Prevalence of social frailty and its associated factors in the older Chinese population: a national cross-sectional study

Qi, Xin; Li, Yingying; Hu, Jiabin; Meng, Lingbing; Zeng, Ping; Shi, Jing; Jia, Na; Zeng, Xuezhai; Li, Hui; Zhang, Qiuxia; Li, Juan; Liu, Deping

doi:10.1186/s12877-023-04241-1

Cited by 8 publications

(8 citation statements)

References 52 publications

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“…The Aira/Isa and Soo areas are also populous and considered urban areas. A previous study indicated that urban-rural residential differences are signi cantly associated with social frailty [22] . Meanwhile, it is also revealed that residential disparities are identi ed in the linkage of oral health knowledge and practices with frailty [23] .…”

Section: Discussionmentioning

confidence: 98%

Correlation between number of remaining teeth, oral health behavior, and oral frailty among 80-year-old population in Japan

Tamaki,

Hiroshimaya,

Fukuhara

et al. 2024

Preprint

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Oral frailty is proposed as a new concept defined as an age-related gradual loss of oral functions accompanied by a decline in cognitive and physical functions in older adults. Herein, we aimed to examine the correlations between the high risk of oral frailty, the remaining number of teeth, and oral health behavior in community-dwelling 80-year-old adults in Japan. Oral frailty was evaluated using the Oral Frailty Index-8, and ≥ 4 points were defined as high risk. Overall, 3,389 participants (2,009 women and 1,380 men) were included. Among the participants, 1,283 (37.9%) had a high risk of oral frailty. Logistic regression analysis revealed that a high risk of oral frailty was significantly associated with < 20 remaining teeth and poor oral behaviors. Additionally, 2,006 (59.2%) participants had ≥ 20 remaining teeth. The participants with ≥ 20 remaining teeth were significantly associated with the residential district, interdental cleaning, and dementia. The main clinical implication of this study is that improving behaviors regarding oral healthcare among community-dwelling individuals may be an effective way to reduce oral frailty. Moreover, ≥ 20 remaining teeth in the 80-year-old population were notably higher in the rural areas than that in the urban areas in Japan.

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Section: Discussionmentioning

confidence: 98%

Correlation between number of remaining teeth, oral health behavior, and oral frailty among 80-year-old population in Japan

Tamaki,

Hiroshimaya,

Fukuhara

et al. 2024

Preprint

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“…The narrative review shows that aging is one of the critical risks for frailty syndrome [10][11][12]. As age increases, vulnerability to conditions associated with aging, such as frailty syndrome, becomes more prevalent.…”

Section: Agingmentioning

confidence: 99%

“…The narrative review shows that living in rural contexts is another critical risk for frailty syndrome [10][11][12].…”

Section: Rural Contextsmentioning

confidence: 99%

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Frailty Syndrome in Rural Communities: A Narrative Review and Interviews With Rural Individuals

Ohta,

Yakabe,

Sano

2024

Cureus

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BackgroundWith the global increase in aging populations, frailty syndrome, characterized by decreased strength, endurance, and physiological function, has become a critical issue. This study focuses on rural Japanese communities, where the prevalence of frailty syndrome can be notably high due to factors such as multimorbidity, polypharmacy, and a significant population of elderly individuals. This research addresses the gap in understanding frailty's manifestations and impacts in rural settings, considering unique challenges such as social isolation, limited healthcare access, and the broader social determinants of health. MethodologyThe study employs a narrative review with PubMed and a thematic analysis of semi-structured interviews with 21 elderly community workers in Unnan City. The analysis used the framework of frailty syndrome affected by physiological, social, psychological, and economic factors. The analysis focused on identifying themes related to the social determinants of health affecting frailty and potential solutions. ResultsThe following five themes emerged from the analysis: Aging, Rural Contexts, Isolation, Lack of Knowledge of Frailty Syndrome, and Lack of Help-Seeking Behavior for Frailty Syndrome. Four solution-oriented themes were identified, namely, Public Dialogue and Educational Workshops, Frailty Syndrome Health Meetings, Social Engagement Activities, and Political Advocacy for Accessibility to Community Centers. These findings highlight the critical role of community engagement, education, and infrastructure improvements in addressing frailty syndrome in rural areas. ConclusionsThis study underscores the complexity of frailty syndrome in rural Japanese communities, emphasizing the need for targeted interventions that address the unique challenges faced by these populations. By fostering public dialogue, improving healthcare access, and enhancing social support, it is possible to mitigate the impacts of frailty syndrome and improve the quality of life for elderly residents in rural settings. This research contributes to a deeper understanding of frailty in aging societies and the importance of considering social determinants of health in developing effective solutions.

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“…In today's healthcare systems, the increasing number of older patients presents a significant challenge [ 1 ]. This shift toward an aging society places substantial demands on healthcare facilities and resources [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Decision-Making in the Admission of Older Patients: A Thematic Analysis From Multiple-Stakeholder Perspectives

Ohta,

Yakabe,

Sano

2024

Cureus

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Introduction As rural healthcare systems grapple with an aging population, understanding the factors influencing hospital admission decisions for elderly patients is crucial. This study explores the complex interplay of medical, social, and psychological factors that shape these decisions, as perceived by multiple stakeholders, including physicians, patients, and their families. Method This study was conducted in Unnan City Hospital, a rural community hospital in Unnan, Japan, using a qualitative thematic analysis approach. Participants included general physicians, patients admitted more than once, and their families. One-on-one semi-structured interviews were conducted in Japanese, recorded, transcribed, and analyzed. The analysis focused on identifying themes that influence decision-making processes regarding the admission of elderly patients. The research team, comprising family medicine, public health, and community health care experts, ensured a multi-perspective approach through collaborative coding and discussion. Results Three primary themes emerged from the analysis: "dilemma between medical indications and social admissions," "risks and benefits of hospitalization in response to unpredictable changes in the elderly," and "social factors intertwined with the multilayered nature of hospital admission decisions." Physicians reported a conflict between their medical training and the social needs of patients, often leading to stress and negative emotions. The unpredictable health trajectories of elderly patients necessitated a nuanced risk-benefit analysis for hospitalization. In addition, social factors, such as bed availability, patient's living environment, and psychosocial contexts, significantly influenced admission decisions. Conclusion The study highlights the need for a more holistic approach to medical education and practice, especially in rural healthcare settings. Recognizing the complexity of factors influencing hospitalization decisions, including medical, social, and individual patient circumstances, is vital. The findings underscore the importance of integrating biopsychosocial aspects into the decision-making process for the hospitalization of elderly patients, advocating for patient-centered care that respects the unique challenges in rural healthcare environments.

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Prevalence of social frailty and its associated factors in the older Chinese population: a national cross-sectional study

Cited by 8 publications

References 52 publications

Correlation between number of remaining teeth, oral health behavior, and oral frailty among 80-year-old population in Japan

Correlation between number of remaining teeth, oral health behavior, and oral frailty among 80-year-old population in Japan

Frailty Syndrome in Rural Communities: A Narrative Review and Interviews With Rural Individuals

Decision-Making in the Admission of Older Patients: A Thematic Analysis From Multiple-Stakeholder Perspectives

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