A comparative study of differences in cognitive frailty in older adults with different social participation patterns

HAN Jiaying; CHAO Jianqian; LUO Zongyu; SU Fan

doi:10.16462/j.cnki.zhjbkz.2023.09.012

Volume 27 Issue 9

Sep. 2023

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HAN Jiaying, CHAO Jianqian, LUO Zongyu, SU Fan. A comparative study of differences in cognitive frailty in older adults with different social participation patterns[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(9): 1052-1058. doi: 10.16462/j.cnki.zhjbkz.2023.09.012

Citation:

HAN Jiaying, CHAO Jianqian, LUO Zongyu, SU Fan. A comparative study of differences in cognitive frailty in older adults with different social participation patterns[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(9): 1052-1058. doi: 10.16462/j.cnki.zhjbkz.2023.09.012

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A comparative study of differences in cognitive frailty in older adults with different social participation patterns

doi: 10.16462/j.cnki.zhjbkz.2023.09.012

HAN Jiaying^{1, 2},
CHAO Jianqian^{1, 2
,
,},
LUO Zongyu^{1, 2},
SU Fan^{1, 2}

1.
Department of Medical Insurance, School of Public Health, Southeast University, Nanjing 210009, China
2.
Health Management Research Center, Southeast University, Nanjing 210009, China

Funds:

The Key Project of Philosophy and Social Science Research in Colleges and Universities in Jiangsu Province 2022SJZD141

More Information

Corresponding author: CHAO Jianqian, E-mail: chaoseu@163.com
Received Date: 2022-08-10
Rev Recd Date: 2023-04-19

Available Online: 2023-10-12

Publish Date: 2023-09-10

Abstract

Abstract

Objective To understand the current status of cognitive frailty in older adults, investigating the divergence in cognitive frailty and its contributing factors across various patterns of social participation. Methods Utilizing the 2018 Chinese longitudinal healthy longevity survey, we performed a multi-factor stepwise forward logistic regression analysis and Fairlie decomposition to discern the status of cognitive frailty in older adults. Results The prevalence of cognitive frailty among the 7 772 older adults was 5.83% for the group interaction type and 21.53% for the self-pastime type, with a statistically significant difference (χ²=426.10, P < 0.001). Multifactorial logistic regression results showed that low age, having an educational background, having a spouse, better economic conditions, alcohol drinking, exercising and having family support were protective factors for cognitive frailty. Fairlie decomposition results showed that 55.63% of the health differences between the two social participation patterns were explainable by observed factors, while 44.37% of the health differences were caused by the two patterns themselves. Conclusions The cognitive frailty status was better in group-interactive older adults than in self-pastime older adults. To mitigate health disparities, it is recommended that older adults are encouraged to actively engage in social activities and maintain regular exercise.
- Cognitive frailty,
- Social participation,
- Fairlie decomposition method,
- The elderly

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References(20)

References

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