Social vulnerability as a predictor of mortality and disability: cross-country differences in the survey of health, aging, and retirement in Europe (SHARE)

Wallace, Lindsay; Theou, Olga; Peña, Fernando G.; Rockwood, Kenneth; Andrew, Melissa K.

doi:10.1007/s40520-014-0271-6

Cited by 106 publications

(98 citation statements)

References 32 publications

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“…Seventeen studies were considered of good quality, 42,47,53,57‐59,61,68,69,74,75,78,84,85,96,98,99 31 were fair quality, 15,37,38,40,41,44‐46,50,51,54,56,60,62‐67,72,76,77,79,81,83,86,88,91‐93,97 and 17 were poor quality 36,38,43,48,49,52,55,70,71,73,80,82,87,89,90,94,95 …”

Section: Resultsmentioning

confidence: 99%

“…In addition, disability is a recognised mediator of frailty, with increased late‐life functional decline during Activities of Daily Living (ADL) 12 and Instrumental Activities of Daily Living (IADL) 13 . Growing evidence indicates that social vulnerability (SV) may work as an accelerating co‐factor on a frailty trajectory 14,15 …”

Section: Introductionmentioning

confidence: 99%

“…Indeed , social ageing is characterised by changes in a person's roles and social relationships, both within networks of relatives and friends, as well as in formal organisations, and it is also deeply influenced by the perception of ageing within a society 15‐17 with an high degree of different societal structures and functions across different settings and countries.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Social vulnerability underlying disability amongst older adults: A systematic review

Cappelli

Bordonali

Giannotti

et al. 2020

Eur J Clin Investigation

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Background: Older adults face radical changes in their social life during ageing, dealing with several age-related social adaptations. The aim of this review is to systematically explore the literature on social vulnerability (SV) and its association with functional decline activity of daily living (ADL)/instrumental activities of daily living (IADL) as an endpoint in older adults. Methods: We searched for relevant studies in three different databases: PubMed, Ovid Medline and PsychInfo. Inclusion criteria included: prospective cohort studies assessing SV correlation; studies in English, Italian, French and Spanish to the end of March 2018; a general population aged >65 years living in a community setting and/or studies including younger participants if the mean age was >65 years; and basic ADL and/or IADL by Katz and Lawton, respectively, as functional decline and clinical outcomes. Results:We identified 65 manuscripts that assessed the role of SV in functional decline. Our systematic analysis showed that 26, 36 and 19 studies observed a correlation between Basic Social Needs, Social Resources and Social Behaviour and Activity, respectively, and the onset of ADL/IADL functional decline. Twenty-six studies explored the correlation between General Social Resources and the onset of ADL/IADL functional decline. Conclusions: When examining a wide set of social variables, the "quality," rather than just structure, and "type" of social relationship represents the core feature of SV that predicts functional decline in older adults. By defining individual SV, its measurement and evaluation, we can plan effective social interventions aimed at preventing or delaying functional decline or death. K E Y W O R D Sfrailty, functional decline, older adults, social vulnerability 2 of 12 | CAPPELLI Et AL.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Social vulnerability underlying disability amongst older adults: A systematic review

Cappelli

Bordonali

Giannotti

et al. 2020

Eur J Clin Investigation

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“…This informs theoretical knowledge of factors that have a positive influence on health and highlights new directions to improve outcomes for this vulnerable patient group. In the community setting, frail patients who have a high degree of social vulnerability are protected from mortality if they live in countries with social models that provide a high level of formalised support (Wallace, Theou, Pena, Rockwood, & Andrew, 2015), further demonstrating practical applications.…”

Section: Discussionmentioning

confidence: 99%

Are health assets associated with improved outcomes for hospitalised older adults? A systematic review

Gregorevic

Lim

Peel

et al. 2016

Archives of Gerontology and Geriatrics

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HighlightsMethods: MEDLINE, EMBASE, CINAHL and PsycINFO were searched to identify studies examining outcomes for hospitalised older adults. Included studies examined at least one potential individual health asset, which was a psychosocial characteristic or health characteristic. Study quality was assessed, and findings are narratively described.Results: Nine prospective cohort and two retrospective cohort studies were identified. subjective, functional and biological health assets were identified.Health assets were associated with decreased risk of post-hospital mortality, functional decline, new need for residential care and readmission. Conclusion:The complex interplay between health status and psychological and social factors is incompletely understood. Health assets are associated with improved outcomes for hospitalised older adults. The small number of studies suitable for inclusion indicates the need for further research in this area.

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“…The literature points out that the concept of socioeconomic status among the elderly is broad and includes other factors, such as occupation, income, wealth and place of residence (14) . A study carried out with elderly individuals to assess the relationship of frailty with income in Europe found that the elderly with higher income had lower prevalence of frailty (15) .…”

Section: Discussionmentioning

confidence: 99%

Frailty and social support of the elderly in contexts of social vulnerability

2018

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Objective: to analyze the relationship between of frailty and the family social relationships of the elderly in a context of social vulnerability. Methods: a cross-sectional study with elderly people enrolled in five Reference Centers for Social Assistance. Sample for convenience composed of 247 elderly. For data collection, a sociodemographic questionnaire, Edmonton Frailty Scale, Genogram and Eco-maps were used. Social vulnerability characterized according to Social Vulnerability Index. Results: of the respondents, 41.7% did not present frailty, 21.5% were apparently vulnerable and 36.8% frail. There was no significant difference between frailty and family relationship. There was significant difference between frailty and external attachment (p=0.010), indicating that elderly individuals with frailty at some level had a limited external link. Conclusion: elderly people who have a close relationship with family members, did not present frailty, while the majority of the elderly who do not have external ties, presented some level of frailty. Descriptors: Frail Elderly; Social Support; Social Vulnerability.Objetivo: analisar a relação entre o nível de fragilidade e as relações familiares e sociais de idosos em contexto de vulnerabilidade social. Métodos: estudo transversal, realizado com idosos cadastrados em cinco Centros de Referência de Assistência Social. Amostra por conveniência composta por 247 idosos. Para coleta de dados, utilizou-se questionário sociodemográfico, Escala de Fragilidade de Edmonton, Genograma e Ecomapa. A vulnerabilidade social foi caracterizada segundo Índice de Vulnerabilidade Social. Resultados: dos respondentes, 41,7% não apresentaram fragilidade, 21,5% estavam aparentemente vulneráveis e 36,8% estavam frágeis. Não houve diferença significativa entre fragilidade e relação familiar. Houve diferença significativa entre fragilidade e vínculo externo (p=0,010), indicando que idosos com algum nível de fragilidade em apresentaram fragilidade, enquanto que a maior parte dos idosos que não possuem vínculos externos, apresentou algum nível de fragilidade.

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Social vulnerability as a predictor of mortality and disability: cross-country differences in the survey of health, aging, and retirement in Europe (SHARE)

Abstract: Social vulnerability was a significant predictor of mortality and disability, though when controlling for frailty, this relationship varied by the social model of the country.

Cited by 106 publications

References 32 publications

Social vulnerability underlying disability amongst older adults: A systematic review

Social vulnerability underlying disability amongst older adults: A systematic review

Are health assets associated with improved outcomes for hospitalised older adults? A systematic review

Frailty and social support of the elderly in contexts of social vulnerability

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