27; 2.93). Homeless migrant mothers have high levels of traumatic events and PTSD. Improvements in screening for depression and PTSD and access to appropriate medical care are essential for this vulnerable group.

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Correlates of physical, psychological, and social frailty among formerly incarcerated, homeless women

Cited by 18 publications

References 60 publications

Premature frailty, geriatric conditions and multimorbidity among people experiencing homelessness: a cross-sectional observational study in a London hostel

Premature frailty, geriatric conditions and multimorbidity among people experiencing homelessness: a cross-sectional observational study in a London hostel

Association of Social Frailty with Physical Health, Cognitive Function, Psychological Health, and Life Satisfaction in Community-Dwelling Older Koreans

Post-Traumatic Stress Disorder in Homeless Migrant Mothers of the Paris Region Shelters

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