CDHA CAAR

March 4, 2021

CAAR – Public Library of Science (PLoS) Articles – March 4, 2021

Filed under: Reports and Articles — Tags: , , , , — admin @ 7:01 pm

A. “The social support networks of elderly people in Slovenia during the Covid-19 pandemic,” by Marjan Cugmas, Anuška Ferligoj, Tina Kogovšek, and Zenel Batagelj (PLoS ONE 16(3): e0247993. doi.org/10.1371/journal.pone.0247993, XML, HTML, and .pdf format, 16p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0247993

B. “Polymorphic SERPINA3 prolongs oligomeric state of amyloid beta,” by Maruf Mohammad Akbor, Nobuyuki Kurosawa, Hiroki Nakayama, Ayumi Nakatani, Koji Tomobe, Yoichi Chiba, Masaki Ueno, Masashi Tanaka, Yasuyuki Nomura, and Masaharu Isobe (PLoS ONE 16(3): e0248027. doi.org/10.1371/journal.pone.0248027, XML, HTML, and .pdf format, 23p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0248027

C. “Depression and frailty in older adults: A population-based cohort study,” by Fabiana Araújo Figueiredo Da Mata, Marilia Miranda Forte Gomes, Jair Lício Ferreira Santos, Yeda Aparecida de Oliveira Duarte, and Mauricio Gomes Pereira (PLoS ONE 16(3): e0247766. doi.org/10.1371/journal.pone.0247766, XML, HTML, and .pdf format, 15p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0247766

May 20, 2020

CAAR – The Irish Longitudinal Study on Ageing/Staidear Fadaimseartha na h Eireann um Dhul in Aois [TILDA] (Trinity College, Ireland] Reports – May 20, 2020

Filed under: Reports and Articles — Tags: , , , — admin @ 6:13 pm

A. “TILDA report on population estimates of physical frailty in Ireland to inform demographics for over 50s in Ireland during the COVID-19 pandemic,” by Aisling O’Halloran, Christine McGarrigle, Siobhan Scarlett, Lorna Roe, Roman Romero-Ortuno and Rose Anne Kenny (April 2020, .pdf format, 21p.).

tilda.tcd.ie/publications/reports/Covid19Frailty/index.php

B. “High-risk categories for COVID-19 and their distribution by county in Republic of Ireland-evidence from the TILDA study,” by Belinda Hernández, Donal Sexton, Frank Moriarty, Niall Cosgrave, Aisling O’Halloran, Christine McGarrigle, Siobhan Scarlett and Rose Anne Kenny (April 2020, .pdf format, 32p.).

tilda.tcd.ie/publications/reports/Covid19Multimorbidity/index.php

C. “Patterns in health service utilisation: Results from Wave 5 of The Irish Longitudinal Study on Ageing,” by Lorna Roe, Christine McGarrigle, Belinda Hernández, Aisling O’Halloran, Siobhan Scarlett, Mark Ward, Charles Normand, and Rose Anne Kenny (April 2020, .pdf format, 22p.).

tilda.tcd.ie/publications/reports/Covid19HealthcareUtilisation/index.php

April 29, 2020

CAAR – Proceedings of the National Academies of Science Articles – April 29, 2020

Filed under: Reports and Articles — Tags: , , , — admin @ 6:54 pm

Note: Check with your organization’s library for availability.

A. “Noninvasive hippocampal blood-brain barrier opening in Alzheimer’s disease with focused ultrasound,” by Ali R. Rezai, Manish Ranjan, Pierre-François D’Haese, Marc W. Haut, Jeffrey Carpenter, Umer Najib, Rashi I. Mehta, J. Levi Chazen, Zion Zibly, Jennifer R. Yates, Sally L. Hodder, and Michael Kaplitt (Vol. 117, No. 17, April 28, 2020, p. 9180-9182).

www.pnas.org/content/117/17/9180

B. “Frailty markers comprise blood metabolites involved in antioxidation, cognition, and mobility,” by Masahiro Kameda, Takayuki Teruya, Mitsuhiro Yanagida, and Hiroshi Kondoh (Vol. 117, No. 17, April 28, 2020, p. 9483-9489).

www.pnas.org/content/117/17/9483

March 19, 2020

CAAR – Public Library of Science (PLoS) Article – March 19, 2020

Filed under: Reports and Articles — Tags: , , — admin @ 7:26 pm

“Frailty, markers of immune activation and oxidative stress in HIV infected elderly,” by Susana Álvarez, Fátima Brañas, Matilde Sánchez-Conde, Santiago Moreno, Juan Carlos López-Bernaldo de Quirós, and Ma Ángeles Muñoz-Fernández (PLoS ONE 15(3): e0230339. doi.org/10.1371/journal.pone.0230339, XML, HTML, and .pdf format, 19p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0230339

November 14, 2019

CAAR – Institute for the Study of Labor (IZA) [University of Bonn, Germany] Working Papers – November 14, 2019

Filed under: Working Papers — Tags: , , , — admin @ 5:17 pm

A. “Early Life Environments and Frailty in Old Age among Chinese Older Adults,” by Yaxi Li, Qian-Li Xue, Michelle C. Odden, Xi Chen, and Chenkai Wu (Discussion Paper No. 12764, November 2019, .pdf format, 29p.). Note: Links to the abstract and the full text of this paper available at:

www.iza.org/publications/dp/12764

B. “The Effect of Increasing the Early Retirement Age on Savings Behavior Before Retirement,” by Stefan Etgeton, Björn Fischer, and Han Ye (Discussion Paper No. 12764, November 2019, .pdf format, 39p.). Note: Links to the abstract and the full text of this paper available at:

www.iza.org/publications/dp/12744

May 13, 2019

CAAR – Public Library of Science (PLoS) Article – May 13, 2019

Filed under: Reports and Articles — Tags: — admin @ 6:20 pm

“Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis,” by Euan Sadler, Victoria Potterton, Ruth Anderson, Zarnie Khadjesari, Katie Sheehan, Farida Butt, Nick Sevdalis, and Jane Sandall (PLoS ONE 14(5): e0216488. doi.org/10.1371/journal.pone.0216488, XML, HTML, and .pdf format, 25p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0216488

April 29, 2019

CAAR – Public Library of Science (PLoS) Article – April 29, 2019

Filed under: Reports and Articles — Tags: — admin @ 5:20 pm

“Instruments for the detection of frailty syndrome in older adults: A systematic review,” by Jossiana Wilke Faller, David do Nascimento Pereira, Suzana de Souza, Fernando Kenji Nampo, Fabiana de Souza Orlandi, and Silvia Matumoto (PLoS ONE 14(4): e0216166. doi.org/10.1371/journal.pone.0216166, XML, HTML, and .pdf format, 23p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0216166

July 12, 2018

CAAR – Public Library of Science (PLoS) Article – July 12, 2018

Filed under: Reports and Articles — Tags: , , — admin @ 3:07 pm

“Cognitive frailty predicting all-cause mortality among community-living older adults in Taiwan: A 4-year nationwide population-based cohort study,” by Wei-Ju Lee, Li-Ning Peng, Chih-Kuang Liang, Ching-Hui Loh, and Liang-Kung Chen (PLoS ONE 13(7): e0200447. doi.org/10.1371/journal.pone.0200447, XML, HTML, and .pdf format, 10p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0200447

May 9, 2018

CAAR – Lancet Article Abstract – May 9, 2018

Filed under: Reports and Articles — Tags: , , — admin @ 4:37 pm

“Development and validation of a Hospital Frailty Risk Score focusing on older people in acute care settings using electronic hospital records: an observational study,” by Thomas Gilbert, Jenny Neuburger, Joshua Kraindler, Eilis Keeble, Paul Smith, Cono Ariti, Sandeepa Arora, Andrew Street, Stuart Parker, Helen C. Roberts, Martin Bardsley, and Simon Conroy (Vol. 391, No. 10132, May 5, 2018, p. 1775-1782).

www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30668-8/abstract

April 10, 2018

CAAR – Public Library of Science (PLoS) Article – April 10, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:54 pm

“Frailty in a racially and socioeconomically diverse sample of middle-aged Americans in Baltimore,” by Felicia R. Griffin, Nicolle A. Mode, Ngozi Ejiogu, Alan B. Zonderman, and Michele K. Evans (PLoS ONE 13(4): e0195637. doi.org/10.1371/journal.pone.0195637, XML, HTML, and .pdf format, 12p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0195637

September 12, 2017

CAAR – Public Library of Science (PLoS) Article – September 12, 2017

Filed under: Reports and Articles — Tags: , — admin @ 4:56 pm

“Frailty is associated with objectively assessed sedentary behaviour patterns in older adults: Evidence from the Toledo Study for Healthy Aging (TSHA),” by Borja del Pozo-Cruz, Asier Manas, María Martín-García, Jorge Marín-Puyalto, Francisco J. García-García, Leocadio Rodriguez-Manas, Amelia Guadalupe-Grau, and Ignacio Ara (PLoS ONE 12(9): e0183911. doi.org/10.1371/journal.pone.0183911, XML, HTML, and .pdf format, 9p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0183911

September 29, 2016

CAAR – Irish Longitudinal Study on Ageing/Staidear Fadaimseartha na hEireann um Dhul in Aois [TILDA] (Trinity College, Ireland] Report – September 29, 2016

Filed under: Reports and Articles — Tags: , — admin @ 4:48 pm

“The Impact Of Frailty On Public Health Nurse Service Utilisation: Findings from The Irish Longitudinal Study on Ageing (TILDA),” by Lorna Roe, Aisling O’Halloran, Charles Normand, and Catriona Murphy (September 2016, .pdf format, 18p.).

tilda.tcd.ie/assets/pdf/2016_Roe%20et%20al_Frailty%20&%20Public%20Health%20Nursing.pdf

February 22, 2016

CAAR – Public Library of Science (PLoS) Articles – February 22, 2016

Filed under: Reports and Articles — Tags: , , , — admin @ 4:44 pm

A. “Cognition and Indicators of Dietary Habits in Older Adults from Southern Brazil,” by Vivian Francielle Franca, Aline Rodrigues Barbosa, and Eleonora D’Orsi (PLoS ONE 11(2): e0147820. doi:10.1371/journal.pone.0147820, XML, HTML, and .pdf format, 12p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0147820

B. “Long Term Outcomes of a Geriatric Liaison Intervention in Frail Elderly Cancer Patients,” by Liesbeth Hempenius, Joris P. J. Slaets, Dieneke van Asselt, Truuske H. de Bock, Theo Wiggers, and Barbara L. van Leeuwen (PLoS ONE 11(2): e0143364. doi:10.1371/journal.pone.0143364, XML, HTML, and .pdf format, 13p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0143364

November 17, 2015

CAAR – Proceedings of the National Academy of Sciences Article Abstracts – November 17, 2015

Filed under: Reports and Articles — Tags: , , , — admin @ 5:06 pm

A. “JAK inhibition alleviates the cellular senescence-associated secretory phenotype and frailty in old age,” by Ming Xu, Tamara Tchkonia, Husheng Ding, Mikolaj Ogrodnik, Ellen R. Lubbers, Tamar Pirtskhalava, Thomas A. White, Kurt O. Johnson, Michael B. Stout, Vojtech Mezera, Nino Giorgadze, Michael D. Jensen, Nathan K. LeBrasseur, and James L. Kirkland (Vol. 112, No. 46, November 17, 2015, p. E6301–E6310).

www.pnas.org/content/112/46/E6301.abstract.html?etoc

B. “Automatic classification of prostate cancer Gleason scores from multiparametric magnetic resonance images,” by Duc Fehr, Harini Veeraraghavan, Andreas Wibmer, Tatsuo Gondo, Kazuhiro Matsumoto, Herbert Alberto Vargas, Evis Sala, Hedvig Hricak, and Joseph O. Deasy (Vol. 112, No. 46, November 17, 2015, p. E6265–E6273).

www.pnas.org/content/112/46/E6265.abstract.html?etoc

October 20, 2015

CAAR – National Institute for Health and Care Excellance (NICE) [UK] Report – October 20, 2015

Filed under: Reports and Articles — Tags: , , — admin @ 5:08 pm

“Dementia, disability and frailty in later life – mid-life approaches to delay or prevent onset,” (October 2015, .pdf and HTML format, 61p.).

www.nice.org.uk/guidance/ng16

May 5, 2015

CAAR – Public Library of Science (PLoS) Article – May 5, 2015

Filed under: Reports and Articles — Tags: , — admin @ 4:35 pm

“Cost-Effectiveness of a Specialist Geriatric Medical Intervention for Frail Older People Discharged from Acute Medical Units: Economic Evaluation in a Two-Centre Randomised Controlled Trial (AMIGOS),” by Lukasz Tanajewski, Matthew Franklin, Georgios Gkountouras, Vladislav Berdunov, Judi Edmans, Simon Conroy, Lucy E. Bradshaw, John R. F. Gladman, and Rachel A. Elliott (PLoS ONE 10(5): e0121340. doi:10.1371/journal.pone.0121340, XML, HTML, and .pdf format, 18p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0121340

January 8, 2015

CAAR – Nature Medicine Letter Abstract – January 8, 2015

Filed under: Reports and Articles — Tags: , — admin @ 4:43 pm

“Inducible depletion of satellite cells in adult, sedentary mice impairs muscle regenerative capacity without affecting sarcopenia,” by Christopher S. Fry, Jonah D. Lee, Jyothi Mula, Tyler J. Kirby, Janna R. Jackson, Fujun Liu, Lin Yang, Christopher L. Mendias, Esther E. Dupont-Versteegden, John J. McCarthy & Charlotte A. Peterson (Vol. 21, No. 1, January 2015, p. 76-80).

www.nature.com/nm/journal/v21/n1/abs/nm.3710.html

December 2, 2014

CAAR – Centre for Ageing Research and Development in Ireland Brief – December 2, 2014

Filed under: Reports and Articles — Tags: , — admin @ 4:51 pm

“Fraility and Disability,” by Ms Siobhan Scarlett, Dr. Bellinda L. King-Kallimanis, Professor Ian Young, Professor Rose Anne Kenny, and Dr. Matthew D.L. O’Connell (November 2014, .pdf format, 11p.).

www.cardi.ie/publications/frailtyanddisabilityinirelandnorthandsouth

October 30, 2013

CAAR – Public Library of Science (PLoS) Articles – October 30, 2013

Filed under: Reports and Articles — Tags: , — admin @ 4:42 pm

A. “Patterns of Frailty in Older Adults: Comparing Results from Higher and Lower Income Countries Using the Survey of Health, Ageing and Retirement in Europe (SHARE) and the Study on Global AGEing and Adult Health (SAGE),” by Kenneth Harttgen, Paul Kowal, Holger Strulik, Somnath Chatterji, and Sebastian Vollmer (PLoS ONE 8(10): e75847. doi:10.1371/journal.pone.0075847, XML, HTML, and .pdf format, 11p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0075847

B. “Altered Resting State Brain Networks in Parkinson’s Disease,” by Martin Gottlich, Thomas F. Munte, Marcus Heldmann, Meike Kasten, Johann Hagenah, and Ulrike M. Kramer (PLoS ONE 8(10): e77336. doi:10.1371/journal.pone.0077336, XML, HTML and .pdf format, 13p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0077336

September 18, 2013

CAAR – Statistics Canada/Statistique Canada Article – September 18, 2013

Filed under: Reports and Articles — Tags: — admin @ 4:36 pm

“Validation of an index to estimate the prevalence of frailty among community-dwelling seniors,” by Melanie Hoover, Michelle Rotermann, Claudia Sanmartin and Julie Bernier (Health Reports, Vol. 24, No. 9, September 2013, .pdf and HTML format, p. 10-17).

www.statcan.gc.ca/pub/82-003-x/2013009/article/11864-eng.htm

September 17, 2013

CAAR – University of Wisconsin Center for Demography and Ecology Working Paper – September 17, 2013

Filed under: uncategorized — Tags: — admin @ 4:33 pm

“Frailty in Transition: Variation and Vulnerability in Aging Populations,” by Michal Engelman, Vladimir Canudas-Romo and Emily M. Agree (2013-10, 2013, .pdf format, 34p.).

Abstract:

This paper asks how the demographic and epidemiologic transitions of the past century and a half have influenced patterns of survival and health in aging populations. We hypothesize that survival improvements at younger ages may yield an older population with a more heterogeneous health profile relative to previous cohorts with higher early-life mortality. To test this hypothesis, we develop a theoretical and statistical rationale for a frailty model designed to examine changes in the composition of successive aging cohorts. The model incorporates a cohort-specific frailty indicator into an equation describing the mortality hazard trajectory across the full lifespan, and its parameters are estimated using life table data for cohorts born 1885-1919. The findings indicate that more recent cohorts are more homogeneous with respect to the timing of mortality than earlier ones – but also less selected, as death culls fewer individuals in early life. We argue that due to ongoing survival improvements, delayed mortality selection has shifted disparities into later life, where they manifest in increasing mortality variability and growing heterogeneity in health.

www.ssc.wisc.edu/cde/cdewp/2013-10.pdf

June 20, 2013

CAAR – Public Library of Science (PLoS) Articles – June 20, 2013

Filed under: Reports and Articles — Tags: , , , — admin @ 4:23 pm

A. “Alcohol Consumption, Types of Alcohol, and Parkinson’s Disease,” by Rui Liu, Xuguang Guo, Yikyung Park, Jian Wang, Xuemei Huang, Albert Hollenbeck, Aaron Blair, and Honglei Chen (PLoS ONE 8(6): e66452. doi:10.1371/journal.pone.0066452, HTML, XML, and .pdf format, 7p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0066452

B. “Longitudinal Assessment of Amyloid Pathology in Transgenic ArcA{beta} Mice Using Multi-Parametric Magnetic Resonance Imaging,” by Jan Klohs, Igna Wojtyna Politano, Andreas Deistung, Joanes Grandjean, Anna Drewek, Marco Dominietto, Ruth Keist, Ferdinand Schweser, Jurgen R. Reichenbach, Roger M. Nitsch, Irene Knuesel, and Markus Rudin (PLoS ONE 8(6): e66097. doi:10.1371/journal.pone.0066097, XML, HTML, and .pdf format, 12p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0066097

C. “Outcomes of a Geriatric Liaison Intervention to Prevent the Development of Postoperative Delirium in Frail Elderly Cancer Patients: Report on a Multicentre, Randomized, Controlled Trial,” by Liesbeth Hempenius, Joris P. J. Slaets, Dieneke van Asselt, Geertruida H. de Bock, Theo Wiggers, and Barbara L. van Leeuwen (PLoS ONE 8(6): e64834. doi:10.1371/journal.pone.0064834, XML, HTML, and .pdf format, 11p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0064834

May 24, 2013

CAAR – Institute for Research and Information in Health Economics [France] Working Paper – May 24, 2013

Filed under: Working Papers — Tags: — admin @ 11:46 am

“On the Socio-Economic Determinants of Frailty: Findings from Panel and Retrospective Data from SHARE,” by Nicolas Sirven (IRDES Working Paper No. 52, April 2013, .pdf format, 31p.).

Abstract:

Recent studies on the demand for long-term care emphasised the role of frailty as a specific precursor of disability besides chronic diseases. Frailty is defined as vulnerable health status resulting from the reduction of individuals’ reserve capacity. This medical concept is brought here in an economic framework in order to investigate the role social policies may play in preventing disability or maintaining life quality of people in a disablement process.

Using four waves of panel data from the Survey on Health, Ageing, and Retirement in Europe (SHARE), a frailty index is created as a count measure for five physiologic criteria (Fried model) for respondents aged 50+ in 10 European countries, between 2004 and 2011.

The longitudinal dimension is explored in two ways. First, differences in frailty dynamics over a seven-year-time period are analysed through variables that are relevant for social policy (income maintenance, housing adaptation, and prevention of social isolation) in a panel model for count data with fixed effects. Second, the individual fixed effects are decomposed by means of a random effects model with Mundlak specification. SHARE additional retrospective data on life history (SHARELIFE) are then used to investigate differences in frailty levels.

The results reveal the presence of various sources of social inequalities over the life-course. Social Protection Systems thus appear to play a major role in accompanying, preventing or reducing the frailty process. Several policy implications are suggested.

www.irdes.fr/EspaceAnglais/Publications/WorkingPapers/DT52SocioEconomicDeterminantsFrailty.pdf

February 14, 2013

CAAR – Public Library of Science (PLoS) Articles – February 14, 2013

Filed under: Reports and Articles — Tags: , , , , — admin @ 4:54 pm

A. “Plasma Adiponectin Levels Correlate Positively with an Increasing Number of Components of Frailty in Male Elders,” by Jaw-Shiun Tsai, Chih-Hsun Wu, Su-Chiu Chen, Kuo-Chin Huang, Chin-Ying Chen, Ching-I Chang, Lee-Ming Chuang, and Ching-Yu Chen (PLoS ONE 8(2): e56250. doi:10.1371/journal.pone.0056250, XML, HTML, and .pdf format, 8p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0056250

B. “The Effects of Aging on Conflict Detection,” by Giuliana Lucci, Marika Berchicci, Donatella Spinelli, Francesco Taddei, and Francesco Di Russo (PLoS ONE 8(2): e56566. doi:10.1371/journal.pone.0056566, XML, HTML, and .pdf format, 14p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0056566

C. “Motor Matters: Tackling Heterogeneity of Parkinson’s Disease in Functional MRI Studies,” by Stefan Holiga, Karsten Mueller, Harald E. Moller, Tomas Sieger, Matthias L. Schroeter, Josef Vymazal, Evzen Ruzicka, and Robert Jech (PLoS ONE 8(2): e56133. doi:10.1371/journal.pone.0056133, XML, HTML, and .pdf format, 7p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0056133

D. “Accelerated Cell Aging in Female APOE-{epsilon}4 Carriers: Implications for Hormone Therapy Use,” by Emily G. Jacobs, Candyce Kroenke, Jue Lin, Elissa S. Epel, Heather A. Kenna, Elizabeth H. Blackburn, and Natalie L. Rasgon (PLoS ONE 8(2): e54713. doi:10.1371/journal.pone.0054713, XML, HTML, and .pdf format, 7p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0054713

E. “Increased Tau Phosphorylation and Tau Truncation, and Decreased Synaptophysin Levels in Mutant BRI2/Tau Transgenic Mice,” by Holly J. Garringer, Jill Murrell, Neeraja Sammeta, Anita Gnezda, Bernardino Ghetti, and Ruben Vidal ( PLoS ONE 8(2): e56426. doi:10.1371/journal.pone.0056426, XML, HTML, and .pdf format, 11p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0056426

December 12, 2012

CAAR – Institute For Research and Information in Health Economics [IRDES] Working Paper – December 12, 2012

Filed under: Working Papers — Tags: — admin @ 1:27 pm

“On the Socio-Economic Determinants of Frailty: Findings from Panel and Retrospective Data from SHARE,” by Nicolas Sirven (Working Paper No. 52, December 2012, .pdf format, 29p.).

Abstract:

Recent studies on the demand for long-term care emphasised the role of frailty as a specific precursor of disability besides chronic diseases. Frailty is defined as vulnerable health status resulting from the reduction of individuals’ reserve capacity. This medical concept is brought here in an economic framework in order to investigate the role social policies may play in preventing disability or maintaining life quality of people in a disablement process.

Using four waves of panel data from the Survey on Health, Ageing, and Retirement in Europe (SHARE), a frailty index is created as a count measure for five physiologic criteria (Fried model) for respondents aged 50+ in 10 European countries, between 2004 and 2011.

The longitudinal dimension is explored in two ways. First, differences in frailty dynamics over a seven-year-time period are analysed through variables that are relevant for social policy (income maintenance, housing adaptation, and prevention of social isolation) in a panel model for count data with fixed effects. Second, the individual fixed effects are decomposed by means of a random effects model with Mundlak specification. SHARE additional retrospective data on life history (SHARELIFE) are then used to investigate differences in frailty levels.

The results reveal the presence of various sources of social inequalities over the life-course. Social Protection Systems thus appear to play a major role in accompanying, preventing or reducing the frailty process. Several policy implications are suggested.

www.irdes.fr/EspaceAnglais/Publications/WorkingPapers/DT52SocioEconomicDeterminantsFrailty.pdf

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