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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Life course social and health conditions linked to frailty in Latin American older men and women.
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Life course social and health conditions linked to frailty in Latin American older men and women.

机译：一生中的社会和健康状况与拉丁美洲老年人的身体虚弱有关。

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BACKGROUND: Gender, social conditions, and health throughout the life course affect functional health in later life. This article addresses two specific hypotheses: i) life-course social and health conditions are associated with frailty; and ii) differential exposure and/or vulnerability of women and men to life-course conditions may account for gender differences in frailty. METHODS: Data originated from a cross-national survey of older adults living in five large Latin American cities. Frailty was defined as the presence of three or more of five criteria: unintentional weight loss (10 pounds during the past year), self-reported exhaustion/poor endurance, weakness (grip strength), limitations in lower extremities, and low physical activity; a prefrail state was defined as the presence of one or two of the above criteria. Associations between frailty and social and health indicators were examined using a proportional odds ordinal logistic regression. RESULTS: Prevalence of frailty varied from 0.30 to 0.48 in women and from 0.21 to 0.35 in men. Childhood (hunger, poor health, and poor socioeconomic conditions), adulthood (little education and non-white-collar occupation), and current social conditions (insufficient income) were associated with higher odds of frailty in both men and women. Comorbidity and body mass index were related to frailty, but their effects differed in women and men. Male/female age-adjusted odds of frailty varied from 1.55 (Bridgetown) to 2.77 (Havana). Differential exposure and vulnerability partially explained differences between women and men. CONCLUSION: Theoretical models to explain gender and social differences in frailty should use a life-course perspective.
机译：背景：一生中的性别，社会条件和健康都会影响以后的功能健康。本文讨论了两个具体的假设：i）生活过程中的社会和健康状况与虚弱相关; ii）男女在生活过程中的不同接触和/或脆弱性可能是造成脆弱的性别差异的原因。方法：数据来自对居住在五个拉丁美洲大城市的老年人的跨国调查。虚弱被定义为存在五个或三个以上标准：意外体重减轻（在过去的一年中为10磅），自我报告的疲惫/耐力差，虚弱（抓地力），下肢受限和低运动量;脆弱前状态被定义为存在上述标准中的一个或两个。脆弱性与社会和健康指标之间的关联使用比例赔率序数逻辑回归进行检验。结果：女性虚弱的患病率从0.30到0.48不等，男性为0.21到0.35。童年时期（饥饿，健康状况不佳，社会经济状况恶劣），成年时期（教育程度低和非白领职业）以及当前的社会状况（收入不足）与男性和女性的体弱几率较高相关。合并症和体重指数与体弱有关，但男女的影响不同。年龄调整后的男性/女性的脆弱性几率从1.55（布里奇敦）到2.77（哈瓦那）不等。差异暴露和脆弱性部分解释了男女之间的差异。结论：解释脆弱性中的性别和社会差异的理论模型应使用生命过程的观点。

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